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Standard Automated Perimetry (standard + automate_perimetry)
Selected AbstractsRetinal nerve fiber layer thickness and central corneal thickness in ocular hypertensive patients and healthy subjectsACTA OPHTHALMOLOGICA, Issue 2009AM BRON Purpose To establish the correlation between central corneal thickness (CCT) and retinal nerve fiber layer (RNFL) thickness in ocular hypertensive patients and healthy subjects. Methods We prospectively collected charts of healthy subjects and ocular hypertensive (OHT) patients in one academic center between 2007 and 2008. OHT patients were defined by two measurements of intraocular pressure superior to 21mmHg without treatment, open angle in gonioscopy, normal appearing optic nerve head and normal visual field test Standard Automated Perimetry (SAP SITA) and Frequency Doubling Technique (FDT). Every patient underwent a standard clinical examination including optic nerve head examination, intraocular pressure, CCT measurement by ultrasonic (US) and anterior segment OCT pachymetry, visual field testing (SAP and FDT), RNFL thickness by scanning laser polarimetry (GDX-VCC) and optical coherence tomography (OCT). Results Eighty healthy subjects and 60 OHT patients were included. A correlation between US CCT and OCT CCT was found in both groups (r2=0.85 and r2= 0.87, p<0.001). There was no significant difference (p>0.15) in GDX-VCC and OCT RNFL thickness in both groups. In controls there was no correlation of any RNFL thickness measurement with the CCT. In OHT patients, the US CCT was weakly correlated with the average TSNIT evaluated by GDX-VCC (r2= 0.04, p<0.02). Conclusion This study did not show any relevant correlation between the RNFL thickness evaluated by GDX-VCC and the US CCT in healthy individuals and in OHT patients with a normal FDT. [source] 4354: Relationship between flicker FDF perimetry and standard automated perimetryACTA OPHTHALMOLOGICA, Issue 2010P CALVO PEREZ Purpose To compare the main indices of flicker FDF perimetry (FDF, Heidelberg Engineering, Germany) with standard automated perimetry (SAP). Methods Twenty healthy subjects and twenty-three glaucoma patients were prospectively and consecutively selected. Glaucomatous patients had an intraocular pressure higher than 21 mmHg and glaucomatous optic disc appearance. All of them underwent at least one reliable perimetry with each device. SAPs were performed with a FDF perimeter (24-2 ASTA-Standard test) and Humphrey perimeter (Carl Zeiss (24-2 SITA standard algorithm). The Kolmogorov Smirnov test was applied to check that the data were normally distributed. Only one eye per subject was included in the study. Pearson correlations were calculated between both devices : mean deviation (MD), pattern standard deviation (PSD), and visual field index (VFI). Results Mean age was 58.41±12,4 years. MD of SAP was -2.82 ± 4.8 dB, and MD of FDF was -4.47 ± 4.8 dB (p=0.123); PSD of SAP was 3.11 ± 3.1, and PSD of FDF was 3.14 ± 1.4 (p = 0.953). The correlations between MDs were 0.521 (p<0.001) and between PSDs were 0.350 (p<0.001) Conclusion Moderate correlations were found between main visual field indices both devices. Altough no differences were found, FDF tends to present MD values lower than Humphrey. [source] Relationship between standard automated perimetry and high-resolution optical coherence tomography in glaucoma patientsACTA OPHTHALMOLOGICA, Issue 2009P CALVO PEREZ Purpose To determine the relationship between the main indices of standard automated perimetry (SAP) and the peripapillary retinal nerve fiber layer (RNFL) thickness measured with spectral-domain optical coherence tomography (OCT) in patients with glaucomatous visual field defects. Methods 47 consecutive patients with open-angle glaucoma were included in the study. Only one eye per subject was randomly selected. SAPs were performed with a Humphrey perimeter and the 24-2 SITA standard algorithm. All of them underwent imaging with the Spectralis OCT (Heidelberg Engineering, Heidelberg, Germany). Left eye data were converted to a right eye format. The Kolmogorov Smirnov test was applied to check that the data were normally distributed. Pearson correlations were calculated between SAP indices (mean deviation, pattern standard deviation, and visual field index) and OCT parameters Results The average visual field mean deviation was -6.50 dB. Mild to moderate correlations were observed between SAP indices and most OCT parameters. The strongest correlations were found between the inferior quadrant thickness and pattern standard deviation (-0.544). Conclusion The RNFL thicknesses measured with high-resolution OCT showed moderate correlations with SAP indices in glaucoma patients. These results may help to understand the relationship between structural and functional changes in open-angle glaucoma. [source] The Groningen Longitudinal Glaucoma Study.ACTA OPHTHALMOLOGICA, Issue 4 2009Abstract. Purpose:, We aimed to determine prospectively the incidence of abnormal test results on frequency doubling perimetry (FDT), the nerve fibre analyser (GDx) and standard automated perimetry (SAP) in a cohort of glaucoma suspect patients with normal findings for all these tests at baseline. Methods:, Seventy glaucoma suspect patients were followed prospectively for 4 years with SAP (Humphrey field analyser 30-2 SITA Fast), FDT (C-20 full-threshold) and GDx (Version 2.010) in a clinical setting. All patients had normal baseline test results on SAP, FDT and GDx. After the follow-up period, the number of patients who converted (whose test results changed from normal at baseline to reproducibly abnormal during follow-up) were counted for each technique and then compared. The cut-off point for FDT was > 1 depressed test-point p < 0.01 in the total deviation probability plot; the cut-off point for GDx was the Number > 29. Results:, Of the 70 glaucoma suspect patients, three converted on FDT, 14 on GDx and six on SAP. These proportions are significantly different for GDx versus SAP (p = 0.033) and GDx versus FDT (p = 0.002), but not for FDT versus SAP (p = 0.256). Conclusions:, The most frequent finding after a 4-year follow-up was conversion on GDx. [source] Retinal nerve fibre layer of perimetrically unaffected eyes of glaucoma patients: an optical coherence tomography studyCLINICAL & EXPERIMENTAL OPHTHALMOLOGY, Issue 2 2009Stefano Da Pozzo MD PhD Abstract Purpose:, The aim of this study is to evaluate whether optical coherence tomography (StratusOCT) may detect early changes in perimetrically unaffected (PU) fellow eyes of glaucomatous patients by assessing retinal nerve fibre layer (RNFL) thickness parameters. Methods:, Thirty-seven glaucomatous patients with unilateral field loss and 34 age-matched controls were recruited. In glaucoma patients, PU and perimetrically affected fellow eyes were analysed separately. For each group, mean values (±SD) of RNFL thickness parameters were calculated and comparisons between fellow eyes of glaucoma patients and between healthy and PU eyes of glaucoma patients conducted with paired t -test and Mann,Whitney U -test, respectively. Proportion of clock-hour sectors flagged with probability <5% or <1% was collected and differences between healthy and PU eyes were evaluated on Fisher exact test. Results:, Global (Average Thickness) and sectoral parameters (Inferior and Nasal Average), Maximum thickness,minimum thickness (Max-min), as well as 2-o'clock (nasal side) and 6-o'clock sectors resulted significantly thinner in PU eyes than in control group. Proportion of eyes with clock-hour position flagged with probability <5% or <1% was not significantly different between healthy and PU eyes. Conclusion:, Despite a standard automated perimetry within normal limits, the StratusOCT detected both localized and diffuse RNFL thinning in PU eyes of glaucoma patients. These eyes should be considered at risk of developing functional damage over time and consequently require thorough monitoring for detecting any sign of progression. [source] | ||||||||||