Glaucoma detection with matrix and standard achromatic perimetry

Background: Matrix perimetry is a new iteration of frequency-doubling technology (FDT) which uses a smaller target size in the standard achromatic perimetry presentation pattern. Aim: To compare the performance of matrix and Swedish interactive thresholding algorithm (SITA) perimetry in detecting gl...

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Veröffentlicht in:	British journal of ophthalmology Jg. 91; H. 7; S. 933 - 938
Hauptverfasser:	Burgansky-Eliash, Zvia, Wollstein, Gadi, Patel, Avni, Bilonick, Richard A, Ishikawa, Hiroshi, Kagemann, Larry, Dilworth, William D, Schuman, Joel S
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	BMA House, Tavistock Square, London, WC1H 9JR BMJ Publishing Group Ltd 01.07.2007 BMJ BMJ Publishing Group LTD BMJ Group
Schlagworte:	Adult Aged Algorithms area under the receiver operating characteristic AROC Biological and medical sciences C/D cup-to-disc Epidemiologic Methods Extended Report FDT frequency-doubling technology GHT Glaucoma Glaucoma - diagnosis Glaucoma and intraocular pressure glaucoma hemifield test glaucomatous optic neuropathy GON Humans intraocular pressure IOP mean deviation Medical sciences Middle Aged Miscellaneous Nerve Fibers - pathology OCT ONH Ophthalmology Optic Disk - pathology optic nerve head optical coherence tomography pattern standard deviation PSD Retinal Ganglion Cells - pathology retinal nerve fibre layer RNFL SAP SITA standard achromatic perimetry Swedish interactive thresholding algorithm Tomography, Optical Coherence visual field Visual Field Tests - methods Visual Fields Glaucoma Protozoa Achromatic Standard Perimetry Medical screening Standards Eye disease Glaucoma (eye) Ciliata Ophthalmology Detection Matrix system
ISSN:	0007-1161, 1468-2079
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Zusammenfassung:	Background: Matrix perimetry is a new iteration of frequency-doubling technology (FDT) which uses a smaller target size in the standard achromatic perimetry presentation pattern. Aim: To compare the performance of matrix and Swedish interactive thresholding algorithm (SITA) perimetry in detecting glaucoma diagnosed by structural assessment. Design: Prospective cross-sectional study. Methods: 76 eyes from 15 healthy subjects and 61 consecutive glaucoma suspects and patients with glaucoma were included. All patients underwent optic nerve head (ONH) photography, SITA and matrix perimetries, and optical coherence tomography (OCT) within a 6-month period. Glaucoma diagnosis was established by either glaucomatous optic neuropathy or OCT by assessing retinal nerve fibre layer (RNFL) thickness. Mean deviation (MD), pattern standard deviation (PSD), glaucoma hemifield test and cluster of abnormal testing locations were recorded from matrix and SITA perimetries. Results: Similar correlations were observed with matrix and SITA perimetry MD and PSD with either cup-to-disc ratio or OCT mean RNFL. The area under the receiver operating characteristic (AROC) curves of MD and PSD for discriminating between healthy and glaucomatous eyes ranged from 0.69 to 0.81 for matrix perimetry and from 0.75 to 0.77 for SITA perimetry. There were no significant differences among any corresponding matrix and SITA perimetry AROCs. Conclusions: Matrix and SITA perimetries had similar capabilities for distinguishing between healthy and glaucomatous eyes regardless of whether the diagnosis was established by ONH or OCT–RNFL assessment.
Bibliographie:	Correspondence to: Dr J S Schuman Department of Ophthalmology, UPMC Eye Center, Eye and Ear Institute, Suite 816, University of Pittsburgh School of Medicine, 203 Lothrop Street, Pittsburgh, PA 15213, USA; schumanjs@upmc.edu istex:B2EC63280243434578BC0E052584A8896D53F16D PMID:17215267 ark:/67375/NVC-N73276KF-7 href:bjophthalmol-91-933.pdf local:0910933 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Article-2 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 ZB‐E and GW had equal roles in preparation of the manuscript.
ISSN:	0007-1161 1468-2079
DOI:	10.1136/bjo.2006.110437