Learning effect in visual field testing of healthy subjects using Humphrey Matrix frequency doubling technology perimetry.

Autor: Pierre-Filho Pde T; Department of Ophthalmology, Santa Casa of Sobral, Sobral, Brazil. paulopierre@hotmail.com, Gomes PR, Pierre ET, Pierre LM
Jazyk: angličtina
Zdroj: Eye (London, England) [Eye (Lond)] 2010 May; Vol. 24 (5), pp. 851-6. Date of Electronic Publication: 2009 Aug 14.
DOI: 10.1038/eye.2009.210
Abstrakt: Purpose: To evaluate the learning effect of frequency doubling technology (FDT) perimetry using the Humphrey Matrix perimeter in healthy subjects with no perimetric experience.
Methods: One eye of 28 healthy adults who had no history of visual field testing underwent three Matrix tests using 24-2 programme with full-threshold strategy. The results of the first session were compared with those of the second, and the third sessions. Learning effect was defined as an improvement at results for duration, perimetric indices, and the number of points with a P<5 and <1% in the total and pattern deviation maps. Anderson's criteria were applied to define abnormal examinations.
Results: The mean in the mean deviation global index was -7.40+/-1.49 dB in the first session, -4.64+/-0.97 dB in the second session, and -3.29+/-0.93 dB in the third session. Pattern standard deviations were decreased as the tests were repeated (P<0.01). Test duration, fixation losses, false negative, and the number of points with a P<5 and <1% in the total and pattern deviation maps rate were also changed significantly (P<0.05). Among the criteria suggested by Anderson, the Glaucoma Hemifield Test performed better in all session tests. The false-positive rates ranged from 50% (95% confidence intervals [CI] 30.6-69.4%) to 64% (95% CI 44.1-81.4%) for the first session, 29% (95% CI 13.2-48.7%) to 54% (95% CI 33.9-72.5%) for the second session, and from 18% (95% CI 6.1-36.9%) to 32% (95% CI 15.9-52.4%) for the third session.
Conclusions: The results of this study show that the learning effect for Humphrey Matrix FDT perimetry must be considered in normal individuals with no perimetric experience.
Databáze: MEDLINE
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