The TsiogkaSpaeth grid for detection of neurological visual field defects: a validation study.

Autor: Tsiogka A; 1st Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens 'G. Gennimatas'', Athens, Greece. Anastasia.tsioga@gmail.com., Moster ML; Department of Neurology and Ophthalmology, Wills Eye Hospital and Thomas Jefferson University, Philadelphia, PA, USA., Chatzistefanou KI; 1st Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens 'G. Gennimatas'', Athens, Greece., Karmiris E; 1st Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens 'G. Gennimatas'', Athens, Greece.; Ophthalmology Department, Hellenic Air Force General Hospital, Athens, Greece., Samoli E; Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece., Giachos I; 1st Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens 'G. Gennimatas'', Athens, Greece., Droutsas K; 1st Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens 'G. Gennimatas'', Athens, Greece., Papaconstantinou D; 1st Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, General Hospital of Athens 'G. Gennimatas'', Athens, Greece., Spaeth GL; Glaucoma Service, Wills Eye Hospital, Sidney Kimmel College of Medicine, Thomas Jefferson University, Philadelphia, PA, USA.
Jazyk: angličtina
Zdroj: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [Neurol Sci] 2024 Jun; Vol. 45 (6), pp. 2869-2875. Date of Electronic Publication: 2024 Jan 08.
DOI: 10.1007/s10072-024-07305-1
Abstrakt: Background: The TsiogkaSpaeth (TS) grid is a new, low-cost, and easy to access portable test for visual field (VF) screening which could be used by clinicians in everyday clinical practice. Our study aimed to determine the validity of an innovative screening grid test for identifying neurological disease-associated VF defects.
Methods: We enrolled two groups of participants: We assessed the one eye of ten consecutive adult patients with different types of neurological disease associated VF defects and ten eyes of controls in each group. The TS grid test was performed in each group. Sensitivity, specificity, and positive and negative predictive values of the TS grid scotoma area were assessed using the 24-2 VF Humphrey field analyzer (HFA) as the reference standard.
Results: Sensitivity and specificity of the TS grid test were 100% and 90.91%, respectively. The area under curve was 0.9545 with 95% CI 0.87-1.00. There was a significant correlation between the number of missed locations on the TS grid test and the visual field index of the HFA 24-2 (r = 0.9436, P < .0001).
Conclusion: The sensitivity and specificity of the TS grid test were high in detecting VF defects in neurological disease. The TS grid test appears to be a reliable, low-cost, and easily accessed alternative to traditional VF tests in diagnosing typical neurological patterns of visual field defects. It would be useful in screening subjects for neurologically derived ocular morbidity in everyday clinical practice and in remote areas deprived of specialized health care services.
(© 2024. The Author(s).)
Databáze: MEDLINE
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