Motion automated perimetry identifies early glaucomatous field defects.

Autor: Bosworth CF; Glaucoma Center and Department of Ophthalmology, University of California, San Diego, La Jolla 92093-0946, USA., Sample PA, Gupta N, Bathija R, Weinreb RN
Jazyk: angličtina
Zdroj: Archives of ophthalmology (Chicago, Ill. : 1960) [Arch Ophthalmol] 1998 Sep; Vol. 116 (9), pp. 1153-8.
DOI: 10.1001/archopht.116.9.1153
Abstrakt: Objective: To determine if motion automated perimetry can identify early glaucomatous visual field defects in patients with suspected glaucoma (by disc), those with ocular hypertension, and those with primary open-angle glaucoma.
Methods: Motion automated perimetry, a foveally centered motion test, and standard visual field tests were conducted on one randomly selected eye of normal patients (n = 38), patients with suspected glaucoma (by disc) (n = 28), patients with ocular hypertension (n = 18), and patients with primary open-angle glaucoma (n = 21). Subjects' performance on both motion tests were compared with their performance on standard perimetry.
Results: Perimetric motion thresholds significantly distinguished the groups (P< or =.001), while the foveally centered motion test was unable to separate them (P< or =.32). Of the total patients, 90.5% of those with glaucoma, 39.3% of those with suspected glaucoma, 27.8% of those with ocular hypertension, and 5.3% of the normal subjects had abnormal results on motion automated perimetry testing. Perimetric motion thresholds were significantly correlated with standard visual field thresholds (P< or =.001).
Conclusion: Motion automated perimetry identifies visual field defects in patients who already show standard visual field loss as well as in a moderate percentage of those with suspected glaucoma and ocular hypertension, indicating that the testing of discrete locations might be necessary for increased diagnostic utility.
Databáze: MEDLINE