Visual Field Artifacts in Glaucoma With Face Mask Use During the COVID-19 Pandemic
Autor: | Murray Fingeret, Robert N. Weinreb, Nevin W. El-Nimri, Sasan Moghimi |
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Rok vydání: | 2020 |
Předmět: |
Male
genetic structures Coronavirus disease 2019 (COVID-19) Ocular hypertension Glaucoma 03 medical and health sciences 0302 clinical medicine Ambulatory care Optic Nerve Diseases medicine Humans In patient Respiratory Protective Devices Pandemics Nose Intraocular Pressure Aged Aged 80 and over business.industry SARS-CoV-2 Automated perimetry COVID-19 Reproducibility of Results Middle Aged medicine.disease eye diseases Visual field Ophthalmology medicine.anatomical_structure 030221 ophthalmology & optometry Optometry Visual Field Tests Female Ocular Hypertension sense organs Visual Fields business Artifacts 030217 neurology & neurosurgery Algorithms Glaucoma Open-Angle |
Zdroj: | Journal of Glaucoma |
ISSN: | 1536-481X |
Popis: | Purpose The coronavirus (COVID-19) pandemic has changed how outpatient care is delivered in ophthalmology clinics, particularly with glaucoma care. This case series highlights the need for awareness of fogging and improper face mask fit as causes of standard automated perimetry artifacts in patients with ocular hypertension and glaucoma. Clinical presentations Six patients with the diagnosis of ocular hypertension, glaucoma suspect, or glaucoma underwent standard automated perimetry (24-2 or 10-2 SITA, Humphrey Field Analyzer) while wearing ear-loop surgical face masks. Due to patient complaints of fogging during the testing, low test reliability, and unexpected results, the tests were repeated after taping securely the mask to the bridge of the nose. Clinical findings Fogging may reduce visual field (VF) test reliability and induce artifacts that mimic glaucomatous defects. VF test reliability can be improved and artifacts minimized following mask taping. In 1 case there was worsening of VF defects after mask taping. This suggests that fogging may also disguise true VF defects. Conclusions Fogging can result in unreliable VF testing with glaucoma-like artifacts. Secure taping of the face mask to the nose bridge may minimize this problem and reduce unnecessary additional testing and follow-up visits. |
Databáze: | OpenAIRE |
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