Do pattern deviation values accurately estimate glaucomatous visual field damage in eyes with glaucoma and cataract?

Matsuda, Aya; Hara, Takeshi; Matsuo, Hiroshi; Murata, Hiroshi; Mayama, Chihiro; Asaoka, Ryo

doi:10.1136/bjophthalmol-2014-306019

Cited by 8 publications

(5 citation statements)

References 26 publications

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“…Moreover, a previous study has reported that eye movement of less than 38 are commonly observed in VF tests, even in well-trained healthy observers. 4,21 The relationship between PSD and MD can be explained using a quadratic linear regression model, 16,22 where PSD decreases in the moderate to advanced stages of the disease. 7 PSD was included as a predictor of MD in the best linear model in the current study.…”

Section: Discussionmentioning

confidence: 99%

The Usefulness of Gaze Tracking as an Index of Visual Field Reliability in Glaucoma Patients

Ishiyama

Murata

Asaoka

2015

Invest. Ophthalmol. Vis. Sci.

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Section: Discussionmentioning

confidence: 99%

The Usefulness of Gaze Tracking as an Index of Visual Field Reliability in Glaucoma Patients

Ishiyama

Murata

Asaoka

2015

Invest. Ophthalmol. Vis. Sci.

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“…Matsuda et al [10] compared visual fields in glaucoma patients before and after cataract surgery to ascertain the role of cataracts themselves in standard visual field metrics. They note that total deviation on visual fields in patients with cataracts improves significantly after surgery, suggesting that total deviation alone may not be a sufficient metric to assess glaucoma severity in eyes with cataracts.…”

Section: Cataract Extraction and Visual Fieldsmentioning

confidence: 99%

Glaucoma and cataract surgery

Shah

Law

Ahmed

2016

Current Opinion in Ophthalmology

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Although the challenges of performing cataract extraction on glaucoma patients exist, the potential benefit to these patients is substantial. With attention to pre- and perioperative surgical planning and intraoperative technique, as well as with awareness and potential utilization of novel devices and treatment strategies, cataract extraction offers a unique platform for anatomical and functional improvement in this increasingly common cohort of patients.

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“…But this general correction may not always be appropriate. Removing all diffuse VF loss in pattern deviation values may underestimate glaucomatous VF damage in some patients with advanced VF damage 22 . Therefore we analyzed both plots.…”

Section: Discussionmentioning

confidence: 99%

Steeper structure-function relationship in eyes with than without a parapapillary deep-layer microvasculature dropout

Kim

Lee

Kim

et al. 2018

Sci Rep

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The degree of visual field (VF) loss can vary widely at a given level of retinal nerve fiber layer (RNFL) thickness. The cause of this variability is not fully understood. This cross-sectional study investigated whether the presence of choroidal microvasculature dropout (MvD) influences on the structure-function relationship among glaucomatous eyes. Seventy-one primary open-angle glaucoma (POAG) patients with choroidal MvD as determined by optical coherence tomography angiography (MvD+ group), and 71 age- and inferotemporal (IT) RNFL thickness-matched POAG patients without MvD (MvD– group) were included. VF sensitivity within the region corresponding to the IT RNFL sector was averaged using the total and pattern deviation fields. The slope of log-scale RNFL thickness versus VF defect was significantly steeper for the MvD+ than the MvD– group, as determined by both total and pattern deviation maps (P = 0.004 and <0.001, respectively). Both total and pattern VF deviation were significantly worse in the MvD+ than in the MvD– group (P = 0.002 and 0.007, respectively). Same results were obtained in subgroup analyses for eyes with thick and thin RNFL thickness (all P ≤ 0.027). These data suggest that parapapillary MvD is associated with poorer function of the remaining axons in eyes with POAG.

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Do pattern deviation values accurately estimate glaucomatous visual field damage in eyes with glaucoma and cataract?

Abstract: Clinicians should be very careful when reviewing the VF of a patient with glaucoma and cataract since PD values may underestimate glaucomatous VF damage in patients with advanced disease and also overestimate glaucomatous VF damage in patients with early to moderate cataract.

Cited by 8 publications

References 26 publications

The Usefulness of Gaze Tracking as an Index of Visual Field Reliability in Glaucoma Patients

The Usefulness of Gaze Tracking as an Index of Visual Field Reliability in Glaucoma Patients

Glaucoma and cataract surgery

Steeper structure-function relationship in eyes with than without a parapapillary deep-layer microvasculature dropout

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