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

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

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

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Matsuda, Aya Hara, Takeshi Miyata, Kazunori Matsuo, Hiroshi Murata, Hiroshi Mayama, Chihiro Asaoka, Ryo
Description	Country affiliation: Japan Author Affiliation: Matsuda A ( Department of Ophthalmology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.); Hara T ( Hara Eye Hospital, Tochigi, Japan.); Miyata K ( Miyata Eye Hospital, Miyakonojo, Miyazaki, Japan.); Matsuo H ( Matsuo Eye Clinic, Tokyo, Japan.); Murata H ( Department of Ophthalmology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.); Mayama C ( Department of Ophthalmology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.); Asaoka R ( Department of Ophthalmology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.)
Abstract	BACKGROUND/AIMS: To study the efficacy of pattern deviation (PD) values in the estimation of visual field compensating the influence of cataract in eyes with glaucoma. METHODS: The study subjects comprised of 48 eyes of 37 glaucoma patients. Mean total deviation value (mTDs) on Humphrey Field Analyzer after cataract surgery was compared with mean PD (mPD) before the surgery. Visual field measurements were carried out ≤6âmonths before (VF(pre)) and following (VF(post)) successful cataract surgery. The difference between the mPD or mTD values in the VF(pre) and mTD values in the VF(post) (denoted as ÎµmPD/ΔmTD) was calculated, and the influence of the extent of 'true' glaucomatous visual field damage or cataract (as represented by ÎµmPD and ΔmTD, respectively) on this difference was also investigated. RESULTS: There was a significant difference between mTD in the VF(pre) and mTD in the VF(post) (p<0.001, repeated measures analysis of variance). There was not a significant difference between mPD in the VF(pre) and mTD in the VF(post) (p=0.06); however, ÎµmPD was significantly correlated with the mTD in VF(post) and also ΔmTD (R(2)=0.56 and 0.27, p<0.001, Pearson's correlation). The accurate prediction of the mTD in the VF(post) can be achieved using the pattern standard deviation (PSD), mTD and also visual acuity before surgery. CONCLUSIONS: 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.
File Format	HTM / HTML
ISSN	00071161
Issue Number	9
Volume Number	99
e-ISSN	14682079
Journal	British Journal of Ophthalmology
Language	English
Publisher	BMJ Publishing Group Ltd.
Publisher Date	2015-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Glaucoma Research Support, Non-u.s. Gov't Cataract Complications Cataract Extraction Humans Middle Aged Male Aged, 80 And Over Visual Acuity Journal Article Physiopathology Discipline Ophthalmology Visual Fields Etiology Vision Disorders Female Visual Field Tests Aged Analysis Of Variance Retrospective Studies Diagnosis Methods
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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