Comparison of Elisar-Fast and Sita-Fast Strategy for Visual Field Assessment in Glaucoma.

IF 2 4区医学 Q2 OPHTHALMOLOGY Journal of Glaucoma Pub Date : 2024-10-02 DOI:10.1097/IJG.0000000000002505

Priya Narang, Fareya Fatheema Rasheed, Amar Agarwal, Rhea Narang, Ashvin Agarwal

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Abstract

Purpose: To compare two fast threshold strategies of visual field assessment: SITA-Fast (SF; Humphrey field analyser) and Elisar-Fast (EF; Advanced vision analyser) in patients with glaucoma.

Methods: In this cross-sectional observational study, of total 192 subjects, 138 subjects [150 eyes, 80 glaucoma subjects (91 eyes) and 58 healthy controls (59 eyes)] were analysed and included. Each subject underwent 24-2 EF and SF in randomized order with a minimum time interval of 1 hour between tests.

Main outcome measures: Mean test-time, pointwise and sectoral sensitivity, significance of values of mean sensitivity (MS) and global indices [mean deviation (MD) & pattern standard deviation (PSD)] and their correlation.

Results: The mean test-time was 2.59±0.25 and 3.38±0.28 minutes (P = 0.001) with SF and EF respectively. Correlation coefficient for pointwise threshold values correlated strongly for both the devices (range from 0.70 to 0.92). The Intra class correlation (ICC) value of ≥ 0.8 was observed across all sectors indicating good reliability. Bland-Altman plot denoted 95% of data for MS values within limit of Agreement (LOA). The ICC values for overall MS, MD and PSD were 0.916, 0.913 and 0.872 respectively indicating good reliability. High degree of correlation was observed for MD (r = 0.912, P=0.00) and PSD values (r=0.732, P=0.00). Comparison of values indicated a difference of 1.09 dB for MD and 0.06 dB for PSD between both strategies.

Conclusions: High degree of correlation existed between the global indices and pointwise threshold values. The study documents the ability of EF to successfully assess visual field in patients with glaucoma.

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青光眼视野评估中 Elisar-Fast 和 Sita-Fast 策略的比较。

目的：比较两种快速阈值视野评估策略：方法：在这项横断面观察研究中，共分析并纳入了 192 名受试者中的 138 名受试者[150 只眼睛，其中青光眼受试者 80 名（91 只眼睛），健康对照组 58 名（59 只眼睛）]。每位受试者按随机顺序进行 24-2 EF 和 SF 测试，两次测试之间至少间隔 1 小时：主要结果指标：平均测试时间、点和扇形灵敏度、平均灵敏度（MS）和总体指数[平均偏差（MD）和模式标准偏差（PSD）]值的显著性及其相关性：SF 和 EF 的平均测试时间分别为 2.59±0.25 分钟和 3.38±0.28 分钟（P = 0.001）。两种设备的点阈值相关系数都很高（范围在 0.70 至 0.92 之间）。所有区段的类内相关（ICC）值均≥ 0.8，表明可靠性良好。Bland-Altman图显示，95%的数据的MS值在协议限（LOA）内。总体 MS、MD 和 PSD 的 ICC 值分别为 0.916、0.913 和 0.872，表明可靠性良好。MD 值（r=0.912，P=0.00）和 PSD 值（r=0.732，P=0.00）具有高度相关性。数值比较表明，两种方法的 MD 值相差 1.09 dB，PSD 值相差 0.06 dB：结论：总体指数和点阈值之间存在高度相关性。该研究证明了 EF 能够成功评估青光眼患者的视野。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Glaucoma 医学-眼科学

CiteScore

4.20

自引率

10.00%

发文量

330

审稿时长

4-8 weeks

期刊介绍： The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.