Visual Field Index Essay

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Visual field index for assessing glaucoma severity Sousa MC et al. Suitability of the Visual Field Index according to Glaucoma Severity. J Curr Glaucoma Pract. 2015 Sep-Dec;9(3):65-8. doi: 10.5005/jp-journals-10008-1186. Epub 2016 Feb 2. Introduction: Loss of retinal ganglion cells with characteristic changes of the optic nerve head and visual field is a characteristic presentation of glaucomatous optic neuropathy. Among various detection options, standard automated perimetry (SAP) remains the most widely used method to access the visual deficit by glaucoma. The visual field index (VFI) was introduced by Bengtsson and Heijl that is less affected by media opacity and considers the functional loss corrected for age spots identified as changed in the probability map of the the pattern standard deviation (PSD). Objective: Sousa MC et al carried out a cross-sectional study to detect the suitability of the VFI and its correlations with the other available indices in different stages of primary open-angle glaucoma (POAG). Method: …show more content…

Inclusion criteria were a diagnosis of POAG or ocular hypertension, with a history of three or more prior visual field tests. The medical records of all subjects were reviewed and a new SAP was performed. Patients were divided into five groups: group I (glaucoma suspects―ocular hypertension), group II (mild glaucoma, MD > -6 dB), group III (moderate glaucoma, MD between - 6 and - 12 dB), group IV (advanced glaucoma, MD between -12 and -20 dB), and group V (end stage glaucoma, MD < -20 dB). The three global indexes [mean deviation (MD), PSD and VF] were obtained and correlated using scientific analysis where p < 0.001). Figure

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