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Studying the role of 10-2 visual field test in different stages of glaucoma. | LitMetric

AI Article Synopsis

  • A study was conducted to evaluate the effectiveness of the 10-2 visual field test compared to the 24-2 test in different stages of glaucoma among 115 eyes, with some eyes also undergoing optical coherence tomography (OCT) for further analysis.
  • The 10-2 test proved crucial for detecting glaucoma cases that the 24-2 test missed, particularly in early stages, and provided a more accurate assessment of the central visual field, leading to better management strategies.
  • In advanced glaucoma cases, the 10-2 test remained helpful in assessing remaining central visual function, though its importance decreased compared to early diagnosis, highlighting its overall value in comprehensive glaucoma evaluation.

Article Abstract

Objective: To assess the role of 10-2 visual field (VF) test in different stages of glaucoma.

Methods: In our prospective comparative study, 24-2 and 10-2 VF tests were done for 115 eyes with different stages of glaucomatous damage or glaucoma suspects. Optical coherence tomography (OCT) was performed in 79 eyes. We compared field changes of the central 10° on 10-2 and 24-2 tests and studied the correlation between the mean deviation (MD) measured by the two tests.

Results: In seven , glaucoma diagnosis was missed by 24-2 test but was detected by 10-2 test and confirmed by OCT. In the eyes with , there was no correlation between 10-2 and 24-2 tests regarding the MD of the central 10º. In and stages, there was a significant correlation between the results of 24-2 and 10-2 tests.

Conclusion: We concluded that 10-2 test could help confirm glaucoma diagnosis in missed by 24-2 test before resorting to the more expensive OCT. In , we noted that 10-2, as confirmed by OCT, was a beneficial addition to 24-2 test for precise measurement of the MD and detection of defects of the central 10º missed by 24-2 test, where more intense treatment should be considered to preserve the threatened central visual function. In and cases, the role of 10-2 test was not as pivotal as in early cases, but still it was useful for assessment of residual central visual function in severe cases with absolute central 10º defects on 24-2 test for proper management.

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Source
http://dx.doi.org/10.1177/1120672119836904DOI Listing

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