Agreement Among Spectral-Domain Optical Coherence Tomography, Standard Automated Perimetry, and Stereophotography in the Detection of Glaucoma Progression

Banegas, Sebastián A.; Antón, Alfonso; Morilla‐Grasa, Antonio; Bogado, Marco; Ayala, E.; Moreno-Montañés, Javier

doi:10.1167/iovs.14-14994

Cited by 21 publications

(20 citation statements)

References 28 publications

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“…24 In our study, the conventional comparison method, AMAF, and GPA of the VF test could detect glaucoma progression in 20.4%, 45.6%, and 31.1% of the eyes with a mild baseline VF defect (MD4 − 6 dB), respectively. Consistent with a previous study, 23 we also found that stereo photographs detected fewer eyes with glaucoma progression than GPA of the VF test in the early stages of glaucoma, but AMAF could detect progression in more eyes than GPA. These reports are comparable with previous studies using flicker chronoscopy.…”

Section: Discussionsupporting

confidence: 92%

“…These reports are comparable with previous studies using flicker chronoscopy. 24 In a previous study, 23 the agreement between stereo photographs and GPA of the VF test was moderate (κ = 0.21), as was the agreement between the AMAF (κ = 0.337) and the conventional method (κ = 0.124) in our study (Table 2). Compared with the conventional comparison method, AMAF improved agreement with the functional test and performance.…”

Section: Discussionsupporting

confidence: 54%

“…In this study, normal, suspected glaucoma, and glaucoma patients were included in 246 eyes of 148 patients. 23 The detection rate of stereo photography was lower than that of the VF test in those patients with early stages of glaucoma. A higher detection rate of glaucoma progression was reported using flicker chronoscopy in another study, and 50 (48.5%) of 103 eyes showed at least one sign of structural progression, although the severity of glaucoma was not reported.…”

Section: Discussionmentioning

confidence: 89%

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Developing new automated alternation flicker using optic disc photography for the detection of glaucoma progression

Ahn

et al. 2016

Eye

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Purpose To evaluate a progression-detecting algorithm for a new automated matched alternation flicker (AMAF) in glaucoma patients. Methods Open-angle glaucoma patients with a baseline mean deviation of visual field (VF) test4 − 6 dB were included in this longitudinal and retrospective study. Functional progression was detected by two VF progression criteria and structural progression by both AMAF and conventional comparison methods using optic disc and retinal nerve fiber layer (RNFL) photography. Progression-detecting performances of AMAF and the conventional method were evaluated by an agreement between functional and structural progression criteria. RNFL thickness changes measured by optical coherence tomography (OCT) were compared between progressing and stable eyes determined by each method. Results Among 103 eyes, 47 (45.6%), 21 (20.4%), and 32 (31.1%) eyes were evaluated as glaucoma progression using AMAF, the conventional method, and guided progression analysis (GPA) of the VF test, respectively. The AMAF showed better agreement than the conventional method, using GPA of the VF test (κ = 0.337; Po0.001 and κ = 0.124; P = 0.191, respectively). The rates of RNFL thickness decay using OCT were significantly different between the progressing and stable eyes when progression was determined by AMAF (−3.49 ± 2.86 μm per year vs − 1.83 ± 3.22 μm per year; P = 0.007) but not by the conventional method (−3.24 ± 2.42 μm per year vs − 2.42 ± 3.33 μm per year; P = 0.290). Conclusions The AMAF was better than the conventional comparison method in discriminating structural changes during glaucoma progression, and showed a moderate agreement with functional progression criteria.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 89%

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Developing new automated alternation flicker using optic disc photography for the detection of glaucoma progression

Ahn

et al. 2016

Eye

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“…There are also indications that the agreement between visual field progression and progression in optic disc photographs may be better than that between optic disc photographs and automated imaging results. 4 Monoscopic photographs was the method available to us, and is commonly used in clinical practice. While stereoscopic photographs often are regarded as the “gold standard”, stereoscopic classification has not shown any convincing advantage as compared with monoscopic classification in the ability to assess glaucoma likelihood.…”

Section: Discussionmentioning

confidence: 99%

Structural and Functional Progression in the Early Manifest Glaucoma Trial

et al. 2016

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Objective To elucidate the temporal relationship between detection of glaucomatous optic disc progression, as assessed by fundus photography, and visual field progression. Design Prospective, randomized, longitudinal trial. Subjects Three hundred and six study eyes with manifest glaucoma with field loss and 192 fellow eyes without any field defect at the start of the trial, of a total of 249 subjects included in the Early Manifest Glaucoma Trial (EMGT) were assessed. Methods Evaluation of visual field progression and optic disc progression during an 8-year follow-up period. Three graders independently assessed optic disc progression in optic disc photographs. Visual field progression was assessed using glaucoma change probability maps and the EMGT progression criterion. Main outcome measures Time to detection of visual field progression and optic disc progression. Results Among study eyes with manifest glaucoma, progression was detected in the visual field first in 163 eyes (52%), in the optic disc first in 39 eyes (12%) and in 1 eye (0%) it was found simultaneously with both modalities. Among fellow eyes with normal fields, progression was detected in the visual field first in 28 eyes (15%), in the optic disc first in 34 eyes (18%) and in 1 eye (1%) it occurred simultaneously. Conclusion In eyes with manifest glaucoma, progression in the visual field was detected first more than four times as often as progression in the optic disc. Among fellow eyes without visual field loss at baseline, progression was detected first as frequently in the optic disc as in the visual field.

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“…There is a wide range of supplementary information in a patient history which may improve glaucoma diagnosis and treatment decisions. However, except for patient age in some cases, the findings of a patient history may not be included in glaucoma studies 9, 10, 11, 12, 13. Some studies may include the use of only family history rather than a full patient history 14, 15, 16.…”

mentioning

confidence: 99%

Glaucoma history and risk factors

McMonnies

2017

Journal of Optometry

292

193

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Apart from the risk of developing glaucoma there is also the risk that it is not detected and irreversible loss of vision ensues. Some studies of methods of glaucoma diagnosis have examined the results of instrument-based examinations with great if not complete reliance on objective findings in arriving at a diagnosis. The very valuable advances in glaucoma detection instrument technologies, and apparent increasing dependence on them, may have led to reduced consideration of information available from a patient history in those studies. Dependence on objective evidence of glaucomatous pathology may reduce the possibility of detecting glaucoma suspects or patients at risk for becoming glaucoma suspects. A valid positive family history of glaucoma is very valuable information. However, negative family histories can often be unreliable due to large numbers of glaucoma cases being undiagnosed. No evidence of family history is appropriate rather than no family history. In addition the unreliability of a negative family history is increased when patients with glaucoma fail to inform their family members. A finding of no family history can only be stated as no known family history. In examining the potential diagnostic contribution from a patient history, this review considers, age, frailty, race, type and degree of refractive error, systemic hyper- and hypotension, vasospasm, migraine, pigmentary dispersion syndrome, pseudoexfoliation syndrome, obstructive sleep apnea syndrome, diabetes, medication interactions and side effects, the degree of exposure to intraocular and intracranial pressure elevations and fluctuations, smoking, and symptoms in addition to genetics and family history of the disease.

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Agreement Among Spectral-Domain Optical Coherence Tomography, Standard Automated Perimetry, and Stereophotography in the Detection of Glaucoma Progression

Abstract: Methods obtained acceptable agreement outcomes in terms of PABAK, AC1, and OPA. However, most cases with detectable changes were identified only by one examination method, resulting in low Ppos.

Cited by 21 publications

References 28 publications

Developing new automated alternation flicker using optic disc photography for the detection of glaucoma progression

Developing new automated alternation flicker using optic disc photography for the detection of glaucoma progression

Structural and Functional Progression in the Early Manifest Glaucoma Trial

Glaucoma history and risk factors

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