Uptake, Persistence, and Performance of Weekly Home Monitoring of Visual Field in a Large Cohort of Patients With Glaucoma

Prea, Selwyn Marc; Kong, George; Guymer, Robyn H.; Vingrys, Algis J.

doi:10.1016/j.ajo.2020.10.023

Cited by 27 publications

(78 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings are consistent with other studies evaluating perimetry through non-conventional means, such as tablets, personal computers, or virtual reality headsets. Tablet perimetry has good reliability and repeatability, and is useful for home-perimetry; however one potential disadvantage is access to hardware [ 35 , 36 ]. Computer-based standard white-on-white perimetry has been previously reported with good validity compared to conventional white-on-white perimetry [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

Skalicky

Bigirimana

Busija³

2022

Eye

View full text Add to dashboard Cite

Purpose To establish a normative database and optimise parameters for personal-computer based perimetry via a web-application using circular contrast targets. Methods Online 24-degree 52-loci perimetry was delivered through a web-application using circular flickering contrast targets. Embedding contrast differentials within targets allows calculation of relative decibel (rdB) per 256-bit greyscale level differential. Target light-band maximum brightness colour was fixed, while the dark-band varied to achieve the desired rdB level. A staircase system was used with two reversals ranging from 0 to 36 rdB levels. Blind spot localisation at the start of the test was used to optimise viewing distance and subsequently count fixation losses. Gaze was maintained on a spinning golden star which moves mid-test to maximise sampling area. Patients performed the test to each eye separately using a computer in a darkened room at 40–45 cm. Results 158 eyes of 101 patients completed the Online Circular Contrast Perimetry (OCCP) test. Mean age was 62.9 ± 14.3 years old. Mean sensitivity reduced with age, at 1.0 relative decibel per decade. Mean sensitivity per locus correlated with standard automated perimetry (SAP) in a physiological hill of vision, with an average difference of 4.02 decibels (95% confidence interval (CI) = 3.77–4.27, p < 0.001) and good agreement between tests. Conclusions Online circular contract perimetry provides accurate perimetric testing with comparable results to standard automated perimetry.

show abstract

Section: Discussionmentioning

confidence: 99%

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

Skalicky

Bigirimana

Busija³

2022

Eye

View full text Add to dashboard Cite

show abstract

“…However, we do not believe that this will be the case as we have reported similar outcomes in a glaucoma cohort that did not have a history of clinical trial exposure. 24 Several methods are presently available for monitoring iAMD patients and these include visual acuity, hyperacuity, Amsler grid and DLS with free-viewing perimetry. Loss of visual acuity has a poor correlation with anatomical changes observed in early AMD 17 and the Amsler grid has a reported sensitivity of 30% for detecting choroidal neovascularisation (CNV).…”

Section: Discussionmentioning

confidence: 99%

“…Our group recently investigated the application of MRF in the home monitoring of glaucoma patients where we found a weekly compliance of 72% over a 6-week period. 24 Given this promising result, we wished to evaluate the application of home monitoring on a weekly basis to patients with high-risk early stages of AMD. AMD typically affects people aged 50 and over, thus there could be technological challenges in operating the application.…”

Section: Introductionmentioning

confidence: 99%

The Short-Term Compliance and Concordance to in Clinic Testing for Tablet-Based Home Monitoring in Age-Related Macular Degeneration

Prea

Kong

Guymer

et al. 2022

American Journal of Ophthalmology

Self Cite

View full text Add to dashboard Cite

show abstract

“…32 Participants were recruited from clinics and had detailed ophthalmological examinations, except in 5 studies 24,32,34,40,41 where examinations were not reported. Three studies 25,28,32 included patients with glaucoma or ocular hypertension, 11 studies 24,26,27,[29][30][31]33,[36][37][38]41 included glaucoma patients and healthy controls, 3 studies 35,39,40 also included patients with other diagnosis, and 1 study 34 did not specify participant diagnosis.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Home-Based Perimetry for Glaucoma: Where Are We Now?

Daka

Mustafa

Neziri

et al. 2022

Journal of Glaucoma

View full text Add to dashboard Cite

Purpose: To systematically summarize the current literature on home-based perimeters for glaucoma. Methods: A systematic review was conducted in accordance with the PRISMA-DTA checklist. Studies reporting portable perimeters designed for home use were retrieved from electronic databases and handsearching of reference lists of relevant publications. Studies reporting diagnostic accuracy data were evaluated with the QUADAS-2 tool and using standard automated perimetry as the reference standard. Other aspects of the technology such as detection of disease progression and patient acceptability were also included. Data were reported in a narrative and tabular format. Results: Of 18 included studies, 10 evaluated tablet-based perimeters, 4 evaluated web-based perimeters, and 4 evaluated head-mounted displays. Most studies used a clinic or laboratory setting. All studies reporting diagnostic accuracy data had high risk of bias in at least one domain. Across studies, sensitivity ranged from 54% in detecting mild to 91% in detecting moderate/severe glaucoma patients from controls, while specificity was between 50% and 100% for any form of glaucoma. The reported acceptability was high but had high risk of bias. Conclusion: Several promising technologies designed for home-based perimetry have been reported. Current studies used a controlled setting in highly selected populations. There is uncertainty on the performance and value of home-based perimetry for glaucoma. Additional efforts are required to elucidate the ability of the home-based perimeters to detect glaucoma and disease progression in real life situations.

show abstract

Uptake, Persistence, and Performance of Weekly Home Monitoring of Visual Field in a Large Cohort of Patients With Glaucoma

Abstract: Uptake, persistence, and performance of weekly home monitoring of visual field in a large cohort of patients with glaucoma.

Cited by 27 publications

References 23 publications

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

The Short-Term Compliance and Concordance to in Clinic Testing for Tablet-Based Home Monitoring in Age-Related Macular Degeneration

Home-Based Perimetry for Glaucoma: Where Are We Now?

Contact Info

Product

Resources

About