Jeremy C.K. Tan MD, FRANZCO , Michael Kalloniatis PhD , Jack Phu PhD
{"title":"更快地加载SITA可以以最小的时间成本提高视野测试的频率和可靠性。","authors":"Jeremy C.K. Tan MD, FRANZCO , Michael Kalloniatis PhD , Jack Phu PhD","doi":"10.1016/j.ogla.2023.03.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To report the outcomes of frontloaded visual field (VF) testing (2 tests per eye on the same visit) over 2 longitudinal, consecutive visits using SITA-Faster (SFR) in terms of global indices, reliability metrics, and test duration.</p></div><div><h3>Design</h3><p>Prospective longitudinal study.</p></div><div><h3>Subjects</h3><p>A total of 902 eyes of 463 subjects with normal, suspect, or manifest glaucoma.</p></div><div><h3>Methods</h3><p><span>Two intravisit SFR VF tests (T1 and T2) per eye at an initial (T</span><sub>i</sub>) and follow-up (T<sub>f</sub>) visit.</p></div><div><h3>Main Outcome Measures</h3><p>Intra- and intervisit global indices, reliability metrics, and test durations.</p></div><div><h3>Results</h3><p>The mean age of the subjects was 63.6 years, and 58.3% were male. Seven hundred ninety eyes (87.4%) had a diagnosis of glaucoma or glaucoma suspicion. The mean duration between visits was 265.0 (standard deviation 98.8) days. In total, 3608 VF tests were analyzed, with the correlation of mean deviation (MD) values of the frontloaded tests at each visit high (T1/T2 MD correlation at initial visit <em>r</em> = 0.83, root mean squared error [RMSE] = 1.26, follow-up visit <em>r</em> = 0.83, RMSE = 1.25, <em>P</em> < 0.0001) and greater than the correlation of MD between visits (T<sub>i</sub>1/T<sub>f</sub>1 MD correlation <em>r</em> = 0.72, RMSE = 1.31). There was a significant intra-visit decrease in rates of abnormally high sensitivity in the glaucoma hemifield test (3.2% vs. 1.6%, <em>P</em> = 0.0023) and rates of unreliable test results (15.4% vs. 9.2%, <em>P</em> = 0.002) from T1 to T2 in both visits, with a corresponding significant decrease in MD (–1.28 dB vs. –1.68 dB, <em>P</em> < 0.0001) and VF index (<em>P</em> = 0.03). The mean duration of each SFR test was 132.6 (SD 27.2) seconds.</p></div><div><h3>Conclusions</h3><p>Frontloading VFs using SFR produced sets of repeatable perimetric data with significant improvement of reliability indices from the first to second test. This may help increase testing frequency at minimal time cost to meet recommended guidelines and for evaluating patients prone to high variability.</p></div><div><h3>Financial Disclosure(s)</h3><p>The author(s) have no proprietary or commercial interest in any materials discussed in this article.</p></div>","PeriodicalId":19519,"journal":{"name":"Ophthalmology. Glaucoma","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Frontloading SITA-Faster Can Increase Frequency and Reliability of Visual Field Testing at Minimal Time Cost\",\"authors\":\"Jeremy C.K. Tan MD, FRANZCO , Michael Kalloniatis PhD , Jack Phu PhD\",\"doi\":\"10.1016/j.ogla.2023.03.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To report the outcomes of frontloaded visual field (VF) testing (2 tests per eye on the same visit) over 2 longitudinal, consecutive visits using SITA-Faster (SFR) in terms of global indices, reliability metrics, and test duration.</p></div><div><h3>Design</h3><p>Prospective longitudinal study.</p></div><div><h3>Subjects</h3><p>A total of 902 eyes of 463 subjects with normal, suspect, or manifest glaucoma.</p></div><div><h3>Methods</h3><p><span>Two intravisit SFR VF tests (T1 and T2) per eye at an initial (T</span><sub>i</sub>) and follow-up (T<sub>f</sub>) visit.</p></div><div><h3>Main Outcome Measures</h3><p>Intra- and intervisit global indices, reliability metrics, and test durations.</p></div><div><h3>Results</h3><p>The mean age of the subjects was 63.6 years, and 58.3% were male. Seven hundred ninety eyes (87.4%) had a diagnosis of glaucoma or glaucoma suspicion. The mean duration between visits was 265.0 (standard deviation 98.8) days. In total, 3608 VF tests were analyzed, with the correlation of mean deviation (MD) values of the frontloaded tests at each visit high (T1/T2 MD correlation at initial visit <em>r</em> = 0.83, root mean squared error [RMSE] = 1.26, follow-up visit <em>r</em> = 0.83, RMSE = 1.25, <em>P</em> < 0.0001) and greater than the correlation of MD between visits (T<sub>i</sub>1/T<sub>f</sub>1 MD correlation <em>r</em> = 0.72, RMSE = 1.31). There was a significant intra-visit decrease in rates of abnormally high sensitivity in the glaucoma hemifield test (3.2% vs. 1.6%, <em>P</em> = 0.0023) and rates of unreliable test results (15.4% vs. 9.2%, <em>P</em> = 0.002) from T1 to T2 in both visits, with a corresponding significant decrease in MD (–1.28 dB vs. –1.68 dB, <em>P</em> < 0.0001) and VF index (<em>P</em> = 0.03). The mean duration of each SFR test was 132.6 (SD 27.2) seconds.</p></div><div><h3>Conclusions</h3><p>Frontloading VFs using SFR produced sets of repeatable perimetric data with significant improvement of reliability indices from the first to second test. This may help increase testing frequency at minimal time cost to meet recommended guidelines and for evaluating patients prone to high variability.</p></div><div><h3>Financial Disclosure(s)</h3><p>The author(s) have no proprietary or commercial interest in any materials discussed in this article.</p></div>\",\"PeriodicalId\":19519,\"journal\":{\"name\":\"Ophthalmology. Glaucoma\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ophthalmology. Glaucoma\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2589419623000649\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ophthalmology. Glaucoma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2589419623000649","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Frontloading SITA-Faster Can Increase Frequency and Reliability of Visual Field Testing at Minimal Time Cost
Purpose
To report the outcomes of frontloaded visual field (VF) testing (2 tests per eye on the same visit) over 2 longitudinal, consecutive visits using SITA-Faster (SFR) in terms of global indices, reliability metrics, and test duration.
Design
Prospective longitudinal study.
Subjects
A total of 902 eyes of 463 subjects with normal, suspect, or manifest glaucoma.
Methods
Two intravisit SFR VF tests (T1 and T2) per eye at an initial (Ti) and follow-up (Tf) visit.
Main Outcome Measures
Intra- and intervisit global indices, reliability metrics, and test durations.
Results
The mean age of the subjects was 63.6 years, and 58.3% were male. Seven hundred ninety eyes (87.4%) had a diagnosis of glaucoma or glaucoma suspicion. The mean duration between visits was 265.0 (standard deviation 98.8) days. In total, 3608 VF tests were analyzed, with the correlation of mean deviation (MD) values of the frontloaded tests at each visit high (T1/T2 MD correlation at initial visit r = 0.83, root mean squared error [RMSE] = 1.26, follow-up visit r = 0.83, RMSE = 1.25, P < 0.0001) and greater than the correlation of MD between visits (Ti1/Tf1 MD correlation r = 0.72, RMSE = 1.31). There was a significant intra-visit decrease in rates of abnormally high sensitivity in the glaucoma hemifield test (3.2% vs. 1.6%, P = 0.0023) and rates of unreliable test results (15.4% vs. 9.2%, P = 0.002) from T1 to T2 in both visits, with a corresponding significant decrease in MD (–1.28 dB vs. –1.68 dB, P < 0.0001) and VF index (P = 0.03). The mean duration of each SFR test was 132.6 (SD 27.2) seconds.
Conclusions
Frontloading VFs using SFR produced sets of repeatable perimetric data with significant improvement of reliability indices from the first to second test. This may help increase testing frequency at minimal time cost to meet recommended guidelines and for evaluating patients prone to high variability.
Financial Disclosure(s)
The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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