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Similarities Between the Visual Fields of Ocular Hypertensive and Normal Eyes

Similarities Between the Visual Fields of Ocular Hypertensive and Normal Eyes Abstract • We tested 136 well-documented ocular hypertensive eyes with no visual field abnormalities on detailed manual perimetry using the C-30-2 program of the Humphrey Visual Field Analyzer. The results were compared with those of 274 age-matched normal eyes. No significant differences in threshold sensitivity were found between ocular hypertensive and normal eyes at any of the 76 points tested in the central 30°. In the ocular hypertensive eyes, the presence of nerve fiber layer defects, especially diffuse atrophy, was associated with depressed threshold values. Threshold values were not associated with the size of the cup-disc ratio, level of intraocular pressure, or time since diagnosis of ocular hypertension. References 1. Armaly MF, Krueger DE, Maunder L, et al: Biostatistical analysis of the Collaborative Glaucoma Study: I. Summary report of the risk factors for glaucomatous visual-field defects . Arch Ophthalmol 1980;98:2163-2171.Crossref 2. Bengtsson B: Aspects of the epidemiology of chronic glaucoma . Acta Ophthalmol 1981; 146( (suppl) ):4-26. 3. Perkins ES: The Bedford Glaucoma Survey: I. Long-term follow-up of borderline cases . Br J Ophthalmol 1973;57:179-185.Crossref 4. Katz J, Sommer A: Asymmetry and variation in the normal hill of vision . Arch Ophthalmol 1986;104:65-68.Crossref 5. Sommer A, Quigley HA, Robin AL, et al: Evaluation of nerve fiber layer assessment . Arch Ophthalmol 1984;102:1766-1771.Crossref 6. Sommer A, Pollack I, Maumenee AE: Optic disc parameters and onset of glaucomatous field loss: I. Progressive changes in disc morphology . Arch Ophthalmol 1979;97:1444-1448.Crossref 7. Duggan C, Sommer A, Auer C, et al: Automated differential threshold perimetry for detecting glaucomatous visual field loss . Am J Ophthalmol 1985;100:420-423. 8. Quigley HA, Addicks EM, Green WR: Optic nerve damage in human glaucoma: III. Quantitative correlation of nerve fiber loss and visual field defects in glaucoma, ischemic neuropathy, papilledema, and toxic neuropathy . Arch Ophthalmol 1982;100:135-146.Crossref 9. Beck RW, Bergstrom JF, Lichter PR: A clinical comparison of visual field testing with a new automated perimeter, the Humphrey Field Analyzer, and the Goldmann perimeter . Ophthalmology 1985;92:77-82.Crossref 10. Hart WM, Becker B: The onset and evaluation of glaucomatous visual field defects . Ophthalmology 1982;89:268-279.Crossref 11. Schmied U: Automatic (Octopus) and manual (Goldmann) perimetry in glaucoma . Graefes Arch Clin Exp Ophthalmol 1980;213:239-244.Crossref 12. Portney GL, Krohn MA: The limitations of kinetic perimetry in early scotoma detection . Ophthalmology 1978;85:287-293.Crossref 13. Drance SM, Wheeler C, Patullo M: The use of static perimetry in the early detection of glaucoma . Can J Ophthalmol 1967;2:249-258. 14. Li SG, Spaeth GL, Scimeca HA, et al: Clinical experiences with the use of an automated perimeter (Octopus) in the diagnosis and management of patients with glaucoma and neurologic diseases . Ophthalmology 1979;86:1302-1312.Crossref 15. Sommer A, Miller NR, Pollack I, et al: The nerve fiber layer in the diagnosis of glaucoma . Arch Ophthalmol 1977;95:2149-2156.Crossref 16. Werner EB, Saheb N, Thomas D: Variability of static threshold responses in patients with elevated IOPs . Arch Ophthalmol 1982;100: 1627-1631.Crossref 17. Sommer A, Duggan C, Auer C, et al: Analytic approaches to the interpretation of automated threshold perimetric data for the diagnosis of early glaucoma . Trans Am Ophthalmol Soc 1985;83:250-267. 18. Armaly MF: Selective perimetry for glaucomatous defects in ocular hypertension . Arch Ophthalmol 1972;87:518-524.Crossref 19. Hoyt WF, Newman NM: The earliest observable defect in glaucoma? Lancet 1972; 1:692-693.Crossref 20. Iwata K: Retinal nerve fiber layer, optic cupping and visual field changes in glaucoma , in Bellows JG (ed): Glaucoma: Contemporary International Concepts . New York, Masson Publishers USA Inc, 1979, pp 139-146. 21. Airaksinen PJ, Drance SM, Douglas GR, et al: Visual field and retinal nerve fiber layer comparisons in glaucoma . Arch Ophthalmol 1985; 103:205-207.Crossref 22. Hart WM, Yablonski M, Kass MA, et al: Quantitative visual field and optic disc correlates early in glaucoma . Arch Ophthalmol 1978; 96:2209-2211.Crossref 23. Sommer A, Pollack I, Maumenee AE: Optic disc parameters and onset of glaucomatous field loss: II. Static screening criteria . Arch Ophthalmol 1979;97:1449-1454.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Similarities Between the Visual Fields of Ocular Hypertensive and Normal Eyes

Archives of Ophthalmology , Volume 104 (11) – Nov 1, 1986

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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1986.01050230086038
Publisher site
See Article on Publisher Site

Abstract

Abstract • We tested 136 well-documented ocular hypertensive eyes with no visual field abnormalities on detailed manual perimetry using the C-30-2 program of the Humphrey Visual Field Analyzer. The results were compared with those of 274 age-matched normal eyes. No significant differences in threshold sensitivity were found between ocular hypertensive and normal eyes at any of the 76 points tested in the central 30°. In the ocular hypertensive eyes, the presence of nerve fiber layer defects, especially diffuse atrophy, was associated with depressed threshold values. Threshold values were not associated with the size of the cup-disc ratio, level of intraocular pressure, or time since diagnosis of ocular hypertension. References 1. Armaly MF, Krueger DE, Maunder L, et al: Biostatistical analysis of the Collaborative Glaucoma Study: I. Summary report of the risk factors for glaucomatous visual-field defects . Arch Ophthalmol 1980;98:2163-2171.Crossref 2. Bengtsson B: Aspects of the epidemiology of chronic glaucoma . Acta Ophthalmol 1981; 146( (suppl) ):4-26. 3. Perkins ES: The Bedford Glaucoma Survey: I. Long-term follow-up of borderline cases . Br J Ophthalmol 1973;57:179-185.Crossref 4. Katz J, Sommer A: Asymmetry and variation in the normal hill of vision . Arch Ophthalmol 1986;104:65-68.Crossref 5. Sommer A, Quigley HA, Robin AL, et al: Evaluation of nerve fiber layer assessment . Arch Ophthalmol 1984;102:1766-1771.Crossref 6. Sommer A, Pollack I, Maumenee AE: Optic disc parameters and onset of glaucomatous field loss: I. Progressive changes in disc morphology . Arch Ophthalmol 1979;97:1444-1448.Crossref 7. Duggan C, Sommer A, Auer C, et al: Automated differential threshold perimetry for detecting glaucomatous visual field loss . Am J Ophthalmol 1985;100:420-423. 8. Quigley HA, Addicks EM, Green WR: Optic nerve damage in human glaucoma: III. Quantitative correlation of nerve fiber loss and visual field defects in glaucoma, ischemic neuropathy, papilledema, and toxic neuropathy . Arch Ophthalmol 1982;100:135-146.Crossref 9. Beck RW, Bergstrom JF, Lichter PR: A clinical comparison of visual field testing with a new automated perimeter, the Humphrey Field Analyzer, and the Goldmann perimeter . Ophthalmology 1985;92:77-82.Crossref 10. Hart WM, Becker B: The onset and evaluation of glaucomatous visual field defects . Ophthalmology 1982;89:268-279.Crossref 11. Schmied U: Automatic (Octopus) and manual (Goldmann) perimetry in glaucoma . Graefes Arch Clin Exp Ophthalmol 1980;213:239-244.Crossref 12. Portney GL, Krohn MA: The limitations of kinetic perimetry in early scotoma detection . Ophthalmology 1978;85:287-293.Crossref 13. Drance SM, Wheeler C, Patullo M: The use of static perimetry in the early detection of glaucoma . Can J Ophthalmol 1967;2:249-258. 14. Li SG, Spaeth GL, Scimeca HA, et al: Clinical experiences with the use of an automated perimeter (Octopus) in the diagnosis and management of patients with glaucoma and neurologic diseases . Ophthalmology 1979;86:1302-1312.Crossref 15. Sommer A, Miller NR, Pollack I, et al: The nerve fiber layer in the diagnosis of glaucoma . Arch Ophthalmol 1977;95:2149-2156.Crossref 16. Werner EB, Saheb N, Thomas D: Variability of static threshold responses in patients with elevated IOPs . Arch Ophthalmol 1982;100: 1627-1631.Crossref 17. Sommer A, Duggan C, Auer C, et al: Analytic approaches to the interpretation of automated threshold perimetric data for the diagnosis of early glaucoma . Trans Am Ophthalmol Soc 1985;83:250-267. 18. Armaly MF: Selective perimetry for glaucomatous defects in ocular hypertension . Arch Ophthalmol 1972;87:518-524.Crossref 19. Hoyt WF, Newman NM: The earliest observable defect in glaucoma? Lancet 1972; 1:692-693.Crossref 20. Iwata K: Retinal nerve fiber layer, optic cupping and visual field changes in glaucoma , in Bellows JG (ed): Glaucoma: Contemporary International Concepts . New York, Masson Publishers USA Inc, 1979, pp 139-146. 21. Airaksinen PJ, Drance SM, Douglas GR, et al: Visual field and retinal nerve fiber layer comparisons in glaucoma . Arch Ophthalmol 1985; 103:205-207.Crossref 22. Hart WM, Yablonski M, Kass MA, et al: Quantitative visual field and optic disc correlates early in glaucoma . Arch Ophthalmol 1978; 96:2209-2211.Crossref 23. Sommer A, Pollack I, Maumenee AE: Optic disc parameters and onset of glaucomatous field loss: II. Static screening criteria . Arch Ophthalmol 1979;97:1449-1454.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1986

References