Comparación del rango de medida de defectos entre la perimetría estándar blanco/blanco y la perimetría Pulsar

  1. M. González de la Rosa
  2. M. González-Hernández
  3. J. García-Feijoo
  4. M. Sánchez Méndez
  5. J. García-Sánchez
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Any de publicació: 2011

Volum: 86

Número: 4

Pàgines: 113-117

Tipus: Article

DOI: 10.1016/J.OFTAL.2010.11.020 DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: Archivos de la Sociedad Española de Oftalmologia

Resum

Objectives: Normal thresholds on Pulsar perimetry fall faster than those of standard perimetry in the peripheral visual field. Two related studies were performed. Firstly, the frequency distributions of glaucoma defects on standard automated perimetry (SAP) and the relationship of the centre and periphery (Study A) were studied first, followed by an attempt to establish the limits of pulsar perimetry (Study B). Material and method: A: frequency of defects was calculated in 78.663 SAP perimetries (G1-TOP, Octopus 1-2-3, Haag-Streit). Study B: 204 eyes with mean defect (MD-SAP) lower than 9dB were examined 8.92±4.19 times with SAP (TOP-32, Octopus 311) and temporal modulation perimetry (T30W, Pulsar Perimeter, Haag-Streit). Results: Study A: 50.7% of the SAP examinations showed MD values lower than 9dB and 32.7% bellow 6dB. The MD correlation of the central 20º with the MD of the most peripheral points was r=0.933. Study B: in cases with MD-TOP-32 lower than 6dB, SAP had the maximum possibility of detecting defect in 0.02% of points and Pulsar in 0.29%. In subjects with MD-TOP-32 between 6 and 9dB frequencies were 0.38% in SAP and 3.5% in Pulsar (5.1% for eccentricities higher than 20º). Conclusions: Pulsar allows detecting defects, without range limitations, in the initial half of SAP frequencies expected on glaucoma patients. In order to study the progression of deeper defects the examination should focus on the central points, where the dynamic range of both systems is more equivalent.

Referències bibliogràfiques

  • González-Hernández, M, Fernández-Vidal, A, García-Feijoo, J, González de la Rosa, M.. (2004). Perimetry Update 2002/2003. Kugler Pub. Amsterdam.
  • Arden, GB, Jacobson, JJ. (1978). A simple grating test for contrast sensitivity: preliminary results indicate value in screening for glaucoma. Invest Ophthalmol Vis Sci.. 17. 23-32
  • Ross, JE, Bron, AJ, Clarke, DD. (1984). Contrast sensitivity and visual disability in chronic simple glaucoma. Br J Opthalmol.. 68. 821
  • Sample, PA, Juang, PS, Weinreb, RN. (1991). Isolating the effects of primary open-angle glaucoma on the contrast sensitivity function. Am J Ophthalmol.. 112. 308
  • González-Hernández, M, Pareja Ríos, A, Rodríguez, M, González de la Rosa, M.. (2001). Perimetry Update 2000/2001. Kugler Pub. Ámsterdam.
  • González-Hernández, M.. (2002). Perimetrías de modulación temporal y movimiento: Dependencias respecto a la percepción del contraste y la resolución espacial. Aplicación al diagnóstico precoz del glaucoma. Universidad de La Laguna. La Laguna.
  • González-Hernández, M, Abreu, A, Sánchez, M, González de la Rosa, M.. (2004). Perimetry Update 2002/2003. Kugler Pub. Amsterdam.
  • Fernández-Vidal, AM, García-Feijoo, J, García-Sánchez, J. (2004). Perimetry Update 2002/2003. Kluger Pub. Amsterdam.
  • Fernández-Vidal, A, García Feijoo, J, González-Hernández, M, González de la Rosa, M, García Sánchez, J. (2002). Primeros hallazgos con perimetría Pulsar en pacientes hipertensos oculares. Arch Soc Esp Oftalmol.. 77. 321
  • Fernández Vidal, A, García Feijoo, J, Giménez, R, Martínez de la Casa, JM, González Hernández, M, González de la Rosa, M. (2002). Initial findings with the new PULSAR perimetry in patients with ocular hypertension. Ophthalmol Vis Sci.. 43.
  • González-Hernández, M, García-Feijoo, J, Sánchez Méndez, M, González de la Rosa, M. (2004). Combined spatial, contrast and temporal functions perimetry in mild glaucoma and ocular hipertensión. Eur J Ophthalmol.. 14. 514
  • Migliorati, G, Zeppieri, M, Salvetat, ML, Brusini, P, Tosoni, C, Parisi, L. (2006). Distinguishing between normal and early glaucomatous eyes using pulsar perimetry. Ophthalmol Vis Sci.. 47. 3991
  • Salvetat, ML, Zeppieri, M, Parisi, L, Bais, V, Felleti, M, Bignucolo, I. (2006). Pulsar perimetry in the detection of early glaucomatous visual field loss. Acta Ophthalmol Scand.. 84. 579
  • González de la Rosa, M, Méndez Hernández, C, García Feijoo, J, García Sánchez, J, González-Hernández, M, Díaz Alemán, T. (2005). Focus on Glaucoma Research. Nova Science Publishers. New York.
  • Fernández-Vidal, A.. (2005). Perimetría Pulsar: Utilidad en el diagnóstico precoz del glaucoma. Universidad Complutense. Madrid.
  • Méndez-Hernández, C, García-Feijoo, J, Fernández-Vidal, A, González de la Rosa, M, Martínez-de-la-Casa, JM, Castillo, A. Diagnostic results of PULSAR, FDT and flicker perimetries in patients with ocular hipertensión. (ARVO) annual meeting. 2007.
  • Méndez-Hernández, C, García-Feijoo, J, Fernández-Vidal, A, González-Hernández, M, Jiménez, R, Martínez de la Casa, J. (2007). Pulsar perimetry and nerve fiber layer analysis with laser polarimetry: comparative study in patients with ocular hypertension. Ophthalmol Vis Sci.. 48. 1631
  • Méndez, C. (2005). Análisis morfológico y funcional de la capa de fibras nerviosas de la retina. Universidad de La Laguna. La Laguna.
  • González-Hernández, M, de la Rosa, MG, de la Vega, RR, Hernández-Vidal, A. (2007). Long-term fluctuation of standard automatic perimetry, pulsar perimetry and frequency-doubling technology in early glaucoma diagnosis. Ophthalmic Res.. 39. 338
  • González de la Rosa, M, González-Hernández, M, Díaz Alemán, T. (2006). Linear regression analysis of the cumulative defect curve by sectors and other criteria of glaucomatous visual field progression. Acta Ophthalmol Scand.. 84. 577
Fuente de los datos: Dialnet