Comparison of diagnostic ability between a fast strategy, tendency-oriented perimetry, and the standard bracketing strategy

M. Gonzalez-Hernandez, M. Gonzalez De La Rosa, J. Garcia Sanchez, J. Morales, A. Azuara-Blanco

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

Purpose: To compare the diagnostic abilities of the standard bracketing strategy (BR) and a fast strategy, the tendency-oriented perimetry (TOP). Methods: Seventy-seven controls and 91 eyes from patients with glaucoma were analyzed with the strategies TOP and BR. Sensitivity (Se), specificity (Sp), the area under the receiver operating characteristic (ROC) curve (AC) and the optimum cutoff value (CO) were calculated for the visual field indices mean defect (MD), the square root of the loss variance (sLV) and the number of pathological points (NPP). Results: In the glaucoma group, the mean MD value using TOP and BR was 7.5 and 8.3 dB, respectively. The mean sLV value using TOP and BR was 5.0 and 5.3 dB, respectively. Indices provided by TOP had higher ROC values than the ones provided by BR. Using TOP, the index with the best diagnostic ability was sLV (Sp = 94.8, Se = 90.1, AC = 0.966, CO = 2.5 dB), followed by NPP and MD. Using BR, the best results were obtained for MD (Sp = 92.2, Se = 81.3, AC = 0.900, CO = 2.5 dB) followed by sLV and NPP. Conclusions: A fast strategy, TOP, had superior diagnostic ability than the standard BR. Although TOP provided lower LV values than BR, the diagnostic ability of this index was higher than that of the conventional strategy.
Original languageEnglish
Pages (from-to)373-378
Number of pages6
JournalOphthalmologica: International Journal of Ophthalmology
Volume219
Issue number6
DOIs
Publication statusPublished - 01 Nov 2005

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