Comparison of threshold saccadic vector optokinetic perimetry (SVOP) and standard automated perimetry (SAP) in glaucoma. part II: Patterns of visual field loss and acceptability

Alice D. McTrusty, Lorraine A. Cameron, Antonios Perperidis, Harry M. Brash, Andrew J. Tatham, Pankaj K. Agarwal, Ian C. Murray, Brian W. Fleck, Robert A. Minns

Research output: Contribution to journalArticle

8 Citations (Scopus)
28 Downloads (Pure)

Abstract

Purpose: We compared patterns of visual field loss detected by standard automated perimetry (SAP) to saccadic vector optokinetic perimetry (SVOP) and examined patient perceptions of each test. Methods: A cross-sectional study was done of 58 healthy subjects and 103 with glaucoma who were tested using SAP and two versions of SVOP (v1 and v2). Visual fields from both devices were categorized by masked graders as: 0, normal; 1, paracentral defect; 2, nasal step; 3, arcuate defect; 4, altitudinal; 5, biarcuate; and 6, end-stage field loss. SVOP and SAP classifications were cross-tabulated. Subjects completed a questionnaire on their opinions of each test. Results: We analyzed 142 (v1) and 111 (v2) SVOP and SAP test pairs. SVOP v2 had a sensitivity of 97.7% and specificity of 77.9% for identifying normal versus abnormal visual fields. SAP and SVOP v2 classifications showed complete agreement in 54% of glaucoma patients, with a further 23% disagreeing by one category. On repeat testing, 86% of SVOP v2 classifications agreed with the previous test, compared to 91% of SAP classifications; 71% of subjects preferred SVOP compared to 20% who preferred SAP. Conclusions: Eye-tracking perimetry can be used to obtain threshold visual field sensitivity values in patients with glaucoma and produce maps of visual field defects, with patterns exhibiting close agreement to SAP. Patients preferred eye-tracking perimetry compared to SAP. Translational relevance: This first report of threshold eye tracking perimetry shows good agreement with conventional automated perimetry and provides a benchmark for future iterations.

Original languageEnglish
Article number4
Number of pages11
JournalTranslational Vision Science and Technology
Volume6
Issue number5
DOIs
Publication statusPublished - 6 Sep 2017

Keywords

  • Eye movement perimetry
  • Saccadic eye movements
  • SVOP
  • Visual field

ASJC Scopus subject areas

  • Ophthalmology
  • Biomedical Engineering

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