Glaucoma diagnostic performance of humphrey matrix and standard automated perimetry

Purpose To evaluate and compare the performance of Humphrey Matrix perimetry (Matrix) and standard automated perimetry (SAP) for glaucoma discrimination. Methods Forty-seven healthy and 68 glaucomatous subjects were included in this study. Glaucoma was defined as having a glaucomatous optic disc and...

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Veröffentlicht in:Japanese journal of ophthalmology 2009-09, Vol.53 (5), p.482-485
Hauptverfasser: Nam, Yoon Pyo, Park, Seong Bae, Kang, Sung Yong, Sung, Kyung Rim, Kook, Michael S.
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Park, Seong Bae
Kang, Sung Yong
Sung, Kyung Rim
Kook, Michael S.
description Purpose To evaluate and compare the performance of Humphrey Matrix perimetry (Matrix) and standard automated perimetry (SAP) for glaucoma discrimination. Methods Forty-seven healthy and 68 glaucomatous subjects were included in this study. Glaucoma was defined as having a glaucomatous optic disc and a nerve fiber indicator (NFI) GDx VCC scanning laser polarimetry score of >40. Glaucomatous subjects were classified into two groups, early (40 < NFI ≤ 50) and moderate to advanced (NFI > 50). The number of clusters on Matrix and SAP pattern deviation maps were estimated and scored. Areas under the receiver operating characteristic curves (AUCs) of the cluster scores were calculated for early and moderate to advanced stages of glaucoma and compared between Matrix and SAP. Results Among 68 glaucomatous subjects, 24 eyes were classified as having early and 44 eyes as having moderate to advanced glaucoma. The overall AUC of the Matrix cluster score was comparable to that of SAP (0.857, 0.881, P = 0.538). The AUC of the cluster score did not reveal statistically significant differences between Matrix and SAP for either early or moderate to advanced stages of glaucoma ( P = 0.831, 0.237). Conclusion Both Matrix and SAP showed good diagnostic performance with glaucoma defined as structural loss. Matrix and SAP data showed similar discrimination capability for different stages of glaucoma determined by cluster analysis.
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Methods Forty-seven healthy and 68 glaucomatous subjects were included in this study. Glaucoma was defined as having a glaucomatous optic disc and a nerve fiber indicator (NFI) GDx VCC scanning laser polarimetry score of &gt;40. Glaucomatous subjects were classified into two groups, early (40 &lt; NFI ≤ 50) and moderate to advanced (NFI &gt; 50). The number of clusters on Matrix and SAP pattern deviation maps were estimated and scored. Areas under the receiver operating characteristic curves (AUCs) of the cluster scores were calculated for early and moderate to advanced stages of glaucoma and compared between Matrix and SAP. Results Among 68 glaucomatous subjects, 24 eyes were classified as having early and 44 eyes as having moderate to advanced glaucoma. The overall AUC of the Matrix cluster score was comparable to that of SAP (0.857, 0.881, P = 0.538). The AUC of the cluster score did not reveal statistically significant differences between Matrix and SAP for either early or moderate to advanced stages of glaucoma ( P = 0.831, 0.237). Conclusion Both Matrix and SAP showed good diagnostic performance with glaucoma defined as structural loss. Matrix and SAP data showed similar discrimination capability for different stages of glaucoma determined by cluster analysis.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-009-0717-0</identifier><identifier>PMID: 19847602</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Area Under Curve ; Clinical Investigation ; False Positive Reactions ; Female ; Glaucoma ; Glaucoma, Open-Angle - diagnosis ; Humans ; Intraocular Pressure ; Low Tension Glaucoma - diagnosis ; Male ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Optic Nerve Diseases - diagnosis ; Predictive Value of Tests ; ROC Curve ; Vision Disorders - diagnosis ; Visual Field Tests - standards ; Visual Fields</subject><ispartof>Japanese journal of ophthalmology, 2009-09, Vol.53 (5), p.482-485</ispartof><rights>Japanese Ophthalmological Society (JOS) 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-1eb2bfe5491e1121db783b7eba4895317de8c5bd224421e51c375647bde9a6bc3</citedby><cites>FETCH-LOGICAL-c394t-1eb2bfe5491e1121db783b7eba4895317de8c5bd224421e51c375647bde9a6bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-009-0717-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-009-0717-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19847602$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nam, Yoon Pyo</creatorcontrib><creatorcontrib>Park, Seong Bae</creatorcontrib><creatorcontrib>Kang, Sung Yong</creatorcontrib><creatorcontrib>Sung, Kyung Rim</creatorcontrib><creatorcontrib>Kook, Michael S.</creatorcontrib><title>Glaucoma diagnostic performance of humphrey matrix and standard automated perimetry</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose To evaluate and compare the performance of Humphrey Matrix perimetry (Matrix) and standard automated perimetry (SAP) for glaucoma discrimination. Methods Forty-seven healthy and 68 glaucomatous subjects were included in this study. Glaucoma was defined as having a glaucomatous optic disc and a nerve fiber indicator (NFI) GDx VCC scanning laser polarimetry score of &gt;40. Glaucomatous subjects were classified into two groups, early (40 &lt; NFI ≤ 50) and moderate to advanced (NFI &gt; 50). The number of clusters on Matrix and SAP pattern deviation maps were estimated and scored. Areas under the receiver operating characteristic curves (AUCs) of the cluster scores were calculated for early and moderate to advanced stages of glaucoma and compared between Matrix and SAP. Results Among 68 glaucomatous subjects, 24 eyes were classified as having early and 44 eyes as having moderate to advanced glaucoma. The overall AUC of the Matrix cluster score was comparable to that of SAP (0.857, 0.881, P = 0.538). The AUC of the cluster score did not reveal statistically significant differences between Matrix and SAP for either early or moderate to advanced stages of glaucoma ( P = 0.831, 0.237). Conclusion Both Matrix and SAP showed good diagnostic performance with glaucoma defined as structural loss. 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The AUC of the cluster score did not reveal statistically significant differences between Matrix and SAP for either early or moderate to advanced stages of glaucoma ( P = 0.831, 0.237). Conclusion Both Matrix and SAP showed good diagnostic performance with glaucoma defined as structural loss. Matrix and SAP data showed similar discrimination capability for different stages of glaucoma determined by cluster analysis.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>19847602</pmid><doi>10.1007/s10384-009-0717-0</doi><tpages>4</tpages></addata></record>
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subjects Area Under Curve
Clinical Investigation
False Positive Reactions
Female
Glaucoma
Glaucoma, Open-Angle - diagnosis
Humans
Intraocular Pressure
Low Tension Glaucoma - diagnosis
Male
Medicine
Medicine & Public Health
Ophthalmology
Optic Nerve Diseases - diagnosis
Predictive Value of Tests
ROC Curve
Vision Disorders - diagnosis
Visual Field Tests - standards
Visual Fields
title Glaucoma diagnostic performance of humphrey matrix and standard automated perimetry
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