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Central Visual Field Testing in Early Glaucoma: A Report by the American Academy of Ophthalmology.

Publication ,  Journal Article
WuDunn, D; Takusagawa, HL; Rosdahl, JA; Sit, AJ; Chopra, V; Ou, Y; Richter, GM; Knight, OJ; Solá-Del Valle, D; Kim, SJ
Published in: Ophthalmology
February 2024

PURPOSE: To evaluate the current published literature on the utility of the 10-2 visual field (VF) testing strategy for the evaluation and management of early glaucoma, defined here as mean deviation (MD) better than -6 decibels (dB). METHODS: A search of the peer-reviewed literature was last conducted in June 2023 in the PubMed database. Abstracts of 986 articles were examined to exclude reviews and non-English-language articles. After inclusion and exclusion criteria were applied, 26 articles were selected, and the panel methodologist rated them for strength of evidence. Thirteen articles were rated level I, and 8 articles were rated level II. The 5 level III articles were excluded. Data from the 21 included articles were abstracted and reviewed. RESULTS: The central 12 locations on the 24-2 VF test grid lie within the central 10 degrees covered by the 10-2 VF test. In early glaucoma, defects detected within the central 10 degrees generally agree between the 2 tests. Defects within the central 10 degrees of the 24-2 VF test can predict defects on the 10-2 VF test, although the 24-2 may miss defects detected on the 10-2 VF test. In addition, results from the 10-2 VF test show better association with findings from OCT scans of the macular ganglion cell complex. Modifications of the 24-2 test that include extra test locations within the central 10 degrees improve detection of central defects found on 10-2 VF testing. CONCLUSIONS: Evidence to date does not support routine testing using 10-2 VF for patients with early glaucoma. However, early 10-2 VF testing may provide sufficient additional information for some patients, particularly those with a repeatable defect within the central 12 locations of the standard 24-2 VF test or who have inner retinal layer thinning on OCT scans of the macula. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

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Published In

Ophthalmology

DOI

EISSN

1549-4713

Publication Date

February 2024

Volume

131

Issue

2

Start / End Page

240 / 248

Location

United States

Related Subject Headings

  • Visual Fields
  • Visual Field Tests
  • United States
  • Tomography, Optical Coherence
  • Scotoma
  • Retinal Ganglion Cells
  • Ophthalmology & Optometry
  • Ophthalmology
  • Intraocular Pressure
  • Humans
 

Citation

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WuDunn, D., Takusagawa, H. L., Rosdahl, J. A., Sit, A. J., Chopra, V., Ou, Y., … Kim, S. J. (2024). Central Visual Field Testing in Early Glaucoma: A Report by the American Academy of Ophthalmology. Ophthalmology, 131(2), 240–248. https://doi.org/10.1016/j.ophtha.2023.10.008
WuDunn, Darrell, Hana L. Takusagawa, Jullia A. Rosdahl, Arthur J. Sit, Vikas Chopra, Yvonne Ou, Grace M. Richter, O’Rese J. Knight, David Solá-Del Valle, and Stephen J. Kim. “Central Visual Field Testing in Early Glaucoma: A Report by the American Academy of Ophthalmology.Ophthalmology 131, no. 2 (February 2024): 240–48. https://doi.org/10.1016/j.ophtha.2023.10.008.
WuDunn D, Takusagawa HL, Rosdahl JA, Sit AJ, Chopra V, Ou Y, et al. Central Visual Field Testing in Early Glaucoma: A Report by the American Academy of Ophthalmology. Ophthalmology. 2024 Feb;131(2):240–8.
WuDunn, Darrell, et al. “Central Visual Field Testing in Early Glaucoma: A Report by the American Academy of Ophthalmology.Ophthalmology, vol. 131, no. 2, Feb. 2024, pp. 240–48. Pubmed, doi:10.1016/j.ophtha.2023.10.008.
WuDunn D, Takusagawa HL, Rosdahl JA, Sit AJ, Chopra V, Ou Y, Richter GM, Knight OJ, Solá-Del Valle D, Kim SJ. Central Visual Field Testing in Early Glaucoma: A Report by the American Academy of Ophthalmology. Ophthalmology. 2024 Feb;131(2):240–248.
Journal cover image

Published In

Ophthalmology

DOI

EISSN

1549-4713

Publication Date

February 2024

Volume

131

Issue

2

Start / End Page

240 / 248

Location

United States

Related Subject Headings

  • Visual Fields
  • Visual Field Tests
  • United States
  • Tomography, Optical Coherence
  • Scotoma
  • Retinal Ganglion Cells
  • Ophthalmology & Optometry
  • Ophthalmology
  • Intraocular Pressure
  • Humans