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Six-month Longitudinal Comparison of a Portable Tablet Perimeter With the Humphrey Field Analyzer.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Prea, Selwyn Marc 
Kong, Yu Xiang George 
Mehta, Aditi 
He, Mingguang 
Crowston, Jonathan G 

Abstract

PURPOSE: To establish the medium-term repeatability of the iPad perimetry app Melbourne Rapid Fields (MRF) compared to Humphrey Field Analyzer (HFA) 24-2 SITA-standard and SITA-fast programs. DESIGN: Multicenter longitudinal observational clinical study. METHODS: Sixty patients (stable glaucoma/ocular hypertension/glaucoma suspects) were recruited into a 6-month longitudinal clinical study with visits planned at baseline and at 2, 4, and 6 months. At each visit patients undertook visual field assessment using the MRF perimetry application and either HFA SITA-fast (n = 21) or SITA-standard (n = 39). The primary outcome measure was the association and repeatability of mean deviation (MD) for the MRF and HFA tests. Secondary measures were the point-wise threshold and repeatability for each test, as well as test time. RESULTS: MRF was similar to SITA-fast in speed and significantly faster than SITA-standard (MRF 4.6 ± 0.1 minutes vs SITA-fast 4.3 ± 0.2 minutes vs SITA-standard 6.2 ± 0.1 minutes, P < .001). Intraclass correlation coefficients (ICC) between MRF and SITA-fast for MD at the 4 visits ranged from 0.71 to 0.88. ICC values between MRF and SITA-standard for MD ranged from 0.81 to 0.90. Repeatability of MRF MD outcomes was excellent, with ICC for baseline and the 6-month visit being 0.98 (95% confidence interval: 0.96-0.99). In comparison, ICC at 6-month retest for SITA-fast was 0.95 and SITA-standard 0.93. Fewer points changed with the MRF, although for those that did, the MRF gave greater point-wise variability than did the SITA tests. CONCLUSIONS: MRF correlated strongly with HFA across 4 visits over a 6-month period, and has good test-retest reliability. MRF is suitable for monitoring visual fields in settings where conventional perimetry is not readily accessible.

Description

Keywords

Adolescent, Adult, Aged, Aged, 80 and over, Computers, Handheld, Female, Follow-Up Studies, Glaucoma, Open-Angle, Humans, Intraocular Pressure, Male, Middle Aged, Ocular Hypertension, Reproducibility of Results, Sensitivity and Specificity, Time Factors, Vision Disorders, Visual Field Tests, Visual Fields, Young Adult

Journal Title

American Journal of Ophthalmology

Conference Name

Journal ISSN

1879-1891
1879-1891

Volume Title

190

Publisher

Elsevier
Sponsorship
Cambridge Eye Trust (unknown)
HB Allen Charitable Trust (unknown)
Funding/Support: Cambridge Eye Trust Jukes Glaucoma Research Fund Glance Optical Pty. Ltd.