Comparison of Humphrey Field Analyzer and imo visual field test results in patients with glaucoma and pseudo-fixation loss Article Swipe
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· 2019
· Open Access
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· DOI: https://doi.org/10.1371/journal.pone.0224711
The aim of this cross-sectional study was to evaluate the results of a visual field (VF) test for patients with glaucoma and pseudo-fixation loss. These patients exhibit fixation loss (FL) rates >20% with the Humphrey Field Analyzer (HFA); however, actual fixation stabilizes when a head-mounted perimeter (imo) is used. This device is able to adjust the stimulus presentation point by tracking eye movements. We subjected 54 eyes of 54 patients with glaucoma and pseudo-FL to the HFA 30-2 or 24-2 Swedish Interactive Threshold Algorithm -Standard protocol. All patients also underwent the imo 30-2 or 24-2 Ambient Interactive Zipper Estimated Sequential Testing protocol after HFA measurement. We compared HFA and imo reliability indices [including false-positive (FP) responses, false-negative (FN) responses, and FL rate], global indices [including mean deviation (MD), visual field index (VFI), and pattern standard deviation (PSD)], and retinal sensitivity for each test point. There were no significant differences in MD, VFI, and PSD between HFA and imo, and these measures were strongly correlated (r > 0.96, p < 0.01). There were no significant differences in FP and FN between both devices, while FL measured with HFA (27.5%) was significantly reduced when measured with imo (13.2%) (p < 0.01). There was no correlation in FL and FN between both devices, and a weak correlation for FP (r = 0.29, p = 0.04). At each test point, retinal sensitivity averaged 1.7 dB higher with HFA, compared with imo (p < 0.01). There was no significant variability in global indices in patients with pseudo-FL. The FP response rate might have influenced measures of FL in patients with glaucoma and pseudo-FL.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0224711
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0224711&type=printable
- OA Status
- gold
- Cited By
- 23
- References
- 27
- Related Works
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- OpenAlex ID
- https://openalex.org/W2985885471
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2985885471Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1371/journal.pone.0224711Digital Object Identifier
- Title
-
Comparison of Humphrey Field Analyzer and imo visual field test results in patients with glaucoma and pseudo-fixation lossWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-11-07Full publication date if available
- Authors
-
Hiroyasu Goukon, Kazunori Hirasawa, Masayuki Kasahara, Kazuhiro Matsumura, Nobuyuki ShojiList of authors in order
- Landing page
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https://doi.org/10.1371/journal.pone.0224711Publisher landing page
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0224711&type=printableDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0224711&type=printableDirect OA link when available
- Concepts
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Visual field loss, Glaucoma, Ophthalmology, Visual field, Spectrum analyzer, Optometry, Fixation (population genetics), Medicine, Physics, Optics, Population, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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23Total citation count in OpenAlex
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2025: 4, 2024: 3, 2023: 7, 2022: 7, 2021: 2Per-year citation counts (last 5 years)
- References (count)
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27Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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