Automated perimetry, tonometry, and questionnaire in glaucoma screening.
To evaluate the sensitivity and specificity of various portions of the glaucoma screening process, 145 participants underwent complete ophthalmic examinations. A weighted questionnaire was 20% (2 patients) and 36% (5 suspects) sensitive for the glaucoma patients and glaucoma suspects, respectively. Tonometry alone was 20% (2 patients) and 7% (1 suspect) sensitive for glaucoma patients and glaucoma suspects, respectively. Automated perimetry of the central 30 degrees and nasal periphery identified nine (90%) of the glaucoma patients and five (36%) of the glaucoma suspects. The presence of increased intraocular pressure was not by itself very useful, but when perimetry or tonometry was used, 10 (100%) of the glaucoma group was identified. We recommend that automated suprathreshold perimetry and tonometry be performed in glaucoma screening.
Mundorf
T K
TK
Department of Ophthalmology, University of Louisville, Kentucky 40202.
Zimmerman
T J
TJ
Nardin
G F
GF
Kendall
K S
KS
D000368:Aged; D001331:Automation; D005069:Evaluation Studies as Topic; D005260:Female; D005901:Glaucoma / Q000175:diagnosis*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014065:Tonometry, Ocular; D015351:Vision Screening; D058609:Visual Field Tests; D014794:Visual Fields