Document Detail


Association between scanning laser polarimetry measurements using variable corneal polarization compensation and visual field sensitivity in glaucomatous eyes.
MedLine Citation:
PMID:  12860798     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the association between scanning laser polarimetry (SLP) retinal nerve fiber layer (RNFL) measurements and automated perimetry sensitivity using both SLP manufacturer-assumed fixed and subject-specific variable corneal polarization magnitude and corneal polarization axis values.
METHODS: An SLP was modified to enable the measurement of corneal polarization magnitude and corneal polarization axis so that compensation for corneal birefringence could be corrected on a subject-specific variable basis. Seventy-three eyes from the University of California, San Diego, Diagnostic Innovations in Glaucoma Study with early glaucoma or suspected glaucoma (abnormal Swedish Interactive Threshold Algorithm [SITA] or full-threshold automated perimetry results and/or glaucomatous-appearing optic disc by consensus grading of stereoscopic optic disc photographs) (mean [SD] SITA mean deviation, -2.74 [3.71] dB; range, 1.72 to -14.72 dB) were included. Subjects were imaged with SLP using the manufacturer-assumed fixed corneal compensation values and subject-specific variable corneal compensation values and tested with SITA automated perimetry. Scanning laser polarimetry and SITA data were obtained within 3 months of each other.
MAIN OUTCOME MEASURES: The relationship between regional SLP RNFL measurements (24 parameters) and corresponding regional SITA raw thresholds were evaluated using linear regression for both (fixed corneal compensation and variable corneal compensation) SLP configurations.
RESULTS: No fixed corneal compensation SLP measurements were significantly associated with corresponding SITA visual field zone sensitivities after corrections for multiple comparisons. Seven variable corneal compensation RNFL parameters (superior, inferior, or mean RNFL thickness measurements) were significantly associated with their corresponding visual field zones with R2 values ranging from 0.13 (ellipse average) to 0.20 (superior average).
CONCLUSION: Variable corneal compensation to correct for subject-specific corneal polarization magnitude and corneal polarization axis improves the relationship between SLP-measured RNFL thickness and visual function measured by SITA perimetry.
Authors:
Christopher Bowd; Linda M Zangwill; Robert N Weinreb
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of ophthalmology     Volume:  121     ISSN:  0003-9950     ISO Abbreviation:  Arch. Ophthalmol.     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-15     Completed Date:  2003-08-05     Revised Date:  2010-12-17    
Medline Journal Info:
Nlm Unique ID:  7706534     Medline TA:  Arch Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  961-6     Citation Subset:  AIM; IM    
Affiliation:
Hamilton Glaucoma Center, Department of Ophthalmology, University of California, San Diego, La Jolla 92093-0946, USA. cbowd@eyecenter.ucsd.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Algorithms
Birefringence
Cornea / physiology*
Female
Glaucoma / physiopathology*
Humans
Lasers / diagnostic use
Male
Middle Aged
Nerve Fibers / pathology
Ocular Hypertension / physiopathology
Optic Disk / pathology
Retinal Ganglion Cells / pathology
Sensitivity and Specificity
Visual Field Tests / methods*
Visual Fields / physiology*
Grant Support
ID/Acronym/Agency:
EY11008/EY/NEI NIH HHS; R01 EY011008-07/EY/NEI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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