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Visual fields and OCT role in diagnosis of glaucoma.

Authors
 Hyoung Won Bae  ;  Ka Hyun Lee  ;  Naeun Lee  ;  Samin Hong  ;  Gong Je Seong  ;  Chan Yun Kim 
Citation
 OPTOMETRY AND VISION SCIENCE, Vol.91(11) : 1312-1319, 2014 
Journal Title
 OPTOMETRY AND VISION SCIENCE 
ISSN
 1040-5488 
Issue Date
2014
MeSH
Glaucoma/diagnosis* ; Humans ; Observer Variation ; Ocular Hypertension/diagnosis ; Optic Nerve Diseases/diagnosis* ; Photography ; Tomography, Optical Coherence/methods* ; Vision Disorders/diagnosis* ; Visual Field Tests* ; Visual Fields*
Keywords
glaucoma ; diagnosis ; visual field ; optical coherence tomography ; intraobserver agreement ; interobserver agreement
Abstract
PURPOSE: To evaluate the clinical performance of visual field (VF) tests and optical coherence tomography (OCT) in diagnosing glaucoma. METHODS: One hundred sets of disc photographs, red-free fundus photographs, VF tests, and OCT images were presented progressively to seven ophthalmologists. Each set was provided in three steps: (1) the disc and red-free fundus photographs were shown first; (2) then, VF tests were also provided; and (3) finally, the OCT results were provided. The same process was repeated on another day. Kappa statistics were used to assess the intraobserver and interobserver agreement, as well as the agreement with the reference standard. RESULTS: The intraobserver agreement was almost perfect in this study and did not change markedly with the addition of diagnostic tools. The interobserver agreement increased from 0.54 to 0.61 when VF was added and increased slightly to 0.63 with OCT. The agreement with the reference standard also increased significantly from 0.48 to 0.61 after adding VF and increased slightly with additional OCT. CONCLUSIONS: An optic disc evaluation and VF test are sufficient to diagnose glaucoma in most cases. However, OCT can play an important role in detecting glaucoma in cases in which it cannot be identified by optic disc examination and VF.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006324-201411000-00007&LSLINK=80&D=ovft
DOI
10.1097/OPX.0000000000000394
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chan Yun(김찬윤) ORCID logo https://orcid.org/0000-0002-8373-9999
Bae, Hyoung Won(배형원) ORCID logo https://orcid.org/0000-0002-8421-5636
Seong, Gong Je(성공제) ORCID logo https://orcid.org/0000-0002-5456-4296
Lee, Ga Hyun(이가현)
Hong, Sa Min(홍사민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138685
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