Early Glaucoma Detection Using the Humphrey Matrix Perimeter, GDx VCC, Stratus OCT, and Retinal Nerve Fiber Layer Photography

• Published in: Ophthalmology (Rochester, Minn.) Vol. 114; no. 2; pp. 210 - 215
• Main Authors: Hong, Samin, MD, Ahn, Hyunseok, MD, Ha, Seung Joo, MD, Yeom, Ho Yeop, MD, Seong, Gong Je, MD, Hong, Young Jae, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.02.2007; Elsevier
• Subjects: Adult; Area Under Curve; Biological and medical sciences; Cross-Sectional Studies; Diagnostic Techniques, Ophthalmological; Female; Glaucoma and intraocular pressure; Glaucoma, Open-Angle - diagnosis; Humans; Intraocular Pressure; Male; Medical sciences; Miscellaneous; Nerve Fibers - pathology; Ophthalmology; Optic Disk - pathology; Optic Nerve Diseases - diagnosis; Photography; Reproducibility of Results; Retinal Ganglion Cells - pathology; ROC Curve; Tomography, Optical Coherence; Vision Disorders - diagnosis; Visual Field Tests; Visual Fields; Glaucoma; Protozoa; Medical screening; Retinal photography; Eye disease; Glaucoma (eye); Medical imagery; Early; Ciliata; Ophthalmology; Detection; Nerve fiber; Matrix system
• ISSN: 0161-6420; 1549-4713
• DOI: 10.1016/j.ophtha.2006.09.021

Purpose To compare the effectiveness of Humphrey Matrix perimetry, GDx VCC, Stratus OCT, and retinal nerve fiber layer (RNFL) photography using the Heidelberg Retina Angiograph 1 (HRA1) for early glaucoma detection. Design Cross-sectional comparative study. Participants Seventy-two primary open-angle glaucoma patients with early-stage visual field defects and 48 healthy controls were included. Methods Measurements using Humphrey Matrix perimetry, GDx VCC, Stratus OCT, and RNFL photography using HRA1, as well as standard automated perimetry, were obtained. We constructed receiver operating characteristic (ROC) curves for all available parameters and calculated the area under the ROC curves (AUC) to seek the best discriminating parameter of each test. Subsequently, the ROC curves were calculated for the combinations of the best discriminating parameters of each test to seek the most effective combination for early glaucoma detection. Main Outcome Measure The AUC for various parameters of Humphrey Matrix perimetry, GDx VCC, Stratus OCT, and RNFL photography using HRA1. Results The AUCs of Humphrey Matrix perimetry, GDx VCC, Stratus OCT, and RNFL photography using HRA1 with the best discriminating parameter were 0.990, 0.906, 0.794, and 0.751, respectively. The AUC of the following best combination was 0.972, more than 5 points depressed below the level of 5% on the pattern deviation plot from Humphrey Matrix perimetry, and the nerve fiber indicator was larger than 20 from GDx VCC. Conclusions The AUC of the Humphrey Matrix perimetry was greater than that of the GDx VCC, Stratus OCT, and RNFL photography using HRA1.