Making a Correct Diagnosis of Glaucoma : Data from the EMGT
(2019) In Journal of Glaucoma p.859-864- Abstract
Précis: A correct diagnosis of glaucoma established at initial visits. Purpose: It has been suggested that a diagnosis of glaucoma cannot be certain until progression has been demonstrated. Our aim was to evaluate the correctness of a glaucoma diagnosis established after 2 initial visits. Patients and Methods: Patients included in the Early Manifest Glaucoma Trial (EMGT) who had continued follow-up for at least 15 years were included in this analysis. The patients had been recruited primarily through a population screening and were diagnosed with glaucoma if the Glaucoma Hemifield Test was outside normal limits in the same sector at two consecutive visits. A Glaucoma Hemifield Test classification of borderline was also diagnostic if... (More)
Précis: A correct diagnosis of glaucoma established at initial visits. Purpose: It has been suggested that a diagnosis of glaucoma cannot be certain until progression has been demonstrated. Our aim was to evaluate the correctness of a glaucoma diagnosis established after 2 initial visits. Patients and Methods: Patients included in the Early Manifest Glaucoma Trial (EMGT) who had continued follow-up for at least 15 years were included in this analysis. The patients had been recruited primarily through a population screening and were diagnosed with glaucoma if the Glaucoma Hemifield Test was outside normal limits in the same sector at two consecutive visits. A Glaucoma Hemifield Test classification of borderline was also diagnostic if corresponding optic disc findings were present. At least one of the following criteria had to be fulfilled during follow-up to confirm the initial diagnosis: (1) visual field progression in at least one eye according to the EMGT criterion; (2) development of manifest glaucoma in an initially ineligible fellow eye; (3) optic disc progression in at least one eye; (4) optic disc hemorrhages in at least 1 eye. Results: Of the 255 patients included in the EMGT, 117 were followed for at least 15 years, representing 147 eyes eligible for our study. During follow-up, 134 eyes (91%) showed visual field progression, and, of the remaining 13 eyes, only 4 (3%) did not fulfill any of the criteria to confirm the diagnosis. Conclusions: A diagnosis made applying strict criteria to 2 initial visual field tests, supported by optic disc findings if visual field findings were borderline, was almost always correct.
(Less)
- author
- Öhnell, Hanna Maria LU ; Bengtsson, Boel LU and Heijl, Anders LU
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- correct diagnosis, EMGT, glaucoma, Glaucoma Hemifield Test, perimetry
- in
- Journal of Glaucoma
- pages
- 859 - 864
- publisher
- Raven Press
- external identifiers
-
- pmid:31567622
- scopus:85072649684
- ISSN
- 1057-0829
- DOI
- 10.1097/IJG.0000000000001342
- language
- English
- LU publication?
- yes
- id
- a0aba42f-cc7a-4301-a0ae-9d4f42a9655e
- date added to LUP
- 2019-10-07 12:59:21
- date last changed
- 2024-04-02 19:07:30
@article{a0aba42f-cc7a-4301-a0ae-9d4f42a9655e,
abstract = {{<p>Précis: A correct diagnosis of glaucoma established at initial visits. Purpose: It has been suggested that a diagnosis of glaucoma cannot be certain until progression has been demonstrated. Our aim was to evaluate the correctness of a glaucoma diagnosis established after 2 initial visits. Patients and Methods: Patients included in the Early Manifest Glaucoma Trial (EMGT) who had continued follow-up for at least 15 years were included in this analysis. The patients had been recruited primarily through a population screening and were diagnosed with glaucoma if the Glaucoma Hemifield Test was outside normal limits in the same sector at two consecutive visits. A Glaucoma Hemifield Test classification of borderline was also diagnostic if corresponding optic disc findings were present. At least one of the following criteria had to be fulfilled during follow-up to confirm the initial diagnosis: (1) visual field progression in at least one eye according to the EMGT criterion; (2) development of manifest glaucoma in an initially ineligible fellow eye; (3) optic disc progression in at least one eye; (4) optic disc hemorrhages in at least 1 eye. Results: Of the 255 patients included in the EMGT, 117 were followed for at least 15 years, representing 147 eyes eligible for our study. During follow-up, 134 eyes (91%) showed visual field progression, and, of the remaining 13 eyes, only 4 (3%) did not fulfill any of the criteria to confirm the diagnosis. Conclusions: A diagnosis made applying strict criteria to 2 initial visual field tests, supported by optic disc findings if visual field findings were borderline, was almost always correct.</p>}},
author = {{Öhnell, Hanna Maria and Bengtsson, Boel and Heijl, Anders}},
issn = {{1057-0829}},
keywords = {{correct diagnosis; EMGT; glaucoma; Glaucoma Hemifield Test; perimetry}},
language = {{eng}},
pages = {{859--864}},
publisher = {{Raven Press}},
series = {{Journal of Glaucoma}},
title = {{Making a Correct Diagnosis of Glaucoma : Data from the EMGT}},
url = {{http://dx.doi.org/10.1097/IJG.0000000000001342}},
doi = {{10.1097/IJG.0000000000001342}},
year = {{2019}},
}