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Evaluation of adaptive spatial enhancement in suprathreshold visual field screening

Asman, P LU ; Britt, J M ; Mills, R P and Heijl, A LU (1988) In Ophthalmology 95(12). p.62-1656
Abstract

Sixty-three normal subjects and 94 abnormal patients, most of whom had glaucoma, were tested in the central visual field using a threshold-related, eccentricity-compensated, spatially adaptive suprathreshold screening program and a full-threshold program on the Humphrey field analyzer. The initial stimulus locations on the screening test were identical to those of the threshold test; additional screening stimuli were presented surrounding each missed initial stimulus. Surprisingly, this spatial enhancement strategy did not improve sensitivity or specificity rates of the screening beyond that achieved by considering the initial stimulus locations alone. Points missed during screening often showed a depressed sensitivity rate (measured... (More)

Sixty-three normal subjects and 94 abnormal patients, most of whom had glaucoma, were tested in the central visual field using a threshold-related, eccentricity-compensated, spatially adaptive suprathreshold screening program and a full-threshold program on the Humphrey field analyzer. The initial stimulus locations on the screening test were identical to those of the threshold test; additional screening stimuli were presented surrounding each missed initial stimulus. Surprisingly, this spatial enhancement strategy did not improve sensitivity or specificity rates of the screening beyond that achieved by considering the initial stimulus locations alone. Points missed during screening often showed a depressed sensitivity rate (measured threshold greater than 6 dB below the age-corrected normal reference value) in the same area of the threshold field. This was true in fields from abnormal and normal subjects. This finding of persistent shallow defects in the same test session among otherwise normal persons has disturbing implications for the importance of "confirmed" defects in the diagnosis of disease.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Adult, Aged, Automation, Glaucoma/complications, Humans, Middle Aged, Random Allocation, Sensitivity and Specificity, Sensory Thresholds, Vision Screening, Visual Field Tests, Visual Fields, Visual Perception/physiology
in
Ophthalmology
volume
95
issue
12
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:0024242573
  • pmid:3068604
ISSN
0161-6420
DOI
10.1016/S0161-6420(88)32961-1
language
English
LU publication?
yes
id
cc0670c0-8c8c-4c6e-90c0-16c9950a8ac3
date added to LUP
2019-06-30 16:24:44
date last changed
2024-01-01 14:44:17
@article{cc0670c0-8c8c-4c6e-90c0-16c9950a8ac3,
  abstract     = {{<p>Sixty-three normal subjects and 94 abnormal patients, most of whom had glaucoma, were tested in the central visual field using a threshold-related, eccentricity-compensated, spatially adaptive suprathreshold screening program and a full-threshold program on the Humphrey field analyzer. The initial stimulus locations on the screening test were identical to those of the threshold test; additional screening stimuli were presented surrounding each missed initial stimulus. Surprisingly, this spatial enhancement strategy did not improve sensitivity or specificity rates of the screening beyond that achieved by considering the initial stimulus locations alone. Points missed during screening often showed a depressed sensitivity rate (measured threshold greater than 6 dB below the age-corrected normal reference value) in the same area of the threshold field. This was true in fields from abnormal and normal subjects. This finding of persistent shallow defects in the same test session among otherwise normal persons has disturbing implications for the importance of "confirmed" defects in the diagnosis of disease.</p>}},
  author       = {{Asman, P and Britt, J M and Mills, R P and Heijl, A}},
  issn         = {{0161-6420}},
  keywords     = {{Adolescent; Adult; Aged; Automation; Glaucoma/complications; Humans; Middle Aged; Random Allocation; Sensitivity and Specificity; Sensory Thresholds; Vision Screening; Visual Field Tests; Visual Fields; Visual Perception/physiology}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{62--1656}},
  publisher    = {{Elsevier}},
  series       = {{Ophthalmology}},
  title        = {{Evaluation of adaptive spatial enhancement in suprathreshold visual field screening}},
  url          = {{http://dx.doi.org/10.1016/S0161-6420(88)32961-1}},
  doi          = {{10.1016/S0161-6420(88)32961-1}},
  volume       = {{95}},
  year         = {{1988}},
}