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A Comparison Between the Diagnostic Results of Short Wavelength Automated Perimetry and Standard Automated Perimetry in Glaucoma Patients: A Cross-Sectional Comparative Study

Received: 31 August 2022    Accepted: 16 September 2022    Published: 11 October 2022
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Abstract

Background: The aim is to compare the diagnostic results of Short Wavelength Automated Blue on Yellow Perimetry (SWAP) with Standard Automated White on White Perimetry (W-W) in glaucoma-suspect and glaucomatous patients and to evaluate the role of SWAP in the early detection of glaucomatous visual field deficits as they are usually discovered, using W-W, only when they have reached an advanced stage. Material and methods: In this cross-sectional comparative study, held in Tishreen University Hospital – Ophthalmology Department from January 2021 to January 2022, 51 eyes of 31 subjects were enrolled. they underwent full ophthalmological examination including bio microscopy, Intraocular Pressure (IOP) measurement by means of Goldmann's applanation tonometry, and color vision testing using Ishihara's plates. The participants were divided into two groups: a Glaucoma- suspect group (31 eyes) and a Glaucomatous group (20 eyes). Informed consent was obtained from all subjects after the nature and possible consequences of the procedure had been fully explained to them. As all included subjects were familiar with SAP, we conducted two tests on each subject; first SAP (G pattern) then SWAP using (OCTOPUS 900) perimeter. The two testing sessions were separated by resting periods. The reliability parameters, test duration and visual field global indices were compared between W-W and SWAP. Results: In the Glaucoma- suspect group Mean Sensitivity (MS) was significantly higher in W-W than SWAP (P:0.0001). Both Mean Defect (MD) and Square Root of Loss of Variance (sLV) were significantly higher in SWAP (P:0.0001). Reliability Factor was greater in SWAP but not statistically significant (P:0.07). In the Glaucomatous group MS was significantly higher in W-W (P:0.0001). MD was significantly higher in SWAP (P:0.0001), as well as sLV (P:0.04). Reliability Factor was significantly greater in SWAP (P:0.02). And Test Time was significantly longer in SWAP in both Glaucoma-suspect and Glaucomatous groups (P:0.0001 & P:0.002) respectively. Conclusion: This study showed that SWAP is superior to W-W in identifying patients with early glaucoma, ocular hypertension, glaucoma suspects and patients with progressive optic disc cupping and may therefore be quite useful for determining early and progressive changes in glaucoma. However, in order to conclude that SWAP is an early indicator of glaucomatous damage, longer follow-up is required. And with the longer time needed to conduct SWAP, W-W remains the gold standard with SWAP being a valuable tool in the process.

Published in International Journal of Ophthalmology & Visual Science (Volume 7, Issue 4)
DOI 10.11648/j.ijovs.20220704.11
Page(s) 101-105
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Short-Wavelength, Automated Perimetry, Glaucoma-Suspect, Glaucomatous, Visual Field Deficits, Octopus 900, Reliability Parameters, Global Indices

References
[1] Su. W. W, with C, S, Chang HL, Shen Su. Chin, Comparison of Standard White on White Automated Perimetry and Short Wavelength Automated Perimetry in Early Glaucoma Patients; Dept of Ophthalmology, Chang Gung Memorial Hospital, Taipei, Chang Gung Med. J 2004; 27: 188-192.
[2] Javed E. A., Nawaz M., Ahmad M., Sultan M., Comparison of Sensitivity and Specificity of Blue Yellow Perimetry versus Standard Automated Primetry in Early / Glaucoma Suspect Patients. A. P. M. C Vol: 7 No. 1 January-June 2013.
[3] Wood JM, Swann PG, Stavrou EP. Visual Fields in Glaucoma: A Clinical Overview. Clin Exp Optom 2000; 83: 128–135.
[4] Mohamed A. H., A Comparison Between The Diagnostic Results of Short Wavelength Automated Perimetry and Standard Automated Perimetry in Glaucoma Patients. DJO 17: 18–23 © 2016 Delta Journal of Ophthalmology 1110-9173.
[5] Bayer AU, Erb C. Short Wavelength Automated Perimetry, Frequency Doubling Technology Perimetry, and Pattern Electroretinography for Prediction of Progressive Glaucomatous Standard Visual Field Defects. Ophthalmology 2002; 109: 1009–1017.
[6] Quigley HA, Addicks EM, Green WR. Optic Nerve Damage in Human Glaucoma. III. Quantitative Correlation of Nerve Fiber Loss and Visual Field Defect in Glaucoma, Ischemic Neuropathy, Papilledema, and Toxic Neuropathy. Arch Ophthalmol 1982; 100: 135-46.
[7] Quigley HA, Sanchez RM, Dunkelberger GR, L'Hernault NL, Baginski TA. Chronic Glaucoma Selectively Damages Large Optic Nerve Fibers. Invest Ophthalmol Vis Sci 1987; 28: 913-20.
[8] Johnson CA, Adams AJ, Casson EJ, Brandt JB, Blue on Yellow Perimetry Can Predict the Development of Glaucomatous Visual Field Loss. Arch Ophthalmol 1993: 111: 645–50.
[9] Adam AJ, Heron G, Husted R. Clinical Measure of Central Vision Function in Glaucoma and Ocular Hypertension. Arch Ophthalmol 1987; 105; 782-7.
[10] Adams AJ, Rodic R, Husted R, Stamper R. Spectral Sensitivity and Color Discrimination Changes in Glaucoma and Glaucoma-Suspect Patients. Invest Ophthalmol Vis Sci 1982; 23: 516-24.
[11] Sample PA, Weinreb RN, Boynton RM. Acquired Dyschromatopsia in Glaucoma. Surv Ophthalmol 1986; 31: 54-64.
[12] Drance SM, Lakowski R, Schulzer M, Douglas GR. Acquired Color Vision Changes in Glaucoma Use of 100-Hue Test and Pickford Anomaloscope As Predictors of Glaucomatous Field Change. Arch Ophthalmol 1981; 99: 829-31.
[13] Johnson CA, Adams AJ, Casson CJ, Brandt JD,. Progression of Early Glaucomatous Visual Field Loss As Detected by Blue on Yellow and Standard White on White Automated Perimetry. Arch Ophthalmol 1993; 111: 651-656.
[14] Johnson CA. Recent Developments in Automated Perimetry in Glaucoma Diagnosis and Management. Curr Opin Ophthalmol 2002; 13: 77-84.
[15] Kwon YH, Park HJ, Jap A, Ugurlu S, Caprioli J. Test-Retest Variability of Blue-on-Yellow Perimetry Is Greater Than White-on-White Perimetry in Normal subjects. Am J Ophthalmol 1998; 126: 29–36.
[16] Blumenthal EZ, Sample PA, Zangwill L, Lee AC, Kono Y, Weinreb RN. Comparison of Long-Term Variability for Standard and Short-Wavelength Automated Perimetry in Stable Glaucoma Patients. Am J Ophthalmol 2000; 129: 309–313.
[17] Mansberger SL, Sample PA, Zangwill LM and Weinreb RN, Achromatic and Short-Wavelength Automated Perimetry in Patients with Glaucomatous Large Cups. Archives of Ophthalmology, 1999, 117: 1473-1477.
[18] Balasubramanian V. K., Role of Blue on Yellow Perimetry in The Early Detection of Glaucomatous Damage. University Journal of Surgery and Surgical Specialities, 2017, Vol. 3 (4), ISSN 2455-2860.
Cite This Article
  • APA Style

    Bushra Bayerly, Yusuf Suleiman, Kahtan Jalloul. (2022). A Comparison Between the Diagnostic Results of Short Wavelength Automated Perimetry and Standard Automated Perimetry in Glaucoma Patients: A Cross-Sectional Comparative Study. International Journal of Ophthalmology & Visual Science, 7(4), 101-105. https://doi.org/10.11648/j.ijovs.20220704.11

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    ACS Style

    Bushra Bayerly; Yusuf Suleiman; Kahtan Jalloul. A Comparison Between the Diagnostic Results of Short Wavelength Automated Perimetry and Standard Automated Perimetry in Glaucoma Patients: A Cross-Sectional Comparative Study. Int. J. Ophthalmol. Vis. Sci. 2022, 7(4), 101-105. doi: 10.11648/j.ijovs.20220704.11

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    AMA Style

    Bushra Bayerly, Yusuf Suleiman, Kahtan Jalloul. A Comparison Between the Diagnostic Results of Short Wavelength Automated Perimetry and Standard Automated Perimetry in Glaucoma Patients: A Cross-Sectional Comparative Study. Int J Ophthalmol Vis Sci. 2022;7(4):101-105. doi: 10.11648/j.ijovs.20220704.11

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  • @article{10.11648/j.ijovs.20220704.11,
      author = {Bushra Bayerly and Yusuf Suleiman and Kahtan Jalloul},
      title = {A Comparison Between the Diagnostic Results of Short Wavelength Automated Perimetry and Standard Automated Perimetry in Glaucoma Patients: A Cross-Sectional Comparative Study},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {7},
      number = {4},
      pages = {101-105},
      doi = {10.11648/j.ijovs.20220704.11},
      url = {https://doi.org/10.11648/j.ijovs.20220704.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20220704.11},
      abstract = {Background: The aim is to compare the diagnostic results of Short Wavelength Automated Blue on Yellow Perimetry (SWAP) with Standard Automated White on White Perimetry (W-W) in glaucoma-suspect and glaucomatous patients and to evaluate the role of SWAP in the early detection of glaucomatous visual field deficits as they are usually discovered, using W-W, only when they have reached an advanced stage. Material and methods: In this cross-sectional comparative study, held in Tishreen University Hospital – Ophthalmology Department from January 2021 to January 2022, 51 eyes of 31 subjects were enrolled. they underwent full ophthalmological examination including bio microscopy, Intraocular Pressure (IOP) measurement by means of Goldmann's applanation tonometry, and color vision testing using Ishihara's plates. The participants were divided into two groups: a Glaucoma- suspect group (31 eyes) and a Glaucomatous group (20 eyes). Informed consent was obtained from all subjects after the nature and possible consequences of the procedure had been fully explained to them. As all included subjects were familiar with SAP, we conducted two tests on each subject; first SAP (G pattern) then SWAP using (OCTOPUS 900) perimeter. The two testing sessions were separated by resting periods. The reliability parameters, test duration and visual field global indices were compared between W-W and SWAP. Results: In the Glaucoma- suspect group Mean Sensitivity (MS) was significantly higher in W-W than SWAP (P:0.0001). Both Mean Defect (MD) and Square Root of Loss of Variance (sLV) were significantly higher in SWAP (P:0.0001). Reliability Factor was greater in SWAP but not statistically significant (P:0.07). In the Glaucomatous group MS was significantly higher in W-W (P:0.0001). MD was significantly higher in SWAP (P:0.0001), as well as sLV (P:0.04). Reliability Factor was significantly greater in SWAP (P:0.02). And Test Time was significantly longer in SWAP in both Glaucoma-suspect and Glaucomatous groups (P:0.0001 & P:0.002) respectively. Conclusion: This study showed that SWAP is superior to W-W in identifying patients with early glaucoma, ocular hypertension, glaucoma suspects and patients with progressive optic disc cupping and may therefore be quite useful for determining early and progressive changes in glaucoma. However, in order to conclude that SWAP is an early indicator of glaucomatous damage, longer follow-up is required. And with the longer time needed to conduct SWAP, W-W remains the gold standard with SWAP being a valuable tool in the process.},
     year = {2022}
    }
    

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    T1  - A Comparison Between the Diagnostic Results of Short Wavelength Automated Perimetry and Standard Automated Perimetry in Glaucoma Patients: A Cross-Sectional Comparative Study
    AU  - Bushra Bayerly
    AU  - Yusuf Suleiman
    AU  - Kahtan Jalloul
    Y1  - 2022/10/11
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    DO  - 10.11648/j.ijovs.20220704.11
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 101
    EP  - 105
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20220704.11
    AB  - Background: The aim is to compare the diagnostic results of Short Wavelength Automated Blue on Yellow Perimetry (SWAP) with Standard Automated White on White Perimetry (W-W) in glaucoma-suspect and glaucomatous patients and to evaluate the role of SWAP in the early detection of glaucomatous visual field deficits as they are usually discovered, using W-W, only when they have reached an advanced stage. Material and methods: In this cross-sectional comparative study, held in Tishreen University Hospital – Ophthalmology Department from January 2021 to January 2022, 51 eyes of 31 subjects were enrolled. they underwent full ophthalmological examination including bio microscopy, Intraocular Pressure (IOP) measurement by means of Goldmann's applanation tonometry, and color vision testing using Ishihara's plates. The participants were divided into two groups: a Glaucoma- suspect group (31 eyes) and a Glaucomatous group (20 eyes). Informed consent was obtained from all subjects after the nature and possible consequences of the procedure had been fully explained to them. As all included subjects were familiar with SAP, we conducted two tests on each subject; first SAP (G pattern) then SWAP using (OCTOPUS 900) perimeter. The two testing sessions were separated by resting periods. The reliability parameters, test duration and visual field global indices were compared between W-W and SWAP. Results: In the Glaucoma- suspect group Mean Sensitivity (MS) was significantly higher in W-W than SWAP (P:0.0001). Both Mean Defect (MD) and Square Root of Loss of Variance (sLV) were significantly higher in SWAP (P:0.0001). Reliability Factor was greater in SWAP but not statistically significant (P:0.07). In the Glaucomatous group MS was significantly higher in W-W (P:0.0001). MD was significantly higher in SWAP (P:0.0001), as well as sLV (P:0.04). Reliability Factor was significantly greater in SWAP (P:0.02). And Test Time was significantly longer in SWAP in both Glaucoma-suspect and Glaucomatous groups (P:0.0001 & P:0.002) respectively. Conclusion: This study showed that SWAP is superior to W-W in identifying patients with early glaucoma, ocular hypertension, glaucoma suspects and patients with progressive optic disc cupping and may therefore be quite useful for determining early and progressive changes in glaucoma. However, in order to conclude that SWAP is an early indicator of glaucomatous damage, longer follow-up is required. And with the longer time needed to conduct SWAP, W-W remains the gold standard with SWAP being a valuable tool in the process.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Department of Ophthalmology, Tishreen University Hospital, Latakia, Syria

  • Department of Ophthalmology, Tishreen University Hospital, Latakia, Syria

  • Department of Ophthalmology, Tishreen University Hospital, Latakia, Syria

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