Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)

Objective: To determine mean visual field parameters loss (Mean deviation and Pattern standard deviation) and frequency of glaucoma hemifield test to evaluate optic nerve damage progression in medically well-controlled primary open-angle glaucoma POAG through standard automated perimetry. Study...

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Main Authors: Maham Zehra, Mohd Shakaib Anwar, Erum Yousafzai, Waseem Akhter, Qura -Tul- Ain, Maeirah Shafique
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-12-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/PAFMJ/article/view/8595
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author Maham Zehra
Mohd Shakaib Anwar
Erum Yousafzai
Waseem Akhter
Qura -Tul- Ain
Maeirah Shafique
author_facet Maham Zehra
Mohd Shakaib Anwar
Erum Yousafzai
Waseem Akhter
Qura -Tul- Ain
Maeirah Shafique
author_sort Maham Zehra
collection DOAJ
description Objective: To determine mean visual field parameters loss (Mean deviation and Pattern standard deviation) and frequency of glaucoma hemifield test to evaluate optic nerve damage progression in medically well-controlled primary open-angle glaucoma POAG through standard automated perimetry. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Ophthalmology, Rawal Institute of Health Sciences, Islamabad Pajistan, from Sep 2019 to March 2020. Methodology: Fifty-four patients were inlcuded. Visual field parameters included the Glaucoma hemifield test, Mean deviation, and Pattern standard deviation. The visual field loss progression was evaluated through Humphry analyzer 30-2. Follow-up was done on the first day of the presentation, then after three and six months. Results: We found an increase in intraocular pressure (14.59±1.3 vs 15.87±2.1, p<0.001, 16.44±2.4, p<0.001, Mean deviation (- 9.381±6.5 vs -10.905±8.9, p=0.05, -11.034±9.9=0.05) and Pattern standard deviation (6.158±4.1 vs 6.133±4.3, p<0.001, 6.502±4.2, p<0.001) at 1st day, 3-monthS and 6-monthS respectively. Glaucoma hemifield test was outside normal in 39(72.2%), 45(83.3%), 50(92.6%) patients, borderline in 5(9.3%), 4(7.4%), 2(3.7%) patients, within normal in 6(11.1%), 3(5.6%), 1(1.9%) patient at 1stday, 3-months and 6-months respectively. Conclusion: Primary open-angle glaucoma patients with medically controlled conditions show an increasing trend in visual field parameters, including mean standard deviation, pattern standard deviation and glaucoma hemifield test measurement with the progression of the disease
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spelling doaj.art-32ef14c20a854bfd85ba22e87e272e0a2024-01-29T08:22:41ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-12-0173610.51253/pafmj.v73i6.8595Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)Maham Zehra0Mohd Shakaib Anwar1Erum Yousafzai2Waseem Akhter3Qura -Tul- Ain4Maeirah Shafique5Department of Ophthalmology, Rawal Institute of Health Sciences, Islamabad Pakistan, Department of OphthalmologyDepartment of Ophthalmology, Rawal Institute of Health Sciences, Islamabad Pakistan, Department of OphthalmologyDepartment of Ophthalmology, Rawal Institute of Health Sciences, Islamabad Pakistan, Department of OphthalmologyDepartment of Ophthalmology, Rawal Institute of Health Sciences, Islamabad Pakistan, Department of OphthalmologyArmed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) PakistanArmed Forces Institute of Ophthalmology/National University of Medical Sciences (NUMS) Pakistan Objective: To determine mean visual field parameters loss (Mean deviation and Pattern standard deviation) and frequency of glaucoma hemifield test to evaluate optic nerve damage progression in medically well-controlled primary open-angle glaucoma POAG through standard automated perimetry. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Ophthalmology, Rawal Institute of Health Sciences, Islamabad Pajistan, from Sep 2019 to March 2020. Methodology: Fifty-four patients were inlcuded. Visual field parameters included the Glaucoma hemifield test, Mean deviation, and Pattern standard deviation. The visual field loss progression was evaluated through Humphry analyzer 30-2. Follow-up was done on the first day of the presentation, then after three and six months. Results: We found an increase in intraocular pressure (14.59±1.3 vs 15.87±2.1, p<0.001, 16.44±2.4, p<0.001, Mean deviation (- 9.381±6.5 vs -10.905±8.9, p=0.05, -11.034±9.9=0.05) and Pattern standard deviation (6.158±4.1 vs 6.133±4.3, p<0.001, 6.502±4.2, p<0.001) at 1st day, 3-monthS and 6-monthS respectively. Glaucoma hemifield test was outside normal in 39(72.2%), 45(83.3%), 50(92.6%) patients, borderline in 5(9.3%), 4(7.4%), 2(3.7%) patients, within normal in 6(11.1%), 3(5.6%), 1(1.9%) patient at 1stday, 3-months and 6-months respectively. Conclusion: Primary open-angle glaucoma patients with medically controlled conditions show an increasing trend in visual field parameters, including mean standard deviation, pattern standard deviation and glaucoma hemifield test measurement with the progression of the disease https://www.pafmj.org/PAFMJ/article/view/8595Glaucoma hemifield testMean DeviationPattern standard deviationPrimary open-angle glaucoma
spellingShingle Maham Zehra
Mohd Shakaib Anwar
Erum Yousafzai
Waseem Akhter
Qura -Tul- Ain
Maeirah Shafique
Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)
Pakistan Armed Forces Medical Journal
Glaucoma hemifield test
Mean Deviation
Pattern standard deviation
Primary open-angle glaucoma
title Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)
title_full Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)
title_fullStr Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)
title_full_unstemmed Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)
title_short Progression Measurement of Visual Field Loss in Medically Controlled Primary Open-Angle Glaucoma (POAG)
title_sort progression measurement of visual field loss in medically controlled primary open angle glaucoma poag
topic Glaucoma hemifield test
Mean Deviation
Pattern standard deviation
Primary open-angle glaucoma
url https://www.pafmj.org/PAFMJ/article/view/8595
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AT erumyousafzai progressionmeasurementofvisualfieldlossinmedicallycontrolledprimaryopenangleglaucomapoag
AT waseemakhter progressionmeasurementofvisualfieldlossinmedicallycontrolledprimaryopenangleglaucomapoag
AT quratulain progressionmeasurementofvisualfieldlossinmedicallycontrolledprimaryopenangleglaucomapoag
AT maeirahshafique progressionmeasurementofvisualfieldlossinmedicallycontrolledprimaryopenangleglaucomapoag