Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaire

Purpose: The purpose of the study was to analyze the correlation between central field index (CFI) and activity limitation in glaucoma using glaucoma activity limitation-9 (GAL-9) questionnaire. Methods: This hospital-based, cross-sectional, noninterventional study, included 50 patients diagnosed wi...

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Main Authors: Ravi Daruka, Neetha I R Kuzhuppilly, Shibi Dev, Shilpa N Patil, Sandhya Rajendraprasad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=8;spage=1098;epage=1103;aulast=Daruka
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author Ravi Daruka
Neetha I R Kuzhuppilly
Shibi Dev
Shilpa N Patil
Sandhya Rajendraprasad
author_facet Ravi Daruka
Neetha I R Kuzhuppilly
Shibi Dev
Shilpa N Patil
Sandhya Rajendraprasad
author_sort Ravi Daruka
collection DOAJ
description Purpose: The purpose of the study was to analyze the correlation between central field index (CFI) and activity limitation in glaucoma using glaucoma activity limitation-9 (GAL-9) questionnaire. Methods: This hospital-based, cross-sectional, noninterventional study, included 50 patients diagnosed with glaucoma, with field defect encroaching onto central 10° in Humphrey field analysis 30–2 program, in at least one eye. These patients underwent central 10–2 field analysis and CFI was calculated with the help of a calculator created by us. Patients with severe cognitive impairment were excluded and the rest completed the GAL-9 questionnaire. The data was analyzed to determine the correlation between the CFI and the GAL-9 scores. Results: There was a moderate correlation between CFI of better eye (r = −0.431, confidence interval “CI” −0.619 to −0.173, P < 0.002) and worse eye (r = −0.342, CI: −0.575 to − 0.058, P < 0.015) with GAL-9, the better eye showing a stronger correlation. Mean deviations (MD) of both better (r = −0.345, CI: −0.556 to −0.069, P < 0.014) and worse eye (r = −0.346, CI: −0.578 to −0.063 P < 0.014) showed similar moderate correlation. Vision of better eye (r = −0.398, CI: −0.577 to −0.210, P < 0.004) showed a stronger correlation with GAL-9 score than worse eye (r = −0.188, CI: −0.475 to 0.100, P < 0.192). Subscales of GAL-9 questionnaire also correlated with better eye status. “Finding dropped objects” had the strongest correlation to CFI of better eye (r = −0.676) and “adjusting to dim lights” had the weakest correlation (r = −0.052). Conclusion: The better eye status in glaucoma patients correlated better than worse eye with regard to activity limitation, signifying that the better eye has a greater influence on the quality of life and how patients perceive their disability. Furthermore, CFI showed a better correlation with GAL-9 score than MD.
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spelling doaj.art-5dee9e3a52d145bca09dd2b41a21e8de2022-12-21T19:17:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892018-01-016681098110310.4103/ijo.IJO_295_18Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaireRavi DarukaNeetha I R KuzhuppillyShibi DevShilpa N PatilSandhya RajendraprasadPurpose: The purpose of the study was to analyze the correlation between central field index (CFI) and activity limitation in glaucoma using glaucoma activity limitation-9 (GAL-9) questionnaire. Methods: This hospital-based, cross-sectional, noninterventional study, included 50 patients diagnosed with glaucoma, with field defect encroaching onto central 10° in Humphrey field analysis 30–2 program, in at least one eye. These patients underwent central 10–2 field analysis and CFI was calculated with the help of a calculator created by us. Patients with severe cognitive impairment were excluded and the rest completed the GAL-9 questionnaire. The data was analyzed to determine the correlation between the CFI and the GAL-9 scores. Results: There was a moderate correlation between CFI of better eye (r = −0.431, confidence interval “CI” −0.619 to −0.173, P < 0.002) and worse eye (r = −0.342, CI: −0.575 to − 0.058, P < 0.015) with GAL-9, the better eye showing a stronger correlation. Mean deviations (MD) of both better (r = −0.345, CI: −0.556 to −0.069, P < 0.014) and worse eye (r = −0.346, CI: −0.578 to −0.063 P < 0.014) showed similar moderate correlation. Vision of better eye (r = −0.398, CI: −0.577 to −0.210, P < 0.004) showed a stronger correlation with GAL-9 score than worse eye (r = −0.188, CI: −0.475 to 0.100, P < 0.192). Subscales of GAL-9 questionnaire also correlated with better eye status. “Finding dropped objects” had the strongest correlation to CFI of better eye (r = −0.676) and “adjusting to dim lights” had the weakest correlation (r = −0.052). Conclusion: The better eye status in glaucoma patients correlated better than worse eye with regard to activity limitation, signifying that the better eye has a greater influence on the quality of life and how patients perceive their disability. Furthermore, CFI showed a better correlation with GAL-9 score than MD.http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=8;spage=1098;epage=1103;aulast=DarukaCentral field indexglaucomaglaucoma activity limitation
spellingShingle Ravi Daruka
Neetha I R Kuzhuppilly
Shibi Dev
Shilpa N Patil
Sandhya Rajendraprasad
Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaire
Indian Journal of Ophthalmology
Central field index
glaucoma
glaucoma activity limitation
title Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaire
title_full Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaire
title_fullStr Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaire
title_full_unstemmed Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaire
title_short Correlation of central field index (10–2 visual field analysis) and activity limitation with increasing severity of glaucoma using glaucoma activity limitation-9 questionnaire
title_sort correlation of central field index 10 2 visual field analysis and activity limitation with increasing severity of glaucoma using glaucoma activity limitation 9 questionnaire
topic Central field index
glaucoma
glaucoma activity limitation
url http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=8;spage=1098;epage=1103;aulast=Daruka
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