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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1819020194332278784 |
---|---|
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. |
first_indexed | 2024-12-21T03:47:20Z |
format | Article |
id | doaj.art-5dee9e3a52d145bca09dd2b41a21e8de |
institution | Directory Open Access Journal |
issn | 0301-4738 1998-3689 |
language | English |
last_indexed | 2024-12-21T03:47:20Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
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 |
work_keys_str_mv | AT ravidaruka correlationofcentralfieldindex102visualfieldanalysisandactivitylimitationwithincreasingseverityofglaucomausingglaucomaactivitylimitation9questionnaire AT neethairkuzhuppilly correlationofcentralfieldindex102visualfieldanalysisandactivitylimitationwithincreasingseverityofglaucomausingglaucomaactivitylimitation9questionnaire AT shibidev correlationofcentralfieldindex102visualfieldanalysisandactivitylimitationwithincreasingseverityofglaucomausingglaucomaactivitylimitation9questionnaire AT shilpanpatil correlationofcentralfieldindex102visualfieldanalysisandactivitylimitationwithincreasingseverityofglaucomausingglaucomaactivitylimitation9questionnaire AT sandhyarajendraprasad correlationofcentralfieldindex102visualfieldanalysisandactivitylimitationwithincreasingseverityofglaucomausingglaucomaactivitylimitation9questionnaire |