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Abstract #22766 Published in IGR 11-1

Clinical correlation between structural and functional assessment in glaucoma: Armaly cup to disk ratio and Brusini glaucoma staging system

Oliveira AC; Oliveira FC; Villa Albers MB; Cohen R; Kasahara N
Arquivos Brasileiros de Oftalmologia 2008; 71: 242-245


PURPOSE: To evaluate the correlation between Armaly's structural systems with Brusini's functional staging in glaucomatous patients. METHODS: Seventy-eight eyes of forty-two patients with primary open-angle glaucoma underwent visual field testing with the Humphrey Field Analyzer II (program SITA 24-2) and optic disc evaluation with the 78D Volk lens by two independent observers. Optic disc was stratified according to cup/disc ratio (C/D), from 0.1 to 1.0. Mean deviation (MD) and pattern standard deviation (PSD) values from each eye were plotted on Brusini's staging system to derive a value for glaucoma severity. Both cup/disc ratio and Brusini's values were plotted on a diagram to assess correlation (Spearman's rho correlation coefficient). Armaly's values were logged in a logarithmic figure and the data plotted on a diagram with Brusini's values for each patient. RESULTS: Armaly's and Brusini's systems dysplayed a poor correlation (rho=0.340). Both unlogged and logged, Armaly's versus Brusini's plots resulted in a linear and weak correlation. CONCLUSION: Despite the weak correlation, Armaly's structural system and Brusini's staging system provided non-independent measures for glaucoma evaluation. LA: Portuguese

Dr. A.C. Oliveira, Setor de Glaucoma da Faculdade de Ciencias Medicas da Santa Casa de Sao Paulo, Sao Paulo, Brasil. drychaves@ig.com.br


Classification:

6.6.2 Automated (Part of: 6 Clinical examination methods > 6.6 Visual field examination and other visual function tests)
6.3.2 Posterior segment (Part of: 6 Clinical examination methods > 6.3 Biomicroscopy (slitlamp))



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