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Abstract #45573 Published in IGR 13-2
Learning curve and fatigue effect of flicker defined form perimetry
Lamparter J; Schulze A; Schuff A-C; Berres M; Pfeiffer N; Hoffmann EMAmerican Journal of Ophthalmology 2011; 151: 1057-1064
Purpose: To evaluate the learning curve and fatigue effect of flicker defined form (FDF) perimetry. Design: Prospective cross-sectional study. Material and Methods: One hundred forty-one eyes of 75 healthy subjects were included in the study. Every subject was measured 3 times on 3 different days within 3 months. Differences among the tests were analyzed for mean sensitivity (MS), mean deviation (MD), pattern standard deviation (PSD), reliability indices, test duration, and test points <5% and <0.5% in 75 right eyes on the basis of linear mixed models for repeated measurements. To assess the effect of fatigue, differences of MS, MD, and PSD values between 66 left and right eyes were evaluated regarding alterations between these 3 examinations. Results: After 3 test sessions, significant improvements were found in MS and MD among all 3 tests (P (less-than or equal to) .01), and in PSD between test 1 and test 3 (P = .02). Test duration decreased significantly between tests 1 and 3 (P = .01); fixation-loss errors decreased significantly between tests 2 and 3 and between tests 1 and 3 (P = .02, respectively). Test points with p < 0.5% decreased significantly between tests 1 and 2 (P = .04) and 1 and 3 (P = .01) When comparing both eyes, MS, MD, and PSD were significantly better in first than in second eyes examined. Conclusions: There exist significant learning and fatigue effects for repeated flicker defined form perimetry. For good and reliable results on FDF perimetry, at least 3 tests should be performed in an individual. Between the tests of both eyes, a rest should be offered. (copyright) 2011 Elsevier Inc. All rights reserved.
E. M. Hoffmann. Department of Ophthalmology, University Medical Center, Mainz University, Langenbeckstrasse 1, 55131 Mainz, Germany. Email: ehoffman@uni-mainz.de
Classification:
6.6.3 Special methods (e.g. color, contrast, SWAP etc.) (Part of: 6 Clinical examination methods > 6.6 Visual field examination and other visual function tests)
