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The article attempts to provide useful information on psychophysical tests in glaucoma management. This includes the suitability of various glaucoma screening methods, optimum screening parameters for glaucoma detection, and methods for glaucoma follow-up. There is clear evidence that perimetry methods using temporal modulation show a larger area under the curve than standard perimetry methods for the detection of glaucoma. Once the disease is established, there is no significant advantage for flickering stimulus targets. In most cases pattern standard deviation (sLV), or the number of points with a total deviation at the 5% probability level, are best for the identification of glaucoma suspects. If early diagnosis and glaucoma screening is requested, perimetry methods with temporal modulation show a larger area under the curve than standard perimetry methods. In the course of the disease, standard automated perimetry is still the method of choice for functional follow-up.
Dr. M. Monhart, HAAG-STREIT AG, Köniz-Bern, Switzerland