TY - JOUR
T1 - Longitudinal and cross-sectional analyses of visual field progression in participants of the ocular hypertension treatment study
AU - Artes, Paul H.
AU - Chauhan, Balwantray C.
AU - Keltner, John L.
AU - Cello, Kim E.
AU - Johnson, Chris A.
AU - Anderson, Douglas R.
AU - Gordon, Mae O.
AU - Kass, Michael A.
PY - 2010/12
Y1 - 2010/12
N2 - Objective: To assess agreement between longitudinal and cross-sectional analyses for determining visual field progression in data from the Ocular Hypertension Treatment Study. Methods: Visual field data from 3088 eyes of 1570 participants (median follow-up, 7 years) were analyzed. Longitudinal analyses were performed using change probability with total and pattern deviation, and cross-sectional analyses were performed using the glaucoma hemifield test, corrected pattern standard deviation, and mean deviation. The rates of mean deviation and general height change were compared to estimate the degree of diffuse loss in emerging glaucoma. Results: Agreement on progression in longitudinal and cross-sectional analyses ranged from 50% to 61% and remained nearly constant across a wide range of criteria. In contrast, agreement on absence of progression ranged from 97.0% to 99.7%, being highest for the stricter criteria. Analyses of pattern deviation were more conservative than analyses of total deviation, with a 3 to 5 times lesser incidence of progression. Most participants developing field loss had both diffuse and focal changes. Conclusions: Despite considerable overall agreement, 40% to 50% of eyes identified as having progressed with either longitudinal or cross-sectional analyses were identified with only one of the analyses. Because diffuse change is part of early glaucomatous damage, pattern deviation analyses may underestimate progression in patients with ocular hypertension.
AB - Objective: To assess agreement between longitudinal and cross-sectional analyses for determining visual field progression in data from the Ocular Hypertension Treatment Study. Methods: Visual field data from 3088 eyes of 1570 participants (median follow-up, 7 years) were analyzed. Longitudinal analyses were performed using change probability with total and pattern deviation, and cross-sectional analyses were performed using the glaucoma hemifield test, corrected pattern standard deviation, and mean deviation. The rates of mean deviation and general height change were compared to estimate the degree of diffuse loss in emerging glaucoma. Results: Agreement on progression in longitudinal and cross-sectional analyses ranged from 50% to 61% and remained nearly constant across a wide range of criteria. In contrast, agreement on absence of progression ranged from 97.0% to 99.7%, being highest for the stricter criteria. Analyses of pattern deviation were more conservative than analyses of total deviation, with a 3 to 5 times lesser incidence of progression. Most participants developing field loss had both diffuse and focal changes. Conclusions: Despite considerable overall agreement, 40% to 50% of eyes identified as having progressed with either longitudinal or cross-sectional analyses were identified with only one of the analyses. Because diffuse change is part of early glaucomatous damage, pattern deviation analyses may underestimate progression in patients with ocular hypertension.
UR - http://www.scopus.com/inward/record.url?scp=78650098319&partnerID=8YFLogxK
U2 - 10.1001/archophthalmol.2010.292
DO - 10.1001/archophthalmol.2010.292
M3 - Article
C2 - 21149774
AN - SCOPUS:78650098319
SN - 0003-9950
VL - 128
SP - 1528
EP - 1532
JO - Archives of Ophthalmology
JF - Archives of Ophthalmology
IS - 12
ER -