Influence of fixation accuracy on threshold variability in patients with open angle glaucoma.

Abstract:

PURPOSE:To evaluate the contribution that fixation errors make to the overall variability of perimetric responses in patients with glaucoma. METHODS:Frequency of seeing curves were established, with and without fixation error correction, at two locations in each of 14 patients with glaucoma and good visual acuity. One location corresponded to a relatively normal region of the visual field, whereas the second corresponded to a region in which there was a sensitivity deficit. All patients had an acuity of better than 20/63 (except one whose acuity was 20/100). The locations of the first and fourth Purkinje images of a collimated infrared source were used to give a measure of eye position, during each stimulus presentation (accuracy 10 minutes of arc). RESULTS:Considerable variation was found in patient fixation accuracy. In the worst case, fixation was within 30 minutes of the target in only 7% of presentations whereas in the best, it was within this range in more than 60%. No relationship was found between accuracy of fixation and extent of loss. The gradient of the frequency of seeing curve was found to be shallow at regions of reduced sensitivity, a finding that supports the recognized relationship between variability and sensitivity deficit. A recalculation of the frequency of seeing curves, using only those responses in which the patient's fixation was within a specified range ( < 60 minutes of arc), did not show a meaningful reduction in variability at either location. CONCLUSIONS:It is concluded that fixation errors, though contributing to variability, are not the major cause of the increased variability seen at locations with reduced sensitivity.

authors

Henson DB,Evans J,Chauhan BC,Lane C

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

444-50

issue

2

eissn

0146-0404

issn

1552-5783

journal_volume

37

pub_type

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