Automated perimetry, tonometry, and questionnaire in glaucoma screening

Am J Ophthalmol. 1989 Nov 15;108(5):505-8. doi: 10.1016/0002-9394(89)90425-x.

Abstract

To evaluate the sensitivity and specificity of various portions of the glaucoma screening process, 145 participants underwent complete ophthalmic examinations. A weighted questionnaire was 20% (2 patients) and 36% (5 suspects) sensitive for the glaucoma patients and glaucoma suspects, respectively. Tonometry alone was 20% (2 patients) and 7% (1 suspect) sensitive for glaucoma patients and glaucoma suspects, respectively. Automated perimetry of the central 30 degrees and nasal periphery identified nine (90%) of the glaucoma patients and five (36%) of the glaucoma suspects. The presence of increased intraocular pressure was not by itself very useful, but when perimetry or tonometry was used, 10 (100%) of the glaucoma group was identified. We recommend that automated suprathreshold perimetry and tonometry be performed in glaucoma screening.

MeSH terms

  • Aged
  • Automation
  • Evaluation Studies as Topic
  • Female
  • Glaucoma / diagnosis*
  • Humans
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Sensitivity and Specificity
  • Surveys and Questionnaires
  • Tonometry, Ocular*
  • Vision Screening*
  • Visual Field Tests*
  • Visual Fields