A Novel Visual Field Screening Program for Glaucoma With a Head-Mounted Perimeter

Abstract

Précis: A novel visual field screening program with a head-mounted perimeter ‘imo’ could detect glaucoma at all stages in a short time with high accuracy. Purpose: The present study aimed to examine the accuracy and availability of a novel glaucoma visual field screening program using a head-mounted visual perimeter ‘imo.’ Participants and Methods: Eyes of 76 non-glaucoma participants and 92 glaucoma patients were examined. All patients underwent visual field tests using the Humphrey Visual Field Analyzer (30-2 or 24-2 Swedish Interactive Thresholding Algorithm standard program) and imo (the visual field screening program). We evaluated five visual field screening program indicators: sensitivity, specificity, positive predictive value, negative predictive value, and testing time. We also evaluated the ability of this visual field screening program to differentiate between glaucoma patients and normal controls using the receiver operating characteristic curves and areas under the receiver operating characteristic curves. Results: The sensitivity, specificity, positive predictive value, and negative predictive value of the visual field screening program were 76%–100%, 91%–100%, 86%–89%, and 79%–100%, respectively. The visual field screening program test time was 46±13 seconds for normal controls and 61±18, 82±21, and 105±16 econds, respectively for mild, moderate, and advanced-stage patients. The areas under the receiver operating characteristic curves were 0.77, 0.97, and 1.0 in the mild, moderate, and advanced stages, respectively. Conclusions: Visual field screening using a head-mounted perimeter ‘imo’ detected glaucoma at all stages in a short time with high accuracy.