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Visual field examination, is it time to say goodbye?. Aharon Wegner. awegner@yahoo.com. Glaucoma Service, Department of Ophthalmology, Klinikum rechts der Isar, Technical University Munich 22 Ismaninger St, 81675 Munich. Visual field changes translated to ganglion cell loss.
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Visual field examination, is it time to say goodbye? Aharon Wegner awegner@yahoo.com Glaucoma Service, Department of Ophthalmology, Klinikum rechts der Isar, Technical University Munich 22 Ismaninger St, 81675 Munich awegner@yahoo.com
Visual field changes translated to ganglion cell loss Not only, that a loss of 25%-30% of RNFL is needed before we notice a visual field loss, the logarithmic presentation caches the amount of the damage. Adapted according to: Garway–Heath DF, Caprioli J, Fitzke FW, Hitchings RA. Scaling the Hill of Vision: The Physiological Relationship between Light Sensitivity and Ganglion Cell Numbers. Invest Ophthalmol Vis Sci. 2000;41:1774 –1782. awegner@yahoo.com
Relation between visual field to RNFL RNFL can be related to optic disc and visual field Ferreras A, Pablo LE, Garway-Heath DF, Fogagnolo P, García-Feijoo J. Mapping standard automated perimetry to the peripapillary retinal nerve fiber layer in glaucoma. Invest Ophthalmol Vis Sci. 2008;49:3018-25. awegner@yahoo.com
Relation between OCT print-out to RNFL RNFL can be related to optic disc and visual field Hood DC, Kardon RH. A framework for comparing structural and functional measures of glaucomatous damage. Prog Retin Eye Res. 2007;26:688-710. awegner@yahoo.com
Correlation between RNFL and visual field – a model The linear model’s predicted change in RNFL thickness with changes in SAP field loss express on log-linear coordinates. Hood DC, Kardon RH. A framework for comparing structural and functional measures of glaucomatous damage. Prog Retin Eye Res. 2007;26:688–710. awegner@yahoo.com
Correlation between RNFL and visual field Hood DC, Anderson SC, Wall M, Raza AS, Kardon RH. A Test of a Linear Model of Glaucomatous Structure–Function Loss Reveals Sources of Variability in Retinal Nerve Fiber and Visual Field Measurements. Invest Ophthalmol Vis Sci. 2009;50:4254–4266. awegner@yahoo.com
Structural tests detect earlier the damage and are more sensitive to progression at the initial stages of Glaucoma. Functional test can better detect a progression at the late stages of Glaucoma. awegner@yahoo.com