SCIENTIFIC REPORT

A comparison of global indices between the Medmont Automated Perimeter and the Humphrey Field Analyzer

John Landers^1,2, Alok Sharma^1,3, Ivan Goldberg^1,4,5 and Stuart Graham^1,6

¹ Eye Associates, Park House, Macquarie Street, Sydney, Australia
² Royal Adelaide Hospital, Adelaide, Australia
³ Riverina Eye Care Centre, Wagga Wagga, Australia
⁴ Department of Ophthalmology, University of Sydney, Sydney, Australia
⁵ Glaucoma Services, Sydney Eye Hospital, Sydney, Australia
⁶ Save Sight Institute, University of Sydney, Sydney, Australia

Correspondence to:
Dr John Landers, Park House, Floor 4, Suite 2, 187 Macquarie Street, Sydney, NSW 2000, Australia; john.landers{at}bigpond.com

Background: Two commonly used perimeters in Australia are the Humphrey Field Analyzer II (HFA) and the Medmont Automated Perimeter (MAP). Each device describes the visual field in terms of numerical values called global indices; however, these values are not interchangeable between devices. This study was designed to directly compare the global indices of HFA and MAP visual fields.

Methods: 63 subjects who had suspected glaucoma, ocular hypertension or glaucoma, or were normal controls were recruited selectively. Each patient was tested with the MAP and HFA. Global indices were then compared between tests. These included mean deviation (MD) and pattern standard deviation (PSD) from the HFA and average defect (AD) and pattern defect (PD) from the MAP.

Results: The MD and PSD results were strongly correlated with the AD and PD results, respectively. The relationship between them could be described in terms of two polynomial equations: AD = 0.94+1.31(MD)+0.02(MD)² and PD = 2.21(PSD)–0.05(PSD)²–0.006. These non-linear relationships may be the result of differences in testing method (test stimulus spectrum, number of testing locations or background luminance) or differences in the way each global index was calculated.

Conclusion: The AD and PD results obtained from the MAP may be substituted for the MD and PSD results from the HFA after appropriate conversion.

Abbreviations: AD, average defect; HFA, Humphrey Field Analyzer II; IOP, intraocular pressure; MAP, Medmont Automated Perimeter; MD, mean deviation; PD, pattern defect; PSD, pattern standard deviation

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