RT Journal Article
SR Electronic
T1 Practical landmarks for visual field disability in glaucoma
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1185
OP 1189
DO 10.1136/bjophthalmol-2012-301827
VO 96
IS 9
A1 Saunders, Luke J
A1 Russell, Richard A
A1 Crabb, David P
YR 2012
UL http://bjo.bmj.com/content/96/9/1185.abstract
AB Background/Aims To assess whether mean deviation (MD) from automated perimetry is related to the visual field (VF) component for legal fitness to drive (LFTD) in glaucoma patients. Methods Monocular 24-2 VFs of 2604 patients with bilateral VF damage were retrospectively investigated. Integrated visual fields were calculated and used as a surrogate to assess LFTD according to current UK driving licence criteria. The better eye MD (BEMD), worse eye MD (WEMD) and a measure utilising MD of both eyes were compared, to assess respective diagnostic capabilities to predict LFTD (using the integrated visual field surrogate test as the gold standard) and a ‘Probability of Failure’ (PoF) for various defect levels was calculated. Results BEMD appears to be a good predictor of the VF component for a patient's LFTD (receiver operating characteristic area under the curve: 96.2%); MDs from both eyes offered no significant extra diagnostic power (area under the curve: 96.4%). PoF for BEMD thresholds of ≤−10 dB and ≤−14 dB were 70 (95% CI 66% to 74%) and 92% (87% to 95%), respectively. Conclusion There is a strong relationship between BEMD and a patient's LFTD. PoF values for LFTD associated with readily available MD values provide practical landmarks for VF disability in glaucoma.