September 19, 2012
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Binocular visual field loss predicts quality of life in glaucoma patients

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Binocular visual field loss and the status of a patient’s better eye may predict functional ability and quality of life in patients with glaucoma, according to a study.

A prospective study involved 192 patients with various forms of glaucoma. Study investigators compared eight different methods of staging visual field loss using an objective measure, the Assessment of Disability Related to Vision (ADREV), and a subjective measure, the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ 25).

Binocular visual fields were scored based on the Esterman program and the Integrated Visual Field system. Monocular visual fields were scored based on mean defect, pattern standard deviation, Hodapp-Parrish-Anderson method, glaucoma staging system, glaucoma staging system 2 and the field damage likelihood scale.

“Assessment of Disability Related to Vision scores and 25-item National Eye Institute Visual Function Questionnaire scores were associated most closely with the [visual field] score in the better eye and the binocular [visual field] scoring systems,” the study authors said.

“We believe the present study takes an important step toward identifying staging systems that best identify the effect of [visual field] changes in glaucoma on a patient's ability to perform [activities of daily living],” they said.