Comparative resilience of clinical perimetric tests to induced levels of intraocular straylight.

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2012

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info:eu-repo/semantics/altIdentifier/doi/10.1167/iovs.11-8659

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info:eu-repo/semantics/altIdentifier/pmid/22266518

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info:eu-repo/semantics/altIdentifier/eissn/1552-5783

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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_6E430B2BC4470

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J.D. Oleszczuk et al., « Comparative resilience of clinical perimetric tests to induced levels of intraocular straylight. », Serveur académique Lausannois, ID : 10.1167/iovs.11-8659


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PURPOSE: To investigate the effect of intraocular straylight (IOS) induced by white opacity filters (WOF) on threshold measurements for stimuli employed in three perimeters: standard automated perimetry (SAP), pulsar perimetry (PP) and the Moorfields motion displacement test (MDT).¦METHODS: Four healthy young (24-28 years old) observers were tested six times with each perimeter, each time with one of five different WOFs and once without, inducing various levels of IOS (from 10% to 200%). An increase in IOS was measured with a straylight meter. The change in sensitivity from baseline was normalized, allowing comparison of standardized (z) scores (change divided by the SD of normative values) for each instrument.¦RESULTS: SAP and PP thresholds were significantly affected (P < 0.001) by moderate to large increases in IOS (50%-200%). The drop in motion displacement (MD) from baseline with WOF 5, was approximately 5 dB, in both SAP and PP which represents a clinically significant loss; in contrast the change in MD with MDT was on average 1 minute of arc, which is not likely to indicate a clinically significant loss.¦CONCLUSIONS: The Moorfields MDT is more robust to the effects of additional straylight in comparison with SAP or PP.

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