Ophthalmol Glaucoma
Ophthalmol Glaucoma2023Journal Article

24-2 SITA Standard versus 24-2 SITA Faster in Perimetry-Naive Normal Subjects.

Visual FieldDiagnosis & Screening

Summary

The SS and SFR were associated with similar specificities in perimetry-naive individuals.

Abstract

PURPOSE

To compare the Swedish Interactive Thresholding Algorithm (SITA) Standard (SS) and SITA Faster (SFR) strategies in normal individuals undergoing standard automated perimetry (SAP) for the first time.

DESIGN

Randomized, comparative, observational case series.

PARTICIPANTS

Seventy-four perimetry-naive healthy individuals.

METHODS

All individuals underwent SAP 24-2 testing with the Humphrey Field Analyzer III (model 850 Zeiss) using the SS and SFR strategies. One eye of each individual was tested. Test order between strategies was randomized, and an interval of 15 minutes was allowed between the tests.

MAIN OUTCOME MEASURES

The following variables were compared: test time, foveal threshold, false-positive errors, number of unreliable tests, mean deviation (MD), visual field index (VFI), pattern standard deviation (PSD), glaucoma hemifield test (GHT), and number of depressed points deviating at P 0.05).

CONCLUSIONS

The SS and SFR were associated with similar specificities in perimetry-naive individuals. The SFR did not increase the number of depressed points in the total and pattern deviation probability maps. Ophthalmologists should be aware that both strategies are associated with disturbingly high false-positive rates in perimetry-naive individuals. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references.

Keywords

Automated perimetryGlaucomaGlaucoma diagnosisSpecificityVisual field

Discussion

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