Abstract
Background
To determine the relationship between visual fields and retinal structures measured with spectral-domain optical coherence tomography in preperimetric glaucoma (PPG).
Methods
Twenty-six eyes of 26 patients with PPG and 20 healthy eyes of 20 volunteers were included. All patients underwent Heidelberg retina tomography-2 (HRT2), standard automated perimetry (SAP), frequency-doubling technology (FDT) perimetry, and RTVue-100. SAP and FDT indices, HRT parameters, and circumpapillary retinal nerve fiber layer (cpRNFL) and macular ganglion cell complex (mGCC) thicknesses were correlated using Pearson’s test. Areas under the receiver operating characteristic curves (AUROCs) and sensitivity/specificity based on each parameter’s definition of abnormalities were compared between parameters.
Results
Significant differences were found in FDT-MD, FDT-PSD, SAP-PSD, cpRNFL, and mGCC parameters (p < 0.001–0.015), but not in SAP-MD or HRT parameters, between PPG and control groups. Significant correlations were not found between visual field indices and structural parameters, except between FDT-MD and HRT rim area (r = 0.450, p = 0.021) and between FDT-PSD and temporal cpRNFL thickness (r = 0.402, p = 0.021). AUROCs for cpRNFL (p = 0.0047–0.033) and mGCC (p = 0.0082–0.049) parameters were significantly better than those of HRT parameters, whereas significant differences were not found between FDT indices and cpRNFL or mGCC parameters or between cpRNFL and mGCC parameters. Adding average cpRNFL or mGCC thickness to FDT-MD significantly increased sensitivity compared to single parameters (p = 0.016–0.031).
Conclusions
Structural and functional parameters were poorly correlated but complementary for glaucoma detection in PPG. Combining these parameters may improve PPG diagnosis.
Similar content being viewed by others
References
Sommer A, Katz J, Quigley HA, Miller NR, Robin AL, Richter RC (1991) Clinically detectable nerve fiber atrophy precedes the onset of glaucomatous field loss. Arch Ophthalmol 109:77–83
Hood DC, Kardon RH (2007) A framework for comparing structural and functional measures of glaucomatous damage. Prog Retin Eye Res 26:688–710
Kass MA, Heuer DK, Higginbotham EJ, Johnson CA, Keltner JL, Miller JP, Parrish RK 2nd, Wilson MR, Gordon MO (2002) The ocular hypertension treatment study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma. Arch Ophthalmol 120:701–713
Maddess T, Goldberg I, Dobinson J, Wine S, Welsh AH, James AC (1999) Testing for glaucoma with the spatial frequency doubling illusion. Vision Res 39:4258–4273
Petrusca D, Grivich MI, Sher A, Field GD, Gauthier JL, Greschner M, Shlens J, Chichilnisky EJ, Litke AM (2007) Identification and characterization of a Y-like primate retinal ganglion cell type. J Neurosci 27:11019–11027
Crook JD, Peterson BB, Packer OS, Robinson FR, Gamlin PD, Troy JB, Dacey DM (2008) The smooth monostratified ganglion cell: evidence for spatial diversity in the Y-cell pathway to the lateral geniculate nucleus and superior colliculus in the macaque monkey. J Neurosci 28:12654–12671
Soliman MA, de Jong LA, Ismaeil AA, van den Berg TJ, de Smet MD (2002) Standard achromatic perimetry, short wavelength automated perimetry, and frequency doubling technology for detection of glaucoma damage. Ophthalmology 109:444–454
Kogure S, Toda Y, Tsukahara S (2006) Prediction of future scotoma on conventional automated static perimetry using frequency doubling technology perimetry. Br J Ophthalmol 90:347–352
Ferreras A, Polo V, Larrosa JM, Pablo LE, Pajarin AB, Pueyo V, Honrubia FM (2007) Can frequency-doubling technology and short-wavelength automated perimetries detect visual field defects before standard automated perimetry in patients with preperimetric glaucoma? J Glaucoma 16:372–383
Nomoto H, Matsumoto C, Takada S, Hashimoto S, Arimura E, Okuyama S, Shimomura Y (2009) Detectability of glaucomatous changes using SAP, FDT, flicker perimetry, and OCT. J Glaucoma 18:165–171
Medeiros FA, Sample PA, Weinreb RN (2004) Frequency doubling technology perimetry abnormalities as predictors of glaucomatous visual field loss. Am J Ophthalmol 137:863–871
Kamantigue MEG, Joson PJ, Chen PP (2006) Prediction of visual field defects on standard automated perimetry by screening C-20-1 frequency doubling technology perimetry. J Glaucoma 15:35–39
Lester M, Mikelberg FS, Swindale NV, Drance SM (1997) ROC analysis of Heidelberg Retina Tomograph optic disc shape measures in glaucoma. Can J Ophthalmol 32:382–388
Gardiner SK, Johnson CA, Cioffi GA (2005) Evaluation of the structure-function relationship in glaucoma. Invest Ophthalmol Vis Sci 46:3712–3717
González-García AO, Vizzeri G, Bowd C, Medeiros FA, Zangwill LM, Weinreb RN (2009) Reproducibility of RTVue retinal nerve fiber layer thickness and optic disc measurements and agreement with Stratus optical coherence tomography measurements. Am J Ophthalmol 147:1067–1074
Garas A, Vargha P, Holló G (2011) Automatic, operator-adjusted, and manual disc definition for optic nerve head and retinal nerve fibre layer measurements with the RTVue-100 optical coherence tomograph. J Glaucoma 20:80–86
Tan O, Chopra V, Lu AT, Schuman JS, Ishikawa H, Wollstein G, Varma R, Huang D (2009) Detection of macular ganglion cell loss in glaucoma by Fourier-domain optical coherence tomography. Ophthalmology 116:2305–2314
Jeoung JW, Park KH (2010) Comparison of Cirrus OCT and Stratus OCT on the ability to detect localized retinal nerve fiber layer defects in preperimetric glaucoma. Invest Ophthalmol Vis Sci 51:938–945
Kotera Y, Hangai M, Hirose F, Mori S, Yoshimura N (2011) Three-dimensional imaging of macular inner structures in glaucoma by using spectral-domain optical coherence tomography. Invest Ophthalmol Vis Sci 52:1412–1421
Rolle T, Briamonte C, Curto D, Grignolo FM (2011) Ganglion cell complex and retinal nerve fiber layer measured by Fourier-domain optical coherence tomography for early detection of structural damage in patients with preperimetric glaucoma. Clin Ophthalmol 5:961–969
Nakano N, Hangai M, Nakanishi H, Mori S, Nukada M, Kotera Y, Ikeda HO, Nakamura H, Nonaka A, Yoshimura N (2011) Macular ganglion cell layer imaging in preperimetric glaucoma with speckle noise-reduced spectral domain optical coherence tomography. Ophthalmology 118:2414–2426
Garway-Heath DF, Holder GE, Fitzke FW, Hitchings RA (2002) Relationship between electrophysiological, psychophysical, and anatomical measurements in glaucoma. Invest Ophthalmol Vis Sci 43:2213–2220
El Beltagi TA, Bowd C, Boden C, Amini P, Sample PA, Zangwill LM, Weinreb RN (2003) Retinal nerve fiber layer thickness measured with optical coherence tomography is related to visual function in glaucomatous eyes. Ophthalmology 110:2185–2191
Miglior S, Riva I, Guareschi M, Di Matteo F, Romanazzi F, Buffagni L, Rulli E (2007) Retinal sensitivity and retinal nerve fiber layer thickness measured by optical coherence tomography in glaucoma. Am J Ophthalmol 144:733–740
Rao HL, Zangwill LM, Weinreb RN, Leite MT, Sample PA, Medeiros FA (2011) Structure-function relationship in glaucoma using spectral-domain optical coherence tomography. Arch Ophthalmol 129:864–871
Ooto S, Hangai M, Sakamoto A, Tomidokoro A, Araie M, Otani T, Kishi S, Matsushita K, Maeda N, Shirakashi M, Abe H, Takeda H, Sugiyama K, Saito H, Iwase A, Yoshimura N (2010) Three-dimensional profile of macular retinal thickness in normal Japanese eyes. Invest Ophthalmol Vis Sci 51:465–473
Hanley JA, McNeil BJ (1983) A method of comparing the areas under receiver operating characteristics curves derived from the same cases. Radiology 148:839–843
Mardin CY, Horn FK, Jonas JB, Budde WM (1999) Preperimetric glaucoma diagnosis by confocal scanning laser tomography of the optic disc. Br J Ophthalmol 83:299–304
Bozkurt M, Yalmaz PT, Irkec M (2008) Relationship between Humphrey 30-2 SITA standard test, Matrix 30-2 threshold test, and Heidelberg retina tomograph in ocular hypertensive and glaucoma patients. J Glaucoma 17:203–210
Burgansky-Eliash Z, Wollstein G, Patel A, Bilonick RA, Ishikawa H, Kagemann L, Dilworth WD, Schuman JS (2007) Glaucoma detection with matrix and standard achromatic perimetry. Br J Ophthalmol 91:933–938
Iester M, Traverso CE, De Feo F, Sanna G, Altieri M, Vittone P, Calabria G (2005) Correlation between frequency doubling technology and Heidelberg Retina Tomograph. J Glaucoma 14:368–374
Zhong Y, Shen X, Zhou X, Cheng Y, Min Y (2009) Blue-on-yellow perimetry and optical coherence tomography in patients with preperimetric glaucoma. Clin Experiment Ophthalmol 37:262–269
Kim TW, Zangwill LM, Bowd C, Sample PA, Shah N, Weinreb RN (2007) Retinal nerve fiber layer damage as assessed by optical coherence tomography in eyes with a visual field defect detected by frequency doubling technology perimetry but not by standard automated perimetry. Ophthalmology 114:1053–1057
Anderson AJ, Johnson CA (2002) Mechanisms isolated by frequency-doubling technology perimetry. Invest Ophthalmol Vis Sci 43:398–401
White AJ, Sun H, Swanson WH, Lee BB (2002) An examination of physiological mechanisms underlying the frequency-doubling illusion. Invest Ophthalmol Vis Sci 43:3590–3599
Swanson WH, Sun H, Lee BB, Cao D (2011) Responses of primate retinal ganglion cells to perimetric stimuli. Invest Ophthalmol Vis Sci 52:764–771
Sample PA (2000) Short-wavelength automated perimetry: it's role in the clinic and for understanding ganglion cell function. Prog Retin Eye Res 19:369–383
Hong S, Ahn H, Ha SJ, Yeom HY, Seong GJ, Hong YJ (2007) Early glaucoma detection using the Humphrey matrix perimeter, GDx VCC, Stratus OCT, and retinal nerve fiber layer photography. Ophthalmology 114:210–215
Shah NN, Bowd C, Medeiros FA, Weinreb RN, Sample PA, Hoffmann EM, Zangwill LM (2006) Combining structural and functional testing for detection of glaucoma. Ophthalmology 113:1593–1602
Medeiros FA, Leite MT, Zangwill LM, Weinreb RN (2011) Combining structural and functional measurements to improve detection of glaucoma progression using Bayesian hierarchical models. Invest Ophthalmol Vis Sci 52:5794–5803
Horn FK, Mardin CY, Bendschneider D, Jünemann AG, Adler W, Tornow RP (2011) Frequency doubling technique perimetry and spectral domain optical coherence tomography in patients with early glaucoma. Eye (Lond) 25:17–29
Author information
Authors and Affiliations
Corresponding author
Additional information
Grant: This research was supported in part by a Grant-in-Aid for Scientific Research (20592038) from the Japan Society for the Promotion of Science (JSPS), Tokyo, Japan. The authors have full control of all primary data and they agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review their data upon request.
Rights and permissions
About this article
Cite this article
Hirashima, T., Hangai, M., Nukada, M. et al. Frequency-doubling technology and retinal measurements with spectral-domain optical coherence tomography in preperimetric glaucoma. Graefes Arch Clin Exp Ophthalmol 251, 129–137 (2013). https://doi.org/10.1007/s00417-012-2076-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-012-2076-7