June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Correlation between visual function and an objective evaluation of the ability of glaucomatous patients to perform daily living activities
Author Affiliations & Notes
  • Lombardi Marco
    Streetlab, Institut de la Vision, Paris, France
    Department of Ophthalmology III - DHU Sight Restore, Quinze-Vingts National Ophthalmology Hospital, , Paris, France
  • Ariel Zenouda
    Streetlab, Institut de la Vision, Paris, France
  • Line Azoulay-Sebban
    Streetlab, Institut de la Vision, Paris, France
  • Emmanuel Gutman
    Streetlab, Institut de la Vision, Paris, France
  • Emmanuelle Brasnu
    Department of Ophthalmology III - DHU Sight Restore, Quinze-Vingts National Ophthalmology Hospital, , Paris, France
  • Pascale Hamard
    Department of Ophthalmology III - DHU Sight Restore, Quinze-Vingts National Ophthalmology Hospital, , Paris, France
  • José Alain sahel
    Streetlab, Institut de la Vision, Paris, France
    Inserm, U968; UPMC Univ Paris 06, UMR_S968, Institut de la Vision; CNRS, UMR 7210; CHNO des Quinze-Vingts, INSERM-DHOS CIC 503, Paris, France
  • Christophe Baudouin
    Department of Ophthalmology III - DHU Sight Restore, Quinze-Vingts National Ophthalmology Hospital, , Paris, France
    Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France
  • Antoine Labbé
    Department of Ophthalmology III - DHU Sight Restore, Quinze-Vingts National Ophthalmology Hospital, , Paris, France
    Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France
  • Footnotes
    Commercial Relationships   Lombardi Marco, None; Ariel Zenouda, None; Line Azoulay-Sebban , None; Emmanuel Gutman, None; Emmanuelle Brasnu , None; Pascale Hamard, None; José Alain sahel, None; Christophe Baudouin, None; Antoine Labbé, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 3301. doi:
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      Lombardi Marco, Ariel Zenouda, Line Azoulay-Sebban, Emmanuel Gutman, Emmanuelle Brasnu, Pascale Hamard, José Alain sahel, Christophe Baudouin, Antoine Labbé; Correlation between visual function and an objective evaluation of the ability of glaucomatous patients to perform daily living activities. Invest. Ophthalmol. Vis. Sci. 2017;58(8):3301.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To analyze the correlations between functional clinical tests and objective tests evaluating daily living activities in glaucoma patients using artificial platforms (StreetLab® and Homelab®).

Methods : Thirty-two patients with chronic glaucoma, followed at the Quinze-Vingts National Ophthalmology Hospital, were included. All patients had a clinical evaluation of visual function including, best-corrected visual acuity (BCVA), contrast sensitivity (CS), and monocular and binocular visual field tests. Two standardized artificial platforms were used to evaluate activities of daily living (StreetLab® HomeLab®). Four different activities were evaluated: locomotion and obstacle avoidance in an artificial street, object detection, face recognition and eye-hand coordination. Patients performance in the different tasks were correlated to visual function evaluation including BCVA and visual field mean deviation (MD) of the better and the worst eye, Esterman binocular visual field (VF) and an integrated binocular visual field score (IVF).

Results : The Esterman score was significantly correlated to the locomotion and obstacles avoidance (Spearman correlation: r = -0.48; p = 0.006), object detection (r= -0.47; p = 0.006), face recognition tasks (r =-0.46; p = 0.008) and eye-hand coordination with small objects (r= -0.36; p = 0.046). The MD of the better eye was significantly correlated to the object detection (r = - 0.44; p = 0.010), face recognition (r = -0.4; p = 0.020) and eye-hand coordination with big object (r = -0.50; p = 0.003). The IVF score was significantly correlated to the object detection (r = 0.51; p = 0.003), face recognition (r = 0.49; p = 0.004) and eye-hand coordination with small and big objects (r = 0.37, p = 0.036 and r = 0.50, p = 0.004 respectively).

Conclusions : Glaucoma patients’ ability to perform daily living activities could not be evaluated precisely with monocular visual field tests. The MD of the better eye and the IVF score appeared to better evaluate face recognition, eye-hand coordination, and object detection. For locomotion and obstacle avoidance, the Esterman VF seemed more useful.

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

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