July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
“No need to press a button” – Using a portable eye movement perimeter to rapidly assess visual field loss in a glaucoma clinic
Author Affiliations & Notes
  • Pete R Jones
    Optometry and Visual Sciences, City, University of London, London, United Kingdom
  • Dan Lindfield
    Royal Surrey County Hospital, Guildford, United Kingdom
  • David P Crabb
    Optometry and Visual Sciences, City, University of London, London, United Kingdom
  • Footnotes
    Commercial Relationships   Pete Jones, None; Dan Lindfield, ALCON (R), Allergan (R), Endo Optiks (R), THEA (R); David Crabb, Allergan (R), Roche (F), Santen (R)
  • Footnotes
    Support  This study was funded by a Fight for Sight (UK) Project Grant (#1854/1855)
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 2860. doi:
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      Pete R Jones, Dan Lindfield, David P Crabb; “No need to press a button” – Using a portable eye movement perimeter to rapidly assess visual field loss in a glaucoma clinic. Invest. Ophthalmol. Vis. Sci. 2019;60(9):2860.

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

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Abstract

Purpose : We recently proposed a new method (“Eyecatcher”) for rapid visual field assessment that combines an inexpensive eye tracker with a portable tablet computer [Jones et al, TVST, in press]. Eyecatcher does not require buttons or headrests: patients are simply required to look at fixed-luminance dots as they appear on the screen. Here we evaluate its use in people sat in a glaucoma clinic waiting area.

Methods : Seventy-one people (from a planned target of 80; data collection ongoing) were tested using Eyecatcher while they waited for an appointment in a UK glaucoma clinic. The convenience sample included individuals with a wide range of glaucomatous field loss, as well as new referrals – many of whom likely do not have glaucoma (i.e., false positive referrals). All individuals also underwent a complete ophthalmic assessment as part of their scheduled appointment, including Standard Automated Perimetry (SAP).

Results : Preliminary analyses indicated that Eyecatcher is fast (median duration: 2.5 minutes, including eye-tracker calibration), produces results in good agreement with SAP (see Fig 1), and is consistently rated as more enjoyable, less tiring, and easier to perform than SAP (all P < 0.001). Additional analyses, including test-retest reliability and concordance between HFA and SAP will be presented.

Conclusions : Portable eye-movement perimetry provides a rapid, inexpensive, and easy way to assess visual field loss. Eyecatcher could be a useful tool for performing community case-finding or referral-refinement in glaucoma clinics. Limitations of the approach will also be discussed.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

 

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