Visual fields and OCT role in diagnosis of glaucoma

Hyoung Won Bae, Ka Hyun Lee, Naeun Lee, Samin Hong, Gong Je Seong, Chan Yun Kim

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Purpose. To evaluate the clinical performance of visual field (VF) tests and optical coherence tomography (OCT) in diagnosing glaucoma. Methods. One hundred sets of disc photographs, red-free fundus photographs, VF tests, and OCT images were presented progressively to seven ophthalmologists. Each set was provided in three steps: (1) the disc and red-free fundus photographs were shown first; (2) then, VF tests were also provided; and (3) finally, the OCT results were provided. The same process was repeated on another day. Kappa statistics were used to assess the intraobserver and interobserver agreement, as well as the agreement with the reference standard. Results. The intraobserver agreement was almost perfect in this study and did not change markedly with the addition of diagnostic tools. The interobserver agreement increased from 0.54 to 0.61 when VF was added and increased slightly to 0.63 with OCT. The agreement with the reference standard also increased significantly from 0.48 to 0.61 after adding VF and increased slightly with additional OCT. Conclusions. An optic disc evaluation and VF test are sufficient to diagnose glaucoma in most cases. However, OCT can play an important role in detecting glaucoma in cases in which it cannot be identified by optic disc examination and VF.

Original languageEnglish
Pages (from-to)1312-1319
Number of pages8
JournalOptometry and Vision Science
Issue number11
Publication statusPublished - 2014 Nov 1

Bibliographical note

Publisher Copyright:
© 2014 American Academy of Optometry.

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Optometry


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