J Korean Ophthalmol Soc > Volume 52(5); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(5):557-565.
DOI: https://doi.org/10.3341/jkos.2011.52.5.557    Published online May 15, 2011.
Visual Field Cluster Map Corresponding to Retinal Nerve Fiber Layer Sectors in Glaucoma.
Jeong Hee Hwang, Ki Bang Uhm
Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. KBUhm@hanyang.ac.kr
녹내장에서 망막신경섬유층구역에 상응하는 시야지역 지도
황정희⋅엄기방
Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea
Abstract
PURPOSE
To generate a map relating visual field (VF) test points to corresponding areas of the retinal nerve fiber layer (RNFL) measured with optical coherence tomography (OCT) in patients with localized RNFL defects. METHODS: Twenty-four patients with preperimetric glaucoma and 173 patients with perimetric glaucoma, all with localized RNFL defects, underwent standard automated perimetry (SAP) and OCT measurements. To define zones of related point, factor analysis of the mean thresholds for the SAP test points was performed, independently for each hemifield. A map relating the VF zones to the 12 OCT sectors was plotted based on the strongest correlations between both techniques. RESULTS: Factor analysis divided the VF points into five VF zones for each hemifield. Distribution of the VF zones for the superior and inferior hemifields was slightly asymmetric. Linear regression results showed that superior VF zones corresponding to the superior arcuate and nasal step regions were best correlated with 6- and 7-o'clock RNFL sectors (inferior and inferior temporal) of thickness (r = 0.51-0.59). RNFL thinning (defined by abnormal sector at p < 5%) and regional decreases in SAP sensitivity (defined by abnormal pattern deviation at p < 5%) were topographically related. CONCLUSIONS: A newly developed VF cluster map revealed significant topographical structure-function relationships, especially in the arcuate and nasal step region of the VF.
Key Words: Factor analysis;Glaucoma;Optical coherence tomography;Retinal nerve fiber layer;Visual field map


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