Publication: Perimetrías Humphrey y Octopus en el glaucoma. Efecto aprendizaje y concordancia entre evaluadores
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2020-01-13
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Universidad Complutense de Madrid
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Abstract
OBJETIVO: Se plantearon dos objetivos principales: en primer lugar,comparar el efecto aprendizaje de la perimetría automatizada convencional (PAC) entre sujetos con y sin experiencia perimétrica previa y en segundo lugar, analizar el acuerdo entre oftalmólogos con diferentes perfiles clínicos al evaluar la extensión y la profundidad de los defectos del campo visual (CV). MÉTODOS: Se seleccionó de forma prospectiva, entre enero del 2014 y marzo del 2016, una muestra de 139 ojos de 123 pacientes con glaucoma y experiencia perimétrica previa y 48 ojos de 38 pacientes con glaucoma inexpertos en realizar CVs. El estudio fue aprobado por el Comité Ético del Hospital Universitario Gregorio Marañón (Madrid, España) y su metodología se ajustó a las directrices de la Declaración de Helsinki. Todos los participantes firmaron un consentimiento informado con anterioridad a la participación en el estudio. Los sujetos del grupo con experiencia perimétrica debían haber realizado al menos tres pruebas reproducibles y fiables con la perimetría Octopus (OP; Haag-Streit International, Köniz, Suiza) utilizando la estrategia TOP con la malla G1...
PURPOSE: We first compared the learning effect of standard automated perimetry (SAP) between inexperienced and experienced individuals. We secondly assessed the agreement between ophthalmologists with different clinical profiles when evaluating the extension and deep of visualfield (VF) defects of the same perimetric test. METHODS: From January 2014 to March 2016, a sample of 139 eyes of 123 experienced glaucoma patients and 48 eyes of 38 inexperienced glaucoma patients were consecutively and prospectively selected. The prospective study protocol was approved by the Ethics Committee of the Gregorio Marañón University Hospital (Madrid, Spain). All participants provided a signed informed consent form prior to enrolment. The study methodology adhered to the tenets of Declaration of Helsinki for biomedical research. Eligible subjects for the experienced group had performed at least three white-on-white reliable tests with the Octopus perimeter (OP; Haag-Streit International, Köniz, Switzerland) using the TOP strategy with the OPG1 grid...
PURPOSE: We first compared the learning effect of standard automated perimetry (SAP) between inexperienced and experienced individuals. We secondly assessed the agreement between ophthalmologists with different clinical profiles when evaluating the extension and deep of visualfield (VF) defects of the same perimetric test. METHODS: From January 2014 to March 2016, a sample of 139 eyes of 123 experienced glaucoma patients and 48 eyes of 38 inexperienced glaucoma patients were consecutively and prospectively selected. The prospective study protocol was approved by the Ethics Committee of the Gregorio Marañón University Hospital (Madrid, Spain). All participants provided a signed informed consent form prior to enrolment. The study methodology adhered to the tenets of Declaration of Helsinki for biomedical research. Eligible subjects for the experienced group had performed at least three white-on-white reliable tests with the Octopus perimeter (OP; Haag-Streit International, Köniz, Switzerland) using the TOP strategy with the OPG1 grid...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Oftalmología y Otorrinolaringología, leída el 18-11-2019