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Using frequency-doubling perimetry to detect optic neuropathy in patients with Graves’ orbitopathy

Japanese Journal of Ophthalmology volume 52, pages 475–482 (2008)Cite this article

Abstract

Purpose

to test the ability of frequency-doubling technology (FDT) perimetry to detect dysthyroid optic neuropathy (DON).

Methods

Fifteen eyes of 15 patients with DON and 15 healthy control eyes were studied. Eligible eyes had a diagnosis of DON based on visual field abnormalities on standard automated perimetry and had visual acuity better than 20/30. FDT testing was performed using both the C-20-5 screening test and the C-20 full-threshold test. Normal and DON eyes were compared with regard to FDT mean sensitivity.

Results

Sensitivity ranges were 40.0%–86.7% for the screening test, and 53.3%–100.0% (total deviation) and 20.0–93.3 (pattern deviation) for the C-20 threshold test. The corresponding specificity ranges were 86.7–100.0, 33.3–93.3, and 26.7–100.0, respectively. The best sensitivity/specificity ratios were for one abnormal point depressed <5% in the screening test (86.7%/86.7%), one point depressed <1% in the total deviation analysis (80.0%/86.7%), and one point depressed <2% in the pattern deviation analysis (80.0%/86.7%). DON eyes presented significantly lower than normal average sensitivity in the central, pericentral, and peripheral areas.

Conclusions

FDT perimetry is a useful screening tool for DON in eyes with normal or only slightly reduced visual acuity.

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Authors and Affiliations

  1. Department of Ophthalmology and Otolaryngology, University of São Paulo Medical School, São Paulo, Brazil

    Mário L. R. Monteiro, André L. F. Portes, Frederico C. Moura & Dina B. W. Regensteiner

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  1. Mário L. R. Monteiro
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  2. André L. F. Portes
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  3. Frederico C. Moura
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  4. Dina B. W. Regensteiner
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Correspondence to Mário L. R. Monteiro.

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Monteiro, M.L.R., Portes, A.L.F., Moura, F.C. et al. Using frequency-doubling perimetry to detect optic neuropathy in patients with Graves’ orbitopathy. Jpn J Ophthalmol 52, 475–482 (2008). https://doi.org/10.1007/s10384-008-0579-x

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  • DOI: https://doi.org/10.1007/s10384-008-0579-x

Key Words

  • dysthyroid optic neuropathy
  • frequency-doubling perimetry
  • Graves’ orbitopathy
  • visual field defect