A comparison of the Synemed Glaucoma and the Humphrey 30-2 threshold perimetry tests.

BACKGROUND: Automated perimeters (in general) are similar; however, caution may be exercised when visual field results from two different instruments are compared. The purpose of this study was to compare threshold measurements in the central field between the Synemed (Optifield 1) Glaucoma Test and the Humphrey 30-2 test in a young patient population. METHODS: One hundred twenty subjects were tested. The subjects were selected according to specific criteria considering ocular and systemic disease and refractive error. The ages ranged from 15 to 35 years, with a mean age of 25.9 years. The central 30 glaucoma test was used with the Synemed instrument, and the 30-2 test was used with the Humphrey instrument. Mean threshold values for the entire field, hemifields, quadrants, and sectors were compared between instruments. RESULTS: The difference in the mean value for the collective threshold values for each pattern for each instrument were calculated and compared. The difference between the instruments for the mean dB threshold value for each pattern was less than the expected short-term fluctuation and therefore are equivalent for clinical purposes. CONCLUSION: For the patterns examined here, the Synemed Optifield 1 and Humphrey Field Analyzer provided comparable results in this population.

Color vision screening: a comparison of the AO H-R-R and Farnsworth F-2 tests.

Vision screening tests should include a simple, reliable, and valid test of color vision defects. In this investigation the single plate Farnsworth F-2 test and the AO H-R-R pseudoisochromatic plates were compared as primary screening tests for red-green color defective vision. The tests were administered to 2827 children, kindergarten through high school grades. Both tests failed a higher percentage of children than expected in the lower grades (kindergarten through 3). In grades 4 through high school, however, 4.16% failed the F-2 test and 4.02% failed the AO H-R-R, compared to a predicted 4.2% of the general population with inherited red-green deficiencies. The failure rates of the F-2 test for 1171 high school boys and girls were 7.3 and 0.89%, respectively, very close to the expected incidence of red-green defects in males and females. Although the F-2 test passed a few pupils who failed the AO H-R-R test, their defects were categorized as mild or borderline on the AO H-R-R test and therefore not likely to be of practical significance. Less than 0.5% of the children in grades 4 through high school failed the F-2 test after passing the AO H-R-R. Some children with normal color vision, particularly very young children, may fail the F-2 test because of difficulty picking out the less obvious blue square. Nevertheless, for screening purposes the F-2 test is comparable to the AO H-R-R test and except for kindergarten and grade 1 pupils is an excellent single plate color vision screening test.(ABSTRACT TRUNCATED AT 250 WORDS)