1. Improving the Detection of Glaucoma and Its Progression: A Topographical Approach

    Improving the Detection of Glaucoma and Its Progression: A Topographical Approach

    Glaucoma is typically defined as a progressive optic neuropathy characterized by a specific (arcuate) pattern of visual field (VF) and anatomical changes. Therefore, we should be comparing arcuate patterns of damage seen on VFs with those seen on optical coherence tomography ( OCT ) maps. Instead, clinicians often use summary metrics such as VF pattern standard deviation (PSD), OCT retinal nerve fiber (RNF) global thickness, etc. There are two major impediments to topographically comparing patterns of damage on VF and OCT maps. First, until recently, it was not easy to make these comparisons with commercial reports. While recent reports do make it ...

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