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Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
The Spaeth/Richman contrast sensitivity test (SPARCS): design, reproducibility and ability to identify patients with
Jesse Richman1, Camila Zangalli1, Lan Lu1
1Glaucoma Service, Wills Eye Hospital, Jefferson Medical College, Philadelphia, Pennsylvania, USA.
Aims:
(1) To determine the ability of a novel, internet-based contrast sensitivity test titled the Spaeth/Richman Contrast Sensitivity Test (SPARCS) to identify patients with glaucoma. (2) To determine the test-retest reliability of SPARCS.
Methods:
A prospective, cross-sectional study of patients with glaucoma and controls was performed. Subjects were assessed by SPARCS and the Pelli-Robson chart. Reliability of each test was assessed by the intraclass correlation coefficient and the coefficient of repeatability. Sensitivity and specificity for identifying glaucoma was also evaluated.
Results:
The intraclass correlation coefficient for SPARCS was 0.97 and 0.98 for Pelli-Robson. The coefficient of repeatability for SPARCS was ±6.7% and ±6.4% for Pelli-Robson. SPARCS identified patients with glaucoma with 79% sensitivity and 93% specificity.
Conclusions:
SPARCS has high test-retest reliability. It is easily accessible via the internet and identifies patients with glaucoma well.
Trial Registration:
NCT01300949.
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