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Clinical Protocols for the Evaluation of Rod Function.

Krunoslav Stingl1,2, Katarina Stingl3,4, Katarzyna Nowomiejska5,6

  • 1University Eye Hospital, Center for Ophthalmology, University of Tübingen, Tübingen, Germany.

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|August 18, 2020
PubMed
Summary
This summary is machine-generated.

This study introduces scotopic chromatic pupil campimetry (CPC) and dark-adapted chromatic (DAC) perimetry for assessing rod function. CPC demonstrated superior repeatability, suggesting it complements DAC perimetry for objective scotopic diagnostics.

Keywords:
Chromatic pupil campimetryDark-adapted chromatic perimetryHereditary retinal diseasesRetina functionRod function

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Area of Science:

  • Ophthalmology
  • Visual Neuroscience

Background:

  • Assessing rod function is crucial for diagnosing and monitoring visual field defects.
  • Existing methods like dark-adapted chromatic (DAC) perimetry have limitations in repeatability and objectivity.
  • Novel tools are needed for precise and reliable evaluation of scotopic vision.

Purpose of the Study:

  • To introduce and evaluate a novel clinical tool, scotopic chromatic pupil campimetry (CPC).
  • To assess the clinical applicability, test-retest repeatability, and congruence of DAC perimetry and CPC.
  • To compare the performance of DAC perimetry and CPC in measuring rod sensitivity.

Main Methods:

  • Evaluated DAC perimetry (red and cyan stimuli) and CPC in 15 healthy subjects.
  • Assessed local rod sensitivity at 36 locations within 30° eccentricity.
  • Performed repeated measurements to determine test-retest repeatability using intraclass correlation (ICC).

Main Results:

  • CPC achieved a high ICC of 0.93, superior to DAC perimetry (ICC 0.53 for cyan, 0.67 for red).
  • DAC perimetry offered higher spatial resolution compared to CPC.
  • No significant correlation was found between DAC perimetry and CPC measurements.

Conclusions:

  • CPC exhibits superior intervisit repeatability for objective assessment of rod function compared to DAC perimetry.
  • CPC and DAC perimetry measure rod function differently, suggesting they can serve as complementary diagnostic tools.
  • CPC is a promising, repeatable objective method for scotopic functional diagnostics, despite lower spatial resolution.