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Updated: Oct 5, 2025
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Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
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Understanding the role of microperimetry in glaucoma
Luca Scuderi1, Irene Gattazzo2, Alessandro de Paula3
1Department of Sense Organs, University Sapienza of Rome, Rome, Italy.
International Ophthalmology
|January 30, 2022
Summary
Microperimetry may aid early glaucoma detection in specific cases, but standard automated perimetry remains the gold standard for monitoring. New devices like Compass offer improved structural-functional evaluation for glaucoma patients.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Visual Field Testing
Background:
- Glaucoma diagnosis and monitoring rely heavily on visual field testing.
- Standard automated perimetry (SAP) is the current gold standard.
- Microperimetry offers a fundus-driven approach to visual field assessment.
Purpose of the Study:
- To review the clinical utility, strategies, and limitations of microperimetry in glaucoma.
- To compare microperimetry with standard automated perimetry.
- To evaluate the potential of newer fundus-driven perimetry devices.
Main Methods:
- A comprehensive literature search was conducted on PubMed and Medline.
- Articles published between 1998 and 2020 were included.
- Keywords included microperimetry, glaucoma, and visual field testing.
Main Results:
- Microperimetry shows promise for localized defects in primary open-angle glaucoma with normal visual fields.
- SAP remains superior for diffuse defects and monitoring.
- The Compass device demonstrates potential for enhanced structural-functional evaluation and reliability.
Conclusions:
- Microperimetry's routine use in glaucoma requires further research.
- It may be beneficial for specific glaucoma patient subgroups.
- Advanced devices like Compass may improve diagnostic accuracy and patient management.
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