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Home-Based Perimetry for Glaucoma: Where Are We Now?
Qëndresë Daka1,2, Rona Mustafa1, Burim Neziri1,2
1Department of Pathophysiology, Medical Faculty, University of Prishtina.
Journal of Glaucoma
|April 8, 2022
Summary
Home-based perimetry devices show promise for glaucoma detection, but current evidence is limited. Further research is needed to confirm their real-world effectiveness in diagnosing glaucoma and monitoring disease progression.
Area of Science:
- Ophthalmology
- Medical Technology
- Diagnostic Imaging
Background:
- Glaucoma management relies on regular visual field testing.
- Home-based perimetry offers a potential alternative to clinic-based standard automated perimetry.
- Portable devices aim to improve patient access and adherence to visual field monitoring.
Purpose of the Study:
- To systematically review and summarize the existing literature on home-based perimetry devices for glaucoma.
- To evaluate the diagnostic accuracy, disease progression detection, and patient acceptability of these technologies.
Main Methods:
- A systematic review adhering to PRISMA-DTA guidelines was performed.
- Studies on portable perimeters for home use were identified through electronic databases and reference lists.
- Diagnostic accuracy was assessed using the QUADAS-2 tool with standard automated perimetry as the reference.
Main Results:
- 18 studies evaluated tablet-based, web-based, and head-mounted display perimeters.
- Diagnostic accuracy varied, with sensitivity ranging from 54% (mild glaucoma) to 91% (moderate/severe glaucoma).
- High risk of bias was noted in diagnostic accuracy studies; patient acceptability was reported as high but with bias.
Conclusions:
- Promising home-based perimetry technologies exist, but studies are often conducted in controlled settings with selected populations.
- Uncertainty remains regarding the performance and clinical value of home-based perimetry for glaucoma.
- More research is essential to validate these devices for detecting glaucoma and progression in real-world settings.
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