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Related Experiment Video

Updated: Jun 29, 2025

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
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Disparities in Visual Field Testing Frequency Among Subjects With Glaucoma.

Chisom T Madu1, Ting-Fang Lee1,2, Ashley Sohn1

  • 1Department of Ophthalmology, NYU Grossman School of Medicine, New York University, New York, NY, USA.

Translational Vision Science & Technology
|April 2, 2024
PubMed
Summary
This summary is machine-generated.

Black and Asian glaucoma patients receive fewer visual field tests (VFT) per visit than White patients. This disparity persists even after accounting for socioeconomic status and disease severity, highlighting a need for further research into race-associated factors.

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Area of Science:

  • Ophthalmology
  • Public Health
  • Health Equity

Background:

  • Racial disparities in healthcare are well-documented.
  • Previous studies suggest inequities in visual field testing (VFT) for glaucoma patients.
  • Socioeconomic factors and disease severity may influence VFT utilization.

Purpose of the Study:

  • To investigate racial disparities in VFT frequency among glaucoma patients.
  • To assess the impact of baseline glaucoma severity and socioeconomic disadvantage on VFT utilization.
  • To control for confounders like test reliability, ancillary tests, and glaucoma surgeries.

Main Methods:

  • Retrospective analysis of 2654 glaucoma patients (White, Black, Asian) from 2018-2021.
  • Comparison of VFT frequency, total office visits (DoS), and VFT/DoS ratio across racial groups.
  • Statistical control for sex, age, Area Deprivation Index, VF reliability, baseline mean deviation, OCT frequency, and glaucoma surgeries.

Main Results:

  • Black patients had the highest socioeconomic disadvantage and disease severity at baseline.
  • Black subjects showed a 3% lower VFT/DoS ratio compared to White subjects (P=0.031).
  • Asian subjects exhibited a 5% lower VFT/DoS ratio compared to White subjects (P=0.015).

Conclusions:

  • Racial disparities in VFT for glaucoma patients persist even after controlling for key confounders.
  • Black and Asian glaucoma patients receive fewer VFTs per visit than White patients.
  • Further research is needed to identify and address race-associated factors contributing to these disparities in VFT.