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Visual Field Testing Frequency and Associations in Children With Glaucoma.

Natan Hekmatjah1, Anika Kumar1, Yinxi Yu2

  • 1University of California San Francisco School of Medicine, San Francisco, CA.

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|April 22, 2024
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Summary

Children with glaucoma undergo an average of 1.3 visual field tests annually. Black and multiracial children had fewer tests, while those with better vision and more visits had more frequent testing.

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Area of Science:

  • Ophthalmology
  • Pediatrics
  • Public Health

Background:

  • Glaucoma is a leading cause of irreversible blindness in children.
  • Regular visual field (VF) testing is crucial for monitoring glaucoma progression in pediatric patients.
  • Understanding factors influencing VF testing frequency is essential for optimizing care.

Purpose of the Study:

  • To evaluate the frequency of visual field (VF) testing in children diagnosed with glaucoma.
  • To identify patient characteristics associated with variations in VF testing frequency.

Main Methods:

  • Retrospective cohort study of 82 children (6-18 years) with glaucoma between 2018-2023.
  • Data collected included age, race, ethnicity, visual acuity, and visit frequency.
  • Visual field testing frequency was the primary outcome measure.

Main Results:

  • Children averaged 1.3 visual field tests per year; 39% had less than one test annually.
  • Black and multiracial children showed significantly lower VF testing rates.
  • Higher visual acuity and more frequent office visits correlated with increased VF testing frequency.

Conclusions:

  • Most children with glaucoma received 1-2 visual field tests yearly, but reliability varied.
  • Ophthalmologists must address potential barriers to consistent glaucoma monitoring in children.
  • Disparities in testing frequency based on race and socioeconomic factors warrant further investigation.