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Updated: Jun 26, 2025

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
A validated web-application (GFDC) for automatic classification of glaucomatous visual field defects using
Arun James Thirunavukarasu1,2,3,4, Nikhil Jain5,6, Rohan Sanghera7,8
1University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge, UK. ajt205@cantab.ac.uk.
A new web application, the Glaucoma Field Defect Classifier (GFDC), accurately classifies visual field defects in glaucoma patients. This tool enhances diagnostic reliability and supports clinical decision-making for better glaucoma management.
Area of Science:
- Ophthalmology
- Medical Technology
- Computational Medicine
Background:
- Glaucoma diagnosis relies on visual field classification, which is often subjective and time-consuming.
- Current standardized methods for classifying glaucomatous visual field defects are labor-intensive, limiting their practical clinical use.
- The accuracy and reliability of glaucoma diagnosis, prognostication, and management are hindered by the subjectivity of visual field assessments.
Purpose of the Study:
- To introduce and validate a novel web-application, the Glaucoma Field Defect Classifier (GFDC).
- To enable the automatic application of the Hodapp-Parrish-Anderson classification system for glaucomatous visual field defects.
- To improve the accuracy and fairness of clinical decision-making in glaucoma patient care.
Main Methods:
- Development of a web-application named Glaucoma Field Defect Classifier (GFDC).
- Validation of the GFDC using a cross-sectional study design.
- Implementation of automatic classification rules based on the Hodapp-Parrish-Anderson criteria.
Main Results:
- The Glaucoma Field Defect Classifier (GFDC) demonstrated perfect accuracy in classifying visual field defects.
- GFDC accurately distinguished between mild, moderate, and severe glaucomatous field defects.
- The application provides a reliable and automated method for visual field defect classification.
Conclusions:
- The Glaucoma Field Defect Classifier (GFDC) offers a highly accurate and efficient solution for classifying glaucomatous visual field defects.
- GFDC has the potential to significantly improve the accuracy and consistency of clinical decisions in glaucoma management.
- The freely available online application and its source code empower clinicians and researchers in glaucoma patient care.
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