Department of Optometry and Vision Sciences, University of Melbourne, Melbourne, Australia; Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
Royal Victorian Eye and Ear Hospital, East Melbourne, Australia; Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
Am J Ophthalmol. 2021 Mar;223:286-295. doi: 10.1016/j.ajo.2020.10.023. Epub 2020 Nov 19.
This study examines the short-term uptake, compliance, and performance of a tablet device used for home monitoring of visual field (VF-Home) by glaucoma patients.
Single-center, observational, longitudinal, compliance study.
Participants who were glaucoma suspects or had stable glaucoma in at least one eye were recruited during a regular clinic review. Baseline in-clinic visual field (VF) was recorded with the Humphrey Field Analyser (HFA, SITA standard) and repeated at 6 months. Participants were tasked with performing 6 VF examinations from home, at weekly intervals, using a loaned iPad tablet. Uptake was defined as returning at least 1 test from home. Reliability and global indices from VF-Home were compared to in-clinic outcomes. Data are shown as either mean ± [standard deviation] or median [quartile 1-3 range], and group comparisons were achieved with bootstrap.
We recruited 186 eyes of 101 participants. VF-Home uptake was excellent, with 88% of participants successfully completing ≥1 home examination and 69% completing all 6 examinations. The median duration between tests was 7.0 [7.0-8.0] days. Barriers to uptake and compliance involved information technology (IT) logistical reasons, lack of motivation, or competing life demands. VF-Home gave greater fixation loss but a similar level of False Positives (FP) as the HFA. A high correlation was found for the mean defect between in-clinic and at-home outcomes (R = 0.85).
VF-Home can return a high level of short-term compliance and results comparable to those found by in-clinic testing. IT logistical reasons and lack of motivation are barriers to uptake and compliance.
本研究旨在考察青光眼患者使用平板电脑进行家庭视野（VF-Home）监测的短期接受度、依从性和表现。
单中心、观察性、纵向、依从性研究。
在常规诊所复查期间，招募疑似青光眼或至少一只眼有稳定青光眼的参与者。使用 Humphrey 视野分析仪（HFA，SITA 标准）记录基线门诊视野（VF），并在 6 个月时重复记录。参与者被要求使用借来的 iPad 平板电脑每周在家进行 6 次视野检查。将接受度定义为至少从家中返回 1 次测试。比较了 VF-Home 的可靠性和全局指数与门诊结果。数据以平均值±[标准差]或中位数[四分位数 1-3 范围]表示，组间比较采用自举法。
我们招募了 101 名参与者的 186 只眼。VF-Home 的接受度非常好，88%的参与者成功完成了至少 1 次家庭检查，69%的参与者完成了所有 6 次检查。两次测试之间的中位数时间为 7.0[7.0-8.0]天。接受度和依从性的障碍涉及信息技术（IT）后勤原因、缺乏动力或竞争的生活需求。VF-Home 导致了更多的固视丢失，但假阳性（FP）水平与 HFA 相似。在门诊和家庭结果之间发现了平均缺陷的高度相关性（R=0.85）。
VF-Home 可以实现高水平的短期依从性，并产生与门诊测试相当的结果。IT 后勤原因和缺乏动力是接受度和依从性的障碍。
