Jeffrey Liebmann, MD
Carlos Gustavo de Moraes, MD, MPH
Y. Shira Kresch, OD
Donald Hood, PhD
Using ssOCT to Minimize Reliance on Perimetry For Glaucoma Diagnosis in Clinical Practice
The Hood ssOCT Report provides a platform for integrating a variety optic nerve structural measures (retinal nerve fiber layer (RNFL) maps, circumpapillary RNFL thickness, and macular RGC maps) with spatially-consistent functional data obtained by 24-2 and 10-2 static perimetry. While optic nerve OCT structural measurements are objective and reproducible, the inherently subjective and variable nature of current psychophysical visual function tests in clinical practice often requires confirmatory testing and/or is sufficiently inconsistent to impair accurate and timely diagnosis of glaucoma or its progression. Under many circumstances, ssOCT may eliminate or minimize the need for visual field examination. This clinical case series explores the use of the Hood Report and ssOCT to reduce reliance on functional testing for glaucoma diagnosis.