Table 1. Diagnostic criteria for POAG.
Diagnostic test | Criteria |
Visual field | |
++ | At least two abnormal visual field tests by Humphrey automated perimetry, as defined by computer-based objective criteria, i.e., positive results of hemimeridional analyses of threshold tests (C24-2 or C30-2 full-threshold program) and/or the presence of one or more absolute defects in the central 30 degrees (as tested with the C64 suprathreshold program; 3-zone strategy), with ophthalmologic interpretation as definite or suspect glaucomatous field loss |
+ | Less than two abnormal visual field tests or an inability to perform reliable automated perimetry (because of severe visual impairment or infirmity), with ophthalmologic interpretation as definite glaucomatous field loss |
Optic disc | |
++ | At least two signs of optic disc damage present in fundus photographs and/or the ophthalmologic evaluation, including either a horizontal or vertical cup-disc ratio ≥0.7, narrowest remaining neuroretinal rim ≤0.1 disc diameters, notching, asymmetry in cup–disc ratios between eyes >0.2, or disc hemorrhages |
+ | Less than two signs of optic disc damage as described above (or unavailable photographs), with an ophthalmologic assessment or clinical record documenting definite glaucomatous optic nerve damage |
Ophthalmologic examination | |
++ | Clinical diagnosis of definite POAG after examination by the study ophthalmologist to exclude other possible causes for disc and field changes |
+ | Previous POAG history and treatment and/or visual field and disc damage, although a definite POAG diagnosis was not made at the time of the BFSG visit (e.g., because of inconclusive or incomplete data); the study ophthalmologist confirmed the diagnosis through record review or rE-examination |
++, most complete classification data; +, less complete but sufficient for classification.
Those with POAG had a minimum of at least one plus (+) sign in each of the three categories.