OBJECTIVE: We compared blue-on-yellow perimetry with achromatic perimetry to determine whether the first was more sensitive in detecting visual field defects. RESEARCH DESIGN AND METHODS: We studied 50 children and adolescents (22 male, 28 female) with IDDM, ranging in age from 10.1 to 16.3 years (mean 13.3+/-2.1 years), with a disease duration of 5.2-10.0 years (mean 7.1+/-1.9 years). Patients were divided into subgroups according to the presence of persistent microalbuminuria. No one had signs of diabetic retinopathy when studied with fluorescein angiography. RESULTS: By achromatic perimetry, the analysis of subareas of the central 30 degrees of the visual field (0-9 degrees; 10-18 degrees; out of 18 degrees) showed no differences between diabetic subgroups in the central 18 degrees of the visual field, while a significant difference between the same subgroups was found outside the 18 degrees of the 24-2 program of the Humphrey perimeter (P = 0.027). By blue-on-yellow perimetry, in all three of the perimetric subareas evaluated, the sensitivity was lower in microalbuminuric patients than in normoalbuminuric ones. The differential sensitivity between the perimetric tests performed with blue-on-yellow and with achromatic stimuli showed statistically significant data, with a higher level of significance in the central 18 degrees (P < 0.0001) than outside the 18 degrees (P = 0.033). CONCLUSIONS: Our study suggests that blue-on-yellow perimetry is more useful and more sensitive than achromatic perimetry in the detection of preclinical visual field defects in diabetic children with microalbuminuria but without clinically detectable retinopathy.
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November 01 1998
Blue-on-yellow and achromatic perimetry in diabetic children without retinopathy.
L Lobefalo;
L Lobefalo
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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A Verrotti;
A Verrotti
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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L Mastropasqua;
L Mastropasqua
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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G Della Loggia;
G Della Loggia
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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V Cherubini;
V Cherubini
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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G Morgese;
G Morgese
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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P E Gallenga;
P E Gallenga
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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F Chiarelli
F Chiarelli
Institute of Ophthalmology, University G. D'Annunzio, Chieti, Italy. [email protected]
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Citation
L Lobefalo, A Verrotti, L Mastropasqua, G Della Loggia, V Cherubini, G Morgese, P E Gallenga, F Chiarelli; Blue-on-yellow and achromatic perimetry in diabetic children without retinopathy.. Diabetes Care 1 November 1998; 21 (11): 2003–2006. https://doi.org/10.2337/diacare.21.11.2003
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