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Deprecated: Implicit conversion from float 215.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Glaucoma 2021 ; 30 (4): 287-292 Nephropedia Template TP
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The Impacts of Face Mask Use on Standard Automated Perimetry Results in Glaucoma Patients #MMPMID33428353
Bayram N; Gundogan M; Ozsaygili C; Vural E; Cicek A
J Glaucoma 2021[Apr]; 30 (4): 287-292 PMID33428353show ga
PURPOSE: The coronavirus disease 2019 (COVID-19) spread rapidly worldwide, causing a severe outbreak. Because the disease is easily transmitted, face masks are a vital tool to slow the spread. The aim of this study is to investigate the impacts of face mask use on standard automated perimetry (SAP) results in glaucoma patients. MATERIALS AND METHODS: All follow-up glaucoma patients who underwent SAP between May and October 2020 were enrolled in this study. In patients with low test reliability and/or visual field changes, SAP was repeated after repositioning and taping patients' face masks. RESULTS: A total of 127 patients (59 female and 68 male) with a mean age of 59.8+/-10.3 years were included in the study. While 101 patients (79.5%) wore surgical face masks, 26 patients (20.5%) wore cloth face masks. Low SAP reliability appeared in 23 patients (18.1%), and inferior visual field defects were present in 3 patients (2.4%). The main effects of poorly fitting face masks on SAP reliability were increased fixation losses and false-positive errors (for both, P=0.001). Low SAP reliability was significantly higher in patients wearing cloth face masks than in those wearing surgical face masks (47.8% vs. 9.9%; P=0.0001). The face mask-related fogging of eyeglasses before SAP is a strong predictor of fogging of the trial lenses-related low SAP reliability (odds ratio: 27, 95% confidence interval: 5.48-132.92, P=0.0001). In all repeated SAPs, the patients' reliability parameters improved, and inferior visual field artifacts disappeared. CONCLUSIONS: Unsuitable face masks can cause either visual field artifacts, which may be interpreted as glaucoma progression or low test reliability. Taping the face masks' upper edges is an effective technique to prevent visual field artifacts and obtain good test reliability.
|*Intraocular Pressure[MESH]
|Aged[MESH]
|Artifacts[MESH]
|COVID-19/epidemiology[MESH]
|Electronic Data Processing[MESH]
|Female[MESH]
|Glaucoma/*diagnosis[MESH]
|Humans[MESH]
|Male[MESH]
|Masks/*adverse effects[MESH]
|Middle Aged[MESH]
|Prospective Studies[MESH]
|Reference Standards[MESH]
|Reproducibility of Results[MESH]
|Visual Field Tests/*adverse effects/*methods[MESH]
J+Glaucoma 2021 ; 30 (4): 287-292
