Preferential hyperacuity perimeter in the study of diabetic macular edema

Introduction – Preferential hyperacuity perimeter (PHP) is a new psychophysical test, which principle is based on the detection of metamorphopsia in age-related macular degeneration (AMD). It is intended to verify its effectiveness in the study of diabetic macular edema (DME). When there is a loss o...

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Bibliographic Details
Main Author: Matos, Ana Cláudia Moreira Rebelo de (author)
Other Authors: Gaspar, Cristiana Miranda Gomes Ferreira (author), Duarte, Marisa Alexandra da Eira (author), Marques, Patrícia Alexandra Valado (author), Poças, Ilda Maria (author), Silva-Fortes, Carina (author), Queirós, Luísa (author), Bivar, Ana (author)
Format: article
Language:por
Published: 2012
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Online Access:https://doi.org/10.25758/set.534
Country:Portugal
Oai:oai:journals.ipl.pt:article/685
Description
Summary:Introduction – Preferential hyperacuity perimeter (PHP) is a new psychophysical test, which principle is based on the detection of metamorphopsia in age-related macular degeneration (AMD). It is intended to verify its effectiveness in the study of diabetic macular edema (DME). When there is a loss of pericytes in the vascular wall occur a number of microcirculatory changes that lead to the appearance of microaneurysms and other vascular changes that allow the passage of blood components to the surrounding retinal tissue in a normal situation do not occur, these being one of the causes exudative diabetic macular edema. Methodology – It was performed a quantitative study, using descriptive and correlational analysis. A sample of 33 patients was selected, and 60 eyes were analyzed. Results – The sensitivity of PHP on the detection of metamorphopsia associated with EMD was 70.6%, the specificity was 11.5% and the global efficiency of the test was 45%. It was found a weak negative correlation (Phi= -0.215) between the PHP and optical coherence tomography (OCT). Conclusions – This new method of diagnosis was sensitive, but not very specific and effective in the detection of metamorphopsia, due to the DME.