Retesting visual fields: Utilizing prior information to decrease test-retest variability in glaucoma

PURPOSE. To determine whether sensitivity estimates from an individual’s previous visual field tests can be incorporated into perimetric procedures to improve accuracy and reduce test– retest variability at subsequent visits. METHODS. Computer simulation was used to determine the error, distribution of errors and presentation count for a series of perimetric algorithms. Baseline procedures were Full Threshold and Zippy Estimation by Sequential Testing (ZEST). Retest strategies were (1) allowing ZEST to continue from the previous test without reinitializing the probability density func-tion [pdf]; (2) running ZEST with a Gaussian pdf centered about the previous result; (3) retest minimizing uncertainty (REMU), a new procedure combining suprathreshold and ZEST procedures incorporating prior test information. Empiric visual field data of 265 control and 163 patients with glaucoma wer