Rarebit perimetry: normative values and test-retest variability

Clin Exp Ophthalmol. 2011 Nov;39(8):752-9. doi: 10.1111/j.1442-9071.2011.02555.x. Epub 2011 Apr 27.

Abstract

Background: We aim to establish normative values and evaluate test-retest variability for the central and foveal field tests of version 4 of rarebit perimetry.

Design: This was a prospective study undertaken in collaboration between Tan Tock Seng Hospital, Singapore, and Singapore Polytechnic.

Participants: Fifty-four normal subjects were recruited and included in the study.

Methods: Subjects underwent rarebit perimetry testing, studying the central and foveal fields. All subjects repeated the test within 1 month of the initial visit. The 'mean hit rates' of one eye of every subject were analysed.

Main outcome measures: Mean hit rates of subjects were analysed to establish normative values for the central and foveal fields. Test-retest variability was also analysed.

Results: Overall normative mean hit rates were 86.3 ± 13.95% for the central field and 91.6 ± 6.35% for the foveal field. For every increasing year of age, we found a 0.47% decrease in the central mean hit rates (P < 0.001). Normative mean hit rate for central and foveal fields were 90.6 ± 12.3% and 98.2 ± 3.7% respectively, in 'young' subjects, and 81.9 ± 15.6% and 85.0 ± 9.0% respectively, in 'mature' subjects. We found no significant test-retest variability in the foveal field (P = 0.554). There was significant test-retest variability in the central field (P < 0.001), but the difference was a 3.5 unit mean hit rate increase, which may be clinically significant.

Conclusions: Rarebit perimetry is repeatable and reliable. We have established normative values for two age groups.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Female
  • Fovea Centralis / physiology
  • Humans
  • Male
  • Middle Aged
  • Nomograms*
  • Prospective Studies
  • Reproducibility of Results
  • Visual Acuity
  • Visual Field Tests / standards*
  • Visual Fields / physiology*
  • Young Adult