Glaucoma patients' assessment of their visual function and quality of life

Henry D. Jampel, Arthur Schwartz, Irvin Pollack, Donald Abrams, Howard Weiss, Rhonda Miller

Research output: Contribution to journalArticlepeer-review

119 Scopus citations


Purpose: To determine how glaucoma and glaucoma suspect patients' rating of their vision correlates with Esterman binocular visual field testing and other visual function tests. Methods: One hundred ninety-one glaucoma patients and 46 glaucoma suspect patients underwent binocular visual field testing and evaluated their vision using the linear rating scale and time-tradeoff utility tests, the National Eye Institute Visual Functional Questionnaire (NEI VFQ-25), and the Short Form 36 (SF-36) quality-of-life instruments. Results: The mean Esterman score was 88.2 ± 17.4 for the glaucoma subjects and 95.2 + 6.9 for glaucoma suspect subjects (maximum score 100). On a scale from 0 (blind) to 100 (ideal), the mean rating of vision for glaucoma patients and glaucoma suspect patients was 74.8 ± 17.3 and 78.9 ± 18.5, respectively. The Esterman test correlated moderately with the overall NEI VFQ-25 score (partial correlation coefficient (PCC) = 0.32, P = 0.001), but only weakly with the linear rating scale (PCC = 0.17, P = 0.02), and the time-tradeoff (PCC = 0.14, P = 0.06). Conclusion: Utility values that glaucoma and glaucoma suspect patients assign to their vision do not correlate well with Esterman results. A challenge for the future is the design of clinical tests of vision that better correlate with patient perceptions.

Original languageEnglish (US)
Pages (from-to)154-163
Number of pages10
JournalJournal of glaucoma
Issue number2
StatePublished - Jan 1 2002


  • Esterman visual field
  • Glaucoma
  • Linear rating
  • Quality-of-life
  • Utility tests

ASJC Scopus subject areas

  • Ophthalmology


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