F. Fankhauser et al., A CLUSTER AND SCOTOMA ANALYSIS BASED ON EMPIRIC CRITERIA, Graefe's archive for clinical and experimental ophthalmology, 231(12), 1993, pp. 697-703
From a collection of 288 visual fields of glaucomatous or glaucoma sus
pects, 30 were selected at random and were analyzed by one expert inte
rpreter. Visual field damage varied from nonexistent to severe. The in
terpreter defined clusters or scotomas subjectively according to adjac
ency criteria: adjacent test locations which exceeded a critical loss
value were grouped as clusters or scotomas. A computer algorithm has b
een devised which simulates such evaluation methods. In general, a sta
ndard setting of several parameters produced a cluster display contain
ing the same number of clusters as determined by the expert interprete
r. Another display mode grouped clusters according to polygonal areas
of a predetermined size (Voronoi diagram). Due to the broad selection
of visual field defects, the specificity of the program with regard to
various field decay patterns was small and it should thus be applicab
le to a broad spectrum of glaucomatous field damage.