Frontloading visual field tests allows patients with glaucoma to reach the recommended 6 reliable tests much faster and at lower cost than traditional scheduling, according to a study.
A prospective study analyzed over 10,000 SITA-Faster VF tests from 535 patients, most of whom had early or moderate open-angle glaucoma.
With frontloading—performing 2 VF tests per eye at each visit—patients reached 6 reliable tests in an average of 1.4 years, compared to 2.5–2.6 years with the traditional, non-frontloaded approach. In addition, more than 84% of eyes reached the 6-test goal within 2 years using the frontloaded method versus less than 19% with standard scheduling.
The study also found that frontloading decreased overall costs, primarily due to fewer clinic visits.
Reference
Wang H, Masselos K, Tan JCK, et al. The frontloading approach to meet guideline-recommended visual field testing for glaucoma: time and cost. Ophthalmol Glaucoma. 2025;S2589-4196(25)00071-7. doi: 10.1016/j.ogla.2025.04.003. Epub ahead of print. PMID: 40222604.
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