Staging Functional Damage in Glaucoma: Review of Different Classification Methods

Classification of glaucomatous visual field defects for different severity levels is important. The reasons for this are numerous, and include: to distinguish between healthy and diseased individuals, to have homogeneous grouping criteria when perimetry is used to define the severity of glaucoma, to adjust therapy on the basis of disease severity, to describe visual field conditions in a short and simple format, to monitor the progression of the disease, and to provide a common language for both clinical and research purposes. Many severity classification methods have been proposed, although none have had widespread use in clinical practice. Other methods, like the cumulative defect curve (Bebie curve), can be used to distinguish the type of visual field loss as diffuse, localized, or mixed. This article provides a review of the main classification methods that have been proposed in the past 40 years.