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[视力视野检查法。青光眼性视野缺损的检测]

[Visual acuity perimetry. Detection of glaucomatous visual field defects].

作者信息

Reiser E M, Lachenmayr B J, Vivell P M

机构信息

Augenklinik der Universität München.

出版信息

Ophthalmologe. 1992 Dec;89(6):472-6.

PMID:1486263
Abstract

50 eyes of 50 patients with different types of glaucoma (27 eyes with POAG, 14 eyes with glaucoma due to pseudoexfoliation, 8 eyes with chronic narrow-angle glaucoma, 1 eye with normal-tension glaucoma) were examined with light-sense perimetry (Humphrey-Field-Analyzer, program 30-2) and resolution perimetry according to Frisén [2-7]. As the field area tested by Frisén's ring perimeter is smaller than that of the HFA, the comparison was restricted to the area of the ring perimeter, so that 50 out of 77 test locations of the HFA were included. In addition to a quantitative comparison with statistical criteria based on age-corrected normal values, a subjective qualitative assessment was established. The quantitative comparison of all hemifields showed good agreement in 61% of eyes, the ring perimeter indicating moderately and markedly increased numbers of defects in 13% and 4% of eyes and the HFA in 18% and 4% of eyes, respectively. Qualitative comparison of the entire fields revealed good agreement in 46% of eyes, with moderately and markedly more defects in 18% and 10% for the ring perimeter and 12% and 14% for the HFA, respectively. The average time needed for examination was 6.0 +/- 1.1 min for the ring perimeter and 17.2 +/- 2.7 min for the HFA. The Global Deviation of the ring perimeter correlates linearly with the Mean Deviation of the HFA (r = 0.4824, P < 0.001).

摘要

对50例患有不同类型青光眼的患者的50只眼睛(27只原发性开角型青光眼、14只剥脱性青光眼、8只慢性闭角型青光眼、1只正常眼压性青光眼)进行了光感视野检查(Humphrey视野分析仪,程序30 - 2)以及根据弗里森法进行的分辨视野检查[2 - 7]。由于弗里森环形视野计所测试的视野区域小于HFA的视野区域,因此比较仅限于环形视野计的区域,这样HFA的77个测试位点中的50个被纳入。除了基于年龄校正后的正常值与统计标准进行定量比较外,还建立了主观定性评估。所有半视野的定量比较显示,61%的眼睛一致性良好,环形视野计显示13%和4%的眼睛分别有中度和明显增多的缺损,HFA分别为18%和4%。整个视野的定性比较显示,46%的眼睛一致性良好,环形视野计分别有18%和10%的眼睛有中度和明显更多的缺损,HFA分别为12%和14%。环形视野计检查平均所需时间为6.0±1.1分钟,HFA为17.2±2.7分钟。环形视野计的总体偏差与HFA的平均偏差呈线性相关(r = 0.4824,P < 0.001)。

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