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高眼压症和青光眼的色觉测试观察

Observations on color vision testing in ocular hypertension and glaucoma.

作者信息

Mäntyjärvi M, Teräsvirta M

机构信息

Department of Ophthalmology, University Hospital of Kuopio, Finland.

出版信息

Int Ophthalmol. 1992 Nov;16(6):417-22. doi: 10.1007/BF00918431.

Abstract

Forty-eight patients aged from 60 to 69 years (58 eyes) with ocular hypertension (OHT) or primary open angle glaucoma (POAG) and a control group of 16 persons (31 eyes) were studied with six color vision tests: Standard Pseudoisochromatic Plates Part 2, Farnsworth Panel D 15, Farnsworth-Munsell 100-hue (FM 100) test, Lanthony Desaturated Panel, Nagel (red-green) anomaloscope, and Besançon (blue) anomalometer. In the color vision tests, the newly diagnosed OHT eyes without treatment differed significantly from the control group in the blue anomalometer. The long-term OHT eyes with treatment had no significant difference from the normals in any of the tests. The newly diagnosed POAG eyes without treatment were significantly different from the normals in the FM 100 test as well as in the boxes I, II, III and IV of the test, in the Lanthony Desaturated Panel and in the blue anomalometer. The long-term POAG eyes with treatment only differed significantly from the normal eyes in the blue anomalometer. The box IV of the FM 100 test and blue anomalometer were observed to be the most useful of these six tests in finding the possible early beginning of the blue color vision defect in the group of newly diagnosed OHT.

摘要

对48例年龄在60至69岁之间(共58只眼)的高眼压症(OHT)或原发性开角型青光眼(POAG)患者以及16名对照者(共31只眼)进行了六项色觉测试:标准假同色图第2部分、法恩斯沃思D - 15色盘、法恩斯沃思 - 芒塞尔100色觉试验(FM 100)、兰托尼减饱和色盘、纳格尔(红 - 绿)色盲检查镜以及贝桑松(蓝)色盲检查仪。在色觉测试中,未经治疗的新诊断OHT眼在蓝色色盲检查仪测试结果上与对照组有显著差异。经过治疗的长期OHT眼在任何一项测试中与正常组均无显著差异。未经治疗的新诊断POAG眼在FM 100测试以及该测试的I、II、III和IV区、兰托尼减饱和色盘和蓝色色盲检查仪测试结果上与正常组有显著差异。经过治疗的长期POAG眼仅在蓝色色盲检查仪测试结果上与正常眼有显著差异。在新诊断的OHT组中,观察发现FM 100测试的IV区和蓝色色盲检查仪在发现蓝色色觉缺陷可能的早期方面是这六项测试中最有用的。

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