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[游标超视力测试对玻璃体混浊患者视功能的预测研究]

[Studies on prediction of visual function of vitreous opacity patients by Vernier hyperacuity tests].

作者信息

Liu Quan, Li Shaozhen, Woo George, Tang Shibo, Nie Haohui

机构信息

Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.

出版信息

Yan Ke Xue Bao. 2002 Jun;18(2):92-4.

PMID:15510644
Abstract

PURPOSE

To evaluate the clinical value of visual function with vitreous opacity patients preoperatively.

METHODS

The vernier acuity examining soft wear system was developed to detect the 14 cases (14 eyes) with vitreous opacity patients preoperatively. Two fixed targets and a movable target are shown on the computer screen. The examine was asked to adjust the position of the central target and the relationship between it and align them by using a track-ball. The computer automatically recorded the deviations of distances between the movable target and the specific one, and computed the average threshold of hyperacuity and its variance. Then the hyperacuity result and postoperative visual acuity were compared.

RESULTS

Paired t-test showed that the difference between peroperative and postoperative vernier acuity thresholds was not significant (t = 0. 52, P = 0. 612). The coefficient of correlation was 0. 85 (P < 0. 01). Neither was the threshold variance (t = 0. 431, P = 0. 674). The correlation coefficient was 0.97 (P < 0.01). The correlation coefficient between preoperative hyperacuity threshold and postoperative visual acuity was -0.74 (P < 0.01), and that between preoperative threshold variance and postoperative visual acuity was -0.95 (P < 0.01). Based on the preoperative vernier acuity threshold and its variance, the function of linear regression was Y = 0.943 - 0.000116THv - 0.00193SDv.

CONCLUSIONS

Vernier acuity remains good consistency after vitrectomy, and it is one of the sensitive parameter in predicting the postoperative visual function for vitreous opacities.

摘要

目的

评估玻璃体混浊患者术前视功能的临床价值。

方法

开发游标视力检查软件系统,对14例(14眼)玻璃体混浊患者进行术前检测。计算机屏幕上显示两个固定目标和一个可移动目标。要求受检者使用轨迹球调整中央目标的位置,使其与特定目标对齐。计算机自动记录可移动目标与特定目标之间距离的偏差,并计算超视力的平均阈值及其方差。然后比较超视力结果与术后视力。

结果

配对t检验显示,术前和术后游标视力阈值之间的差异无统计学意义(t = 0.52,P = 0.612)。相关系数为0.85(P < 0.01)。阈值方差也无统计学意义(t = 0.431,P = 0.674)。相关系数为0.97(P < 0.01)。术前超视力阈值与术后视力之间的相关系数为 -0.74(P < 0.01),术前阈值方差与术后视力之间的相关系数为 -0.95(P < 0.01)。基于术前游标视力阈值及其方差,线性回归方程为Y = 0.943 - 0.000116THv - 0.00193SDv。

结论

玻璃体切除术后游标视力保持良好的一致性,是预测玻璃体混浊术后视功能的敏感参数之一。

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