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[周边视野对青光眼诊断的意义]

[Significance of the peripheral visual field for diagnosis of glaucoma].

作者信息

Kaiser H J, Flammer J, Stümpfig D

机构信息

Universitäts-Augenklinik Basel.

出版信息

Klin Monbl Augenheilkd. 1992 Jan;200(1):17-20. doi: 10.1055/s-2008-1045707.

DOI:10.1055/s-2008-1045707
PMID:1583835
Abstract

Investigated was the significance of semiquantitative tests of the peripheral visual field in glaucoma. For that purpose 793 visual fields of 793 glaucoma patients or glaucoma suspects and 338 visual fields of 338 normal controls (normal central 26 degrees--area) were analysed. Perimetry was performed with an Octopus 201 with the help of program G1, which tests 14 peripheral test locations. In the majority of the 455 glaucoma patients (pathological findings in the central visual field) the periphery was also disturbed. Much to our surprise however, the 338 glaucoma suspects (having normal central visual fields) showed the same frequency of peripheral visual field disturbance as the normals. This holds true for the total peripheral visual field, as well as for the individual test locations. Therefore it makes sense to limit perimetry in glaucoma patients to the central area, provided that the central area is quantitatively measured with an adequate testgrid.

摘要

研究了周边视野半定量检测在青光眼诊断中的意义。为此,分析了793例青光眼患者或青光眼疑似患者的793份视野检查结果,以及338例正常对照者(中心26度正常区域)的338份视野检查结果。使用Octopus 201视野计,借助程序G1进行视野检查,该程序检测14个周边检测点。在455例青光眼患者(中心视野有病理改变)中,大多数患者的周边视野也受到了干扰。然而,令我们惊讶的是,338例青光眼疑似患者(中心视野正常)的周边视野干扰频率与正常人相同。这在整个周边视野以及各个检测点均成立。因此,如果使用适当的检测网格对中心区域进行定量测量,那么对于青光眼患者,将视野检查限制在中心区域是有意义的。

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