Smith Bradley T, Vander James E, Regillo Carl D, Ho Allen C
Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA 19107, USA.
Ophthalmic Surg Lasers Imaging. 2006 Jan-Feb;37(1):6-11.
To evaluate the potential acuity meter in predicting visual acuity after photodynamic therapy of choroidal neovascular membranes caused by age-related macular degeneration.
Retrospective study of 55 eyes in 51 patients with subfoveal predominantly classic choroidal neovascularization due to age-related macular degeneration. Pre-photodynamic therapy Snellen visual acuity minus the visual acuity with the potential acuity meter was compared with the actual improvement in visual acuity. Significant improvement in visual acuity after photodynamic therapy was defined as a gain of more than 2 lines in Snellen visual acuity (0.2 logarithm of the minimal angle of resolution units).
Eighteen (51.4%) of 35 eyes with a potential for improvement experienced an actual improvement in their Snellen visual acuity after photodynamic therapy (P < .001). All eyes lacking a potential for improvement failed to experience an actual improvement in visual acuity after photodynamic therapy.
The eyes that demonstrated better visual acuity with the potential acuity meter in this study seemed more likely to experience an improvement in visual acuity after photodynamic therapy.
评估潜在视力计在预测年龄相关性黄斑变性所致脉络膜新生血管膜光动力治疗后视力方面的作用。
对51例主要为中心凹下典型脉络膜新生血管形成的年龄相关性黄斑变性患者的55只眼进行回顾性研究。比较光动力治疗前的斯内伦视力减去潜在视力计测量的视力与实际视力改善情况。光动力治疗后视力显著改善定义为斯内伦视力提高超过2行(最小分辨角对数单位为0.2)。
35只具有改善潜力的眼中,18只(51.4%)在光动力治疗后斯内伦视力实际得到改善(P <.001)。所有缺乏改善潜力的眼在光动力治疗后视力均未实际改善。
在本研究中,使用潜在视力计显示视力较好的眼似乎更有可能在光动力治疗后视力得到改善。