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[在确诊青光眼患者中使用低饱和度D15测试板的极低电压卤素照明的价值]

[Value of very low voltage halogen lighting of desaturated panel D 15 test in established glaucoma].

作者信息

Leid J, Leid V

出版信息

J Fr Ophtalmol. 1991;14(2):96-102.

PMID:1880346
Abstract

The colour vision of a first group of glaucomatous patients was tested with the desaturated Panel D 15 test, first illuminated by a 300 lux Macbeth lamp, then with a very low voltage 1000 lux halogen lamp. In addition to the recording of 80% cases of dyschromatopsia, in line with previously published data, we demonstrated a great number (33.3%) of red-green axis anomalies under Macbeth light and, paradoxically, even more under halogen light (53.3%). To explain this high percentage of red-green axes under halogen light, we discuss the influence of luminance and emission spectrum of the light source. We conclude that the use of high luminance halogen light is capable of revealing concealed Verriest type II dyschromatopsias probably due to a specific fragilisation of the red-green channels induced by the glaucoma disease. This original colour vision testing procedure applied on established glaucomatous patients enabled us to easily obtain a factor of severity in the course of the disease.

摘要

第一组青光眼患者的色觉通过不饱和 Panel D 15 测试进行检测,首先用 300 勒克斯的麦克白灯照亮,然后用非常低电压的 1000 勒克斯卤素灯照亮。除了记录 80% 的色觉障碍病例(与先前发表的数据一致)外,我们还发现,在麦克白灯光下有大量(33.3%)红绿轴异常,而自相矛盾的是,在卤素灯光下更多(53.3%)。为了解释卤素灯光下红绿轴异常的高比例,我们讨论了光源的亮度和发射光谱的影响。我们得出结论,使用高亮度卤素灯能够揭示隐藏的 Verriest Ⅱ型色觉障碍,这可能是由于青光眼疾病引起的红绿通道的特定脆弱化。这种应用于已确诊青光眼患者的原始色觉测试程序使我们能够轻松获得疾病过程中的严重程度因素。

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