Wang Ren-yan, Zhong Yong, Dong Fang-tian, Zhao Peng, Shi Wei, Song De-lu
Department of Ophthalmology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.
Zhonghua Yi Xue Za Zhi. 2010 May 18;90(19):1322-5.
To investigate the clinical significance of the Octopus 101 kinetic and Static combined automatic perimetry in Anterior Ischemic Optic Neuropathy (AION). To assess the merit and demerit of Octopus 101 kinetic and static combined automatic perimetry performed in AION cases.
45 AION patients were detected with Octopus 101 with kinetic and static 30 degrees, 60 degrees scope static program from June 2006 to September 2008. The mean defect (MD), loss variance (LV), areas of isopter, and reaction time were analyzed. The correlation between MD, areas of isopter and reaction time were analyzed.
In AION, there are kinds of visual field defect related to the optic lesions in static perimetry examine. Kinetic programme display the isopter deletion. Isopter areas using I-2e and III-4e stimulus are significantly different (P < 0.05). Smaller stimulus can find more periphery changes in AION.
The Octopus 101 perimeter can provide static and kinetic program in the same sitting. In clinical practice it is necessary to perform both static and kinetic examination in patients with AION because the visual field defects are diverse, and the data provided by static and kinetic program are complementary.
探讨Octopus 101动态与静态联合自动视野计在前部缺血性视神经病变(AION)中的临床意义。评估在AION病例中进行Octopus 101动态与静态联合自动视野计检查的优缺点。
2006年6月至2008年9月,对45例AION患者采用Octopus 101进行30度、60度范围的动态及静态程序检查。分析平均缺损(MD)、缺损方差(LV)、等视线面积及反应时间。分析MD、等视线面积与反应时间之间的相关性。
在AION中,静态视野检查存在多种与视神经病变相关的视野缺损。动态程序显示等视线缺失。使用I-2e和III-4e刺激时等视线面积有显著差异(P<0.05)。较小的刺激能发现AION更多周边部的变化。
Octopus 101视野计可在同一次检查中提供动态和静态程序。在临床实践中,对AION患者进行动态和静态检查均有必要,因为视野缺损多样,且动态和静态程序提供的数据具有互补性。