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蓝黄视野检查在早期青光眼性损害检测中的应用

Blue-yellow perimetry in the detection of early glaucomatous damage.

作者信息

De Jong L A, Snepvangers C E, van den Berg T J, Langerhorst C T

机构信息

The Netherlands Ophthalmic Research Institute.

出版信息

Doc Ophthalmol. 1990 Oct;75(3-4):303-14. doi: 10.1007/BF00164844.

DOI:10.1007/BF00164844
PMID:2090405
Abstract

A perimetric method using blue stimuli on a yellow background was compared with perimetry using white stimuli on a white background as a method of detecting glaucomatous damage. Meridian perimetry was used with an adapted Tübinger perimeter. The difference between the blue-on-yellow meridian and the white-on-white meridian was subdivided into two parts: the general blue sensitivity loss (GBSL), probably due to optical factors, and the corrected blue sensitivity loss (CBSL), probably due to glaucoma. Nine normals, fourteen primary open angle glaucoma (POAG) patients and nine ocular hypertensives (OHT) were tested. All POAG patients and some of the OHT group showed higher CBSL values than the controls. The blue-yellow meridian showed broader and deeper defects than the white-white meridian in all of the POAG group; some of the OHT group had defects in the blue-yellow meridian that were not present in the white-white meridian. In conclusion, blue on yellow perimetry shows promise as a method for more sensitive detection of early glaucomatous damage.

摘要

将在黄色背景上使用蓝色刺激的视野检查方法与在白色背景上使用白色刺激的视野检查法进行比较,以此作为检测青光眼损害的一种方法。采用改良的图宾根视野计进行子午线视野检查。黄色背景上蓝色子午线与白色背景上白色子午线之间的差异被细分为两部分:可能由光学因素导致的总体蓝色敏感度损失(GBSL),以及可能由青光眼导致的校正后蓝色敏感度损失(CBSL)。对9名正常人、14名原发性开角型青光眼(POAG)患者和9名单眼高眼压症(OHT)患者进行了测试。所有POAG患者以及部分OHT组患者的CBSL值均高于对照组。在所有POAG组中,黄蓝子午线显示出比白-白子午线更宽、更深的缺损;部分OHT组患者在黄蓝子午线上出现了白-白子午线上未出现的缺损。总之,黄蓝视野检查法有望成为更敏感地检测早期青光眼损害的一种方法。

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