Suzumura Hirotaka, Yoshikawa Keiji, Kimura Tairo, Yamazaki Sei
Department of Ophthalmology, Nakano General Hospital, 4-59-16 Chuo, Nakano-ku, Tokyo 164-8607, Japan.
Nippon Ganka Gakkai Zasshi. 2011 May;115(5):435-9.
We evaluated the positive rate of the Anderson criteria of suspected early glaucomatous visual field defects (GVFDs).
Ninety-six eyes of 96 patients, who had suspected primary open-angle glaucoma with apparent glaucomatous optic disc changes and who had more than -6.0 dB of mean deviation (MD) with Swedish Interactive Thresholding Algorithm Standard (SITA-S) Central 30-2 program in the Humphrey Field Analyzer, were selected. We applied the Anderson criteria and calculated the positive rates for these criteria and for three elements pattern deviation probability plots (PD plots), glaucoma hemifield test (GHT), pattern standard deviation (PSD).
The positive rate of the Anderson criteria was 78.1% and the PD plots (77.1%) were significantly higher rate than the GHT (62.5%) or the PSD (63.5%). The positive rate of the Anderson criteria was 100% in the MD of less than -3.0 dB and was 65.6% even in the MD of more than -3 dB (p < 0.0001). On the other hand, 57.9% of the eyes with an MD between -2 dB and -1 dB showed positive in all elements. At more than -1.0 dB of MD, the PD plots (50.0%) were significantly higher than the PSD (18.8%) or the GHT (21.9%) (PSD: p = 0.0085, GHT : p = 0.0190).
Using the SITA-S, the Anderson criteria showed a high positive rate in eyes with suspected early GVFDs.
我们评估了安德森标准对疑似早期青光眼视野缺损（GVFD）的阳性率。
选取96例患者的96只眼，这些患者疑似原发性开角型青光眼，有明显的青光眼性视盘改变，且在Humphrey视野分析仪中使用瑞典交互式阈值算法标准（SITA-S）中央30-2程序测得平均偏差（MD）超过-6.0 dB。我们应用安德森标准，并计算这些标准以及三个要素模式偏差概率图（PD图）、青光眼半视野检测（GHT）、模式标准差（PSD）的阳性率。
安德森标准的阳性率为78.1%，PD图（77.1%）的阳性率显著高于GHT（62.5%）或PSD（63.5%）。MD小于-3.0 dB时安德森标准的阳性率为100%，即使MD超过-3 dB时阳性率仍为65.6%（p < 0.0001）。另一方面，MD在-2 dB至-1 dB之间的眼中，57.9%在所有要素中均显示阳性。MD超过-1.0 dB时，PD图（50.0%）的阳性率显著高于PSD（18.8%）或GHT（21.9%）（PSD：p = 0.0085，GHT：p = 0.0190）。
使用SITA-S时，安德森标准在疑似早期GVFD的眼中显示出较高的阳性率。
