Kimura Satoshi, Kimura Tairo, Ono Koichi, Murakami Akira
Department of Ophthalmology, Juntendo University School of Medicine, Japan.
Nippon Ganka Gakkai Zasshi. 2011 Aug;115(8):686-92.
We examined the correlation between the visual field index (VFI) and mean deviation (MD), as well as the correlation on VFI slope and MD slope.
This retrospective study was performed on 105 eyes of 60 patients. All eyes underwent examination by the Humphrey visual field analyzer. The correlation of the (i) VFI and MD, (ii) VFI slope and MD slope were analyzed in all eyes and the eyes were classified by visual field patterns (paracentral, peripheral, mixed and normal defect type). (iii) The agreement degree between the VFI slope and MD slope was examined. A generalized-estimating-equation(GEE) model and kappa statistic were used for analysis.
A significant correlation between MD and VFI was shown in all eyes, including eyes classified of visual field defect. The correlation between the VFI slope and MD slope was significant in all eyes. However, these correlations were not evident in paracentral type of defect but in the other types. K statistic evaluated a moderate agreement between the VFI slope and MD slope.
A significant correlation was shown between the VFI and MD, VFI slope and MD slope in all eyes. However, no correlation between the VFI slope and MD slope existed in the paracentral area. It seems that the evaluation of progression of visual field defect in the central area needs to be considered carefully.
我们研究了视野指数(VFI)与平均偏差(MD)之间的相关性,以及VFI斜率与MD斜率之间的相关性。
对60例患者的105只眼睛进行了这项回顾性研究。所有眼睛均通过 Humphrey 视野分析仪进行检查。分析了(i)所有眼睛以及按视野模式(旁中心、周边、混合和正常缺损类型)分类的眼睛中VFI与MD、(ii)VFI斜率与MD斜率之间的相关性。(iii)检查了VFI斜率与MD斜率之间的一致程度。使用广义估计方程(GEE)模型和kappa统计量进行分析。
在所有眼睛中,包括视野缺损分类的眼睛,MD与VFI之间均显示出显著相关性。VFI斜率与MD斜率之间在所有眼睛中均具有显著相关性。然而,这些相关性在旁中心缺损类型中不明显,而在其他类型中明显。K统计量评估了VFI斜率与MD斜率之间的中度一致性。
所有眼睛中VFI与MD、VFI斜率与MD斜率之间均显示出显著相关性。然而,旁中心区域中VFI斜率与MD斜率之间不存在相关性。似乎需要仔细考虑中心区域视野缺损进展的评估。