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慢性开角型青光眼的视野:视野不同区域的变化率

The visual field in chronic open angle glaucoma: the rate of change in different regions of the field.

作者信息

O'Brien C, Schwartz B

机构信息

Department of Ophthalmology, Tufts-New England Medical Centre, Boston, Massachusetts 02111.

出版信息

Eye (Lond). 1990;4 ( Pt 4):557-62. doi: 10.1038/eye.1990.77.

DOI:10.1038/eye.1990.77
PMID:2226984
Abstract

Using automated perimetry the distribution of visual field loss in 40 chronic open angle glaucoma eyes (40 patients) was found to be predominantly in the nasal, supranasal, and superotemporal regions. The rate of change of visual field threshold values in seven regions of the field was measured by trend analysis over 44.9 +/- 17.9 months. Seventeen eyes had a significant rate of field loss in one or more regions of the field with the remaining eyes either showing improvement or stability. Seven of the 17 eyes with significant regional field loss had stable overall fields. The greatest rate of field loss occurred in the temporal and superotemporal regions. The correlation between the mean threshold value of the initial field test and the rate of change of field over time was significant in the temporal region and of borderline significance in the superotemporal region. The relationship was such that the greater the initial threshold value, the greater the subsequent rate of field loss.

摘要

使用自动视野计,发现40例慢性开角型青光眼患者(40只眼)的视野缺损分布主要在鼻侧、鼻上侧和颞上侧区域。通过趋势分析在44.9±17.9个月内测量了视野七个区域的视野阈值变化率。17只眼在视野的一个或多个区域有显著的视野缺损率,其余的眼睛则显示改善或稳定。17只存在显著区域视野缺损的眼中,有7只眼的整体视野稳定。视野缺损率最高的区域是颞侧和颞上侧。初始视野测试的平均阈值与视野随时间的变化率之间的相关性在颞侧区域显著,在颞上侧区域为临界显著。关系如下:初始阈值越高,随后的视野缺损率越大。

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