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年龄相关性黄斑变性患者的残余立体视及其对视功能相关能力的影响:一项初步研究。

Residual stereopsis in age-related macular degeneration patients and its impact on vision-related abilities: a pilot study.

作者信息

Cao Kathy Y, Markowitz Samuel N

机构信息

Low Vision Service (University Health Network Hospitals), Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

Low Vision Service (University Health Network Hospitals), Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Optom. 2014 Apr-Jun;7(2):100-5. doi: 10.1016/j.optom.2013.12.003. Epub 2014 Jan 24.

Abstract

OBJECTIVE

To determine the effect of residual stereopsis on vision-related abilities of low vision (LV) patients with age-related macular degeneration (AMD).

METHODS

Prospective non-randomized observational case series. Inclusion criteria included documented AMD, LV with best corrected visual acuity (BCVA) of 20/50-20/400 in the better eye, and ages between 50 and 90 years. Stereoacuity was measured using the near Frisby Stereotest. Vision related abilities were documented with the VA LV VFQ-48 questionnaire.

RESULTS

Twenty-seven subjects with mean age of 84±6 years old were recruited, of which 59.3% (16/27) were female. 59.3% (16/27) of the subjects were not able to see any stereoacuity plate, 25.9% (7/27) had stereoacuity of 340s of arc (SOA), 11.1% (3/27) had stereoacuity of 170 SOA and 3.7% (1/27) had stereoacuity of 85 SOA. The mean Overall Functional Visual Abilities (OFVA) score was significantly higher in those with stereopsis (2.25±0.99) than those without stereopsis (1.50±0.92) (P=0.028).

CONCLUSIONS

LV patients with stereopsis have better OFVA than those without. Stereopsis should be considered as a component of LV rehabilitation and considered as an outcome measure in research and clinical practice.

摘要

目的

确定残余立体视对年龄相关性黄斑变性(AMD)所致低视力(LV)患者视觉相关能力的影响。

方法

前瞻性非随机观察性病例系列研究。纳入标准包括确诊为AMD、较好眼最佳矫正视力(BCVA)为20/50 - 20/400的LV患者,年龄在50至90岁之间。使用近距Frisby立体视测试测量立体视锐度。通过低视力视觉功能问卷(VA LV VFQ - 48)记录视觉相关能力。

结果

招募了27名平均年龄为84±6岁的受试者,其中59.3%(16/27)为女性。59.3%(16/27)的受试者无法看到任何立体视锐度视标,25.9%(7/27)的受试者立体视锐度为340角秒(SOA),11.1%(3/27)的受试者立体视锐度为170 SOA,3.7%(1/27)的受试者立体视锐度为85 SOA。有立体视的受试者的平均总体功能视觉能力(OFVA)得分(2.25±0.99)显著高于无立体视的受试者(1.50±0.92)(P = 0.028)。

结论

有立体视的LV患者的OFVA比无立体视的患者更好。立体视应被视为LV康复的一个组成部分,并在研究和临床实践中作为一项结果指标。

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