Kamiya Kazutaka, Shimizu Kimiya, Iijima Ayaka, Kobashi Hidenaga
Department of Ophthalmology, University of Kitasato School of Medicine, Sagamihara, Kanagawa, Japan.
PLoS One. 2014 Nov 17;9(11):e113562. doi: 10.1371/journal.pone.0113562. eCollection 2014.
To evaluate the factors affecting the area under the log contrast sensitivity function (AULCSF) in healthy myopic eyes.
We retrospectively examined 201 eyes of 201 consecutive subjects (age, 31.8 ± 7.4 years (mean ± standard deviation)) with myopic refractive errors of -1.25 to -8.25 diopters (D). From the contrast sensitivity data, the area under the log contrast sensitivity function (AULCSF) was calculated. Stepwise multiple regression analysis was used to assess the factors affecting the AULCSF.
The mean AULSCF was 1.09 ± 0.09 (0.89 to 1.55). Explanatory variables relevant to the AULCSF were, in order of influence, the objective scattering index (OSI) (p = 0.018, partial regression coefficient B = -0.032) and logMAR CDVA (p = 0.022, B = -0.209) (adjusted R(2) = 0.231). No significant correlation was seen with other clinical factors such as gender, manifest refraction, pupil size, lens density, corneal HOAs, or ocular HOAs.
Although the great majority of the variance remains unexplained, eyes with lower OSI and better CDVA are more predisposed to show higher contrast sensitivity function. These results indicate that not only CDVA but also intraocular forward scattering may play some role in predicting the contrast sensitivity function in myopic subjects.
评估影响健康近视眼中对数对比敏感度函数曲线下面积(AULCSF)的因素。
我们回顾性研究了201例连续受试者(年龄31.8±7.4岁(均值±标准差))的201只眼,这些受试者近视屈光不正度数为-1.25至-8.25屈光度(D)。根据对比敏感度数据计算对数对比敏感度函数曲线下面积(AULCSF)。采用逐步多元回归分析评估影响AULCSF的因素。
平均AULCSF为1.09±0.09(0.89至1.55)。与AULCSF相关的解释变量按影响程度依次为客观散射指数(OSI)(p = 0.018,偏回归系数B = -0.032)和logMAR矫正视力(CDVA)(p = 0.022,B = -0.209)(调整后R² = 0.231)。未发现与其他临床因素如性别、显验光、瞳孔大小、晶状体密度、角膜高阶像差或眼内高阶像差有显著相关性。
尽管绝大多数变异仍无法解释,但OSI较低且CDVA较好的眼更倾向于具有较高的对比敏感度函数。这些结果表明,不仅CDVA,而且眼内前向散射在预测近视患者的对比敏感度函数中可能也起一定作用。