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学习效应对疑似青光眼患者自动视野检查的影响。

The influence of the learning effect on automated perimetry in patients with suspected glaucoma.

作者信息

Wild J M, Dengler-Harles M, Searle A E, O'Neill E C, Crews S J

机构信息

Department of Vision Sciences, Aston University, Birmingham, UK.

出版信息

Acta Ophthalmol (Copenh). 1989 Oct;67(5):537-45. doi: 10.1111/j.1755-3768.1989.tb04105.x.

DOI:10.1111/j.1755-3768.1989.tb04105.x
PMID:2589053
Abstract

The influence of the learning effect on the outcome of automated perimetry was studied as a function of eccentricity. The same comprised 20 patients with suspected glaucoma who were all naive to automated perimetry. Visual field examination of the right eye followed by that of the left eye was undertaken on each of three successive days and after a further interval of 12 days using a customized full-field program of the Humphrey Field Analyser 630 (stimulus size III). The program comprised 60 points out to an eccentricity of 60 degrees with an interstimulus grid of 12 degrees. Global, central, peripheral, superior and inferior mean sensitivity each significantly increased (P less than or equal to 0.01) from the first to the second right eye examinations and from the third to the fourth left eye examinations (P less than or equal to 0.01). The global short-term fluctuation, central mean defect and number of stimulus presentations decreased from the first to the second right eye examination (P 0.01). The order of examination between eyes and the interval between examination sessions influences the response recorded by automated perimetry.

摘要

研究了学习效应作为离心率函数对自动视野检查结果的影响。研究对象为20例疑似青光眼患者,他们均未接受过自动视野检查。使用Humphrey视野分析仪630的定制全视野程序(刺激大小III),在连续三天的每一天对右眼进行视野检查,随后对左眼进行检查,并在间隔12天后再次进行检查。该程序包括60个点,离心率达60度,刺激间网格为12度。从第一次右眼检查到第二次右眼检查,以及从第三次左眼检查到第四次左眼检查,整体、中央、周边、上方和下方的平均敏感度均显著增加(P≤0.01)。从第一次右眼检查到第二次右眼检查,整体短期波动、中央平均缺损和刺激呈现次数减少(P<0.01)。两眼之间的检查顺序以及检查 session 之间的间隔会影响自动视野检查记录的反应。 (注:原文中“session”未翻译准确,这里按语境猜测为“检查时段”之类意思,但不确定其准确含义,可根据实际情况调整。)

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