高眼压症患者短波长自动视野计与海德堡视网膜断层扫描参数之间的关系
Relationship between short-wavelength automatic perimetry and Heidelberg retina tomograph parameters in eyes with ocular hypertension.
作者信息
Pitsas Christos, Papaconstantinou Dimitrios, Georgalas Ilias, Halkiadakis Ioannis
机构信息
Department of Ophthalmology, Medical School, University of Athens Georgos Gennimatas Hospital, Athens 11527, Greece.
Ophthalmiatrion Athinon, Athens Eye Hospital, Sina 2, Athens 10672, Greece.
出版信息
Int J Ophthalmol. 2015 Oct 18;8(5):1013-7. doi: 10.3980/j.issn.2222-3959.2015.05.29. eCollection 2015.
AIM
To compare and correlate optic nerve head parameters obtained by Heidelberg retina tomograph (HRT) with short-wavelength automatic perimetry (SWAP) indices in eyes with ocular hypertension (OHT).
METHODS
One hundred and forty-six patients with OHT included in the present study. All subjects had reliable SWAP and HRT measurements performed within a 2wk period. The eyes were classified as normal/abnormal according to visual field criteria and Moorfields regression analysis (MRA). Correlations between visual field indices and HRT parameters were analyzed using Pearson correlation coefficient (r).
RESULTS
Twenty-nine eyes (19.9%) had SWAP defects. Twenty-nine eyes (19.9%) were classified as abnormal according to global MRA. Six eyes (4.1%) had abnormal global MRA and SWAP defects. The k statistic is 0.116 (P=0.12) indicating a very poor agreement between the methods. No statistical significant correlation between HRT and SWAP parameters was detected.
CONCLUSION
SWAP defects may coexist with abnormalities of optic disc detected by HRT in eyes with OHT. In most eyes, however, the two methods detect different glaucoma properties.
目的
比较并关联高眼压症（OHT）患者通过海德堡视网膜断层扫描仪（HRT）获得的视神经乳头参数与短波长自动视野计（SWAP）指标。
方法
本研究纳入146例高眼压症患者。所有受试者在2周内进行了可靠的SWAP和HRT测量。根据视野标准和穆尔菲尔兹回归分析（MRA）将眼睛分类为正常/异常。使用Pearson相关系数（r）分析视野指标与HRT参数之间的相关性。
结果
29只眼（19.9%）存在SWAP缺损。根据整体MRA，29只眼（19.9%）被分类为异常。6只眼（4.1%）存在异常的整体MRA和SWAP缺损。k统计量为0.116（P = 0.12），表明两种方法之间的一致性非常差。未检测到HRT与SWAP参数之间存在统计学显著相关性。
结论
在高眼压症患者眼中，SWAP缺损可能与HRT检测到的视盘异常共存。然而，在大多数眼中，这两种方法检测到不同的青光眼特征。
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