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使用带有眼动追踪功能的新型微视野计MP-3评估色素性视网膜炎患者的视野

Assessing Visual Fields in Patients with Retinitis Pigmentosa Using a Novel Microperimeter with Eye Tracking: The MP-3.

作者信息

Igarashi Nozomi, Matsuura Masato, Hashimoto Yohei, Hirasawa Kazunori, Murata Hiroshi, Inoue Tatsuya, Ryo Obata, Aihara Makoto, Asaoka Ryo

机构信息

Department of Ophthalmology, The University of Tokyo, Tokyo, Japan.

Orthoptics and Visual Science, Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.

出版信息

PLoS One. 2016 Nov 28;11(11):e0166666. doi: 10.1371/journal.pone.0166666. eCollection 2016.

Abstract

PURPOSE

The purpose of the current study is to investigate the test-retest reproducibility of visual fields (VFs) measured with the MP-3 microperimeter, in patients with retinitis pigmentosa (RP).

METHOD

VFs were twice measured with the MP-3 and also the Humphrey Field Analyzer, using the 10-2 test grid pattern in both perimeters, in 30 eyes (15 right and 15 left eyes) of 18 RP patients (11 males and 7 females). Test-retest reproducibility was assessed using the mean absolute deviation (MAD) measure at all 68 points in the test grid. Reproducibility was also evaluated using the intraclass correlation coefficient (ICC) of VF sensitivities.

RESULT

The mean sensitivity measured in the HFA 10-2 was significantly higher than that measured in the MP-3 in both the first and second VF tests (p <0.0001, linear mixed model). The MAD was 2.4±0.6 [1.1 to 3.6] dB for MP-3 and 2.4±0.9 [1.1 to 5.1] dB for HFA 10-2, which was not significantly different (p = 0.76, linear mixed model). The ICC value associated with the MP-3 VFs was 0.81±0.13 [0.49 to 0.98], which was significantly larger than that observed for the HFA 10-2 VFs: 0.77±0.19 [0.20 to 0.94] (p = 0.043, linear mixed model).

CONCLUSION

The MP-3 microperimeter appears to be useful to evaluate central visual function in RP eyes, exhibiting test-retest reproducibility that is equal to, or better than, that observed in HFA 10-2 VFs.

摘要

目的

本研究旨在调查使用MP - 3微型视野计测量的视网膜色素变性(RP)患者视野(VFs)的重测可重复性。

方法

对18例RP患者(11例男性和7例女性)的30只眼睛(15只右眼和15只左眼),使用MP - 3和Humphrey视野分析仪,均采用10 - 2测试网格模式,对视野进行两次测量。使用测试网格中所有68个点的平均绝对偏差(MAD)测量来评估重测可重复性。还使用视野敏感度的组内相关系数(ICC)来评估可重复性。

结果

在第一次和第二次视野测试中,HFA 10 - 2测量的平均敏感度均显著高于MP - 3测量的平均敏感度(p <0.0001,线性混合模型)。MP - 3的MAD为2.4±0.6 [1.1至3.6] dB,HFA 10 - 2的MAD为2.4±0.9 [1.1至5.1] dB,两者无显著差异(p = 0.76,线性混合模型)。与MP - 3视野相关的ICC值为0.81±0.13 [0.49至0.98],显著大于HFA 10 - 2视野的ICC值:0.77±0.19 [0.20至0.94](p = 0.043,线性混合模型)。

结论

MP - 3微型视野计似乎有助于评估RP患者眼睛的中心视觉功能,其重测可重复性与HFA 10 - 2视野相当或更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/5125600/57c73c01f725/pone.0166666.g001.jpg

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