Doozandeh Azadeh, Irandoost Farnoosh, Mirzajani Ali, Yazdani Shahin, Pakravan Mohammad, Esfandiari Hamed
Ophthalmology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Optometry Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Med Hypothesis Discov Innov Ophthalmol. 2017 Fall;6(3):98-104.
This study aimed to compare second-generation frequency-doubling technology (FDT) perimetry with standard automated perimetry (SAP) in mild glaucoma. Forty-seven eyes of 47 participants who had mild visual field defect by SAP were included in this study. All participants were examined using SITA 24-2 (SITA-SAP) and matrix 24-2 (Matrix-FDT). The correlations of global indices and the number of defects on pattern deviation (PD) plots were determined. Agreement between two sets regarding the stage of visual field damage was assessed. Pearson's correlation, intra-cluster comparison, paired t-test, and 95% limit of agreement were calculated. Although there was no significant difference between global indices, the agreement between the two devices regarding the global indices was weak (the limit of agreement for mean deviation was -6.08 to 6.08 and that for pattern standard deviation was -4.42 to 3.42). The agreement between SITA-SAP and Matrix-FDT regarding the Glaucoma Hemifield Test (GHT) and the number of defective points in each quadrant and staging of the visual field damage was also weak. Because the correlation between SITA-SAP and Matrix-FDT regarding global indices, GHT, number of defective points, and stage of the visual field damage in mild glaucoma is weak, Matrix-FDT cannot be used interchangeably with SITA-SAP in the early stages of glaucoma.
本研究旨在比较第二代倍频技术(FDT)视野检查与标准自动视野检查(SAP)在轻度青光眼患者中的应用情况。本研究纳入了47名通过SAP检查发现有轻度视野缺损的参与者的47只眼睛。所有参与者均接受了SITA 24-2(SITA-SAP)和矩阵24-2(矩阵-FDT)检查。确定了整体指标的相关性以及模式偏差(PD)图上的缺损数量。评估了两组在视野损害阶段方面的一致性。计算了Pearson相关性、组内比较、配对t检验和95%一致性界限。虽然整体指标之间没有显著差异,但两种设备在整体指标方面的一致性较弱(平均偏差的一致性界限为-6.08至6.08,模式标准差的一致性界限为-4.42至3.42)。SITA-SAP和矩阵-FDT在青光眼半视野检测(GHT)、每个象限的缺损点数以及视野损害分期方面的一致性也较弱。由于在轻度青光眼中,SITA-SAP和矩阵-FDT在整体指标、GHT、缺损点数和视野损害分期方面的相关性较弱,因此在青光眼早期,矩阵-FDT不能与SITA-SAP互换使用。