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亮度比较测试在预测传入性瞳孔缺陷方面的可靠性。

Reliability of brightness comparison testing in predicting afferent pupillary defects.

作者信息

Browning D J, Buckley E G

机构信息

Charlotte Eye, Ear, Nose, and Throat Associates, NC 28204.

出版信息

Arch Ophthalmol. 1988 Mar;106(3):341-3. doi: 10.1001/archopht.1988.01060130367023.

DOI:10.1001/archopht.1988.01060130367023
PMID:3345152
Abstract

We tested the reliability of brightness comparison testing in predicting relative afferent pupillary defects (RAPDs) in 206 patients. For unselected patients, brightness comparison testing correctly predicted the RAPD in 62% of patients. For subgroups of patients with glaucoma and optic nerve lesions, correct predictions were made in 92% and 83% of patients, respectively. Sensitivity and specificity of brightness comparison testing with a 6-V test light were 85% and 49%, respectively. In subgroups of patients who are strongly suspected of having an RAPD but in whom pupillary testing is not possible, brightness comparison testing can reliably predict presence or absence of an RAPD.

摘要

我们在206例患者中测试了亮度比较测试在预测相对性传入性瞳孔障碍(RAPD)方面的可靠性。对于未经筛选的患者,亮度比较测试正确预测了62%患者的RAPD。对于青光眼和视神经病变患者亚组,分别有92%和83%的患者得到了正确预测。使用6伏测试光进行亮度比较测试的敏感度和特异度分别为85%和49%。在高度怀疑存在RAPD但无法进行瞳孔测试的患者亚组中,亮度比较测试能够可靠地预测RAPD的存在与否。

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