Cesk Slov Oftalmol. 2021 Winter;77(1):22-26. doi: 10.31348/2021/2.
The aim of the work is to verify the necessity of full-field perimetry test in incipient glaucoma.
The study included group of 16 incipient hypertension glaucoma (HTG group) patients without obvious changes in visual field and control group of 10 patients with normal ocular findings and value 1.0 of visual acuity. In both groups, full-field perimetry test was performed followed by a glaucoma perimetry test (rapid threshold strategy in both cases). Evaluated parameters were pattern defect (PD) and overall defect (OD) using Pearsons correlation coefficient.
Strong correlation coefficient between PD (r = 0.74) and OD (r = 0.63) of both perimetry test were found in HTG group. Moderate correlation of PD (r = 0.54) and strong correlation of OD (r = 0.64) in control group.
Results of the study shows, that expected changes of peripheral visual field will be recorded first in HTG group, but opposite is true. Perimetry glaucoma test is for incipient glaucoma sufficient to document the course and the examination of glaucoma disease.
本研究旨在验证全视野眼压测试在早期青光眼诊断中的必要性。
本研究纳入了 16 例早期高血压性青光眼(HTG 组)患者,这些患者的视野没有明显变化,以及 10 例眼部检查正常且视力值为 1.0 的对照组患者。在两组患者中,均进行了全视野眼压测试,随后进行青光眼眼压测试(两种情况下均采用快速阈值策略)。使用 Pearson 相关系数评估模式缺陷(PD)和整体缺陷(OD)这两个参数。
HTG 组的全视野眼压测试的 PD(r = 0.74)和 OD(r = 0.63)之间存在很强的相关性。对照组的 PD(r = 0.54)具有中度相关性,OD(r = 0.64)具有很强的相关性。
研究结果表明,HTG 组的外周视野预期变化将首先被记录下来,但事实正好相反。青光眼眼压测试足以记录青光眼疾病的进程和检查,对早期青光眼是足够的。