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糖尿病患者色觉缺陷的筛查

Screening of colour vision defects in diabetic patients.

作者信息

Mäntyjärvi M

出版信息

Acta Ophthalmol (Copenh). 1987 Apr;65(2):178-84. doi: 10.1111/j.1755-3768.1987.tb06997.x.

DOI:10.1111/j.1755-3768.1987.tb06997.x
PMID:3604608
Abstract

The colour vision of 50 diabetic patients was examined with two screening tests, Standard Pseudoisochromatic Plates part 2 (SPP 2) and Farnsworth Panel D 15 (Panel D 15) test and with two diagnostic tests, Nagel anomaloscope and Farnsworth-Munsell 100-hue test. The performance of the diabetic patients in colour vision tests was compared to their performance in colour dependent urine and blood glucose tests. Fourteen of the patients failed the glucose tests, and they failed both of the screening tests as well. The diagnostic tests showed that all of them had a blue-yellow defect and 10 of them also had a red-green defect. The rest of the patients, 36, read the glucose tests correctly, but 17 of them failed the SPP 2 screening test, and 5 failed the Panel D 15 screening test. In diagnostic tests there were 15 patients with normal colour vision, one patient with a red-green defect, 13 patients with a blue-yellow defect, and 7 patients with both a red-green and a blue-yellow defect. The colour vision defect in diabetic patients is most often a blue-yellow defect or a combined blue-yellow and red-green defect. Therefore, the usual pseudoisochromatic plates, e.g. the Ishihara test, are not sufficient in screening because they screen only red-green defects. The screening tests should contain both a red-green and a blue-yellow part.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

采用两种筛查试验,即标准假同色图第2部分(SPP 2)和法恩斯沃思D - 15色盘试验(Panel D 15),以及两种诊断试验,即纳格尔色盲检查镜和法恩斯沃思 - 芒塞尔100色调试验,对50名糖尿病患者的色觉进行了检查。将糖尿病患者在色觉测试中的表现与其在依赖颜色的尿液和血糖测试中的表现进行了比较。14名患者血糖测试未通过,他们也未通过两项筛查试验。诊断试验表明,他们所有人都有蓝黄色缺陷,其中10人还有红绿色缺陷。其余36名患者血糖测试结果正确,但其中17人未通过SPP 2筛查试验,5人未通过Panel D 15筛查试验。在诊断试验中,有15名患者色觉正常,1名患者有红绿色缺陷,13名患者有蓝黄色缺陷,7名患者既有红绿色缺陷又有蓝黄色缺陷。糖尿病患者的色觉缺陷最常见的是蓝黄色缺陷或蓝黄色与红绿色合并缺陷。因此,常用的假同色图,如石原氏试验,在筛查中是不够的,因为它们只能筛查红绿色缺陷。筛查试验应同时包含红绿色和蓝黄色部分。(摘要截短为250字)

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