EyeCare Professionals, PC 1777 Kuser Road, Hamilton, NJ 08690, USA.
Dr. Shalu Pal and Associates, Toronto, ON M5S 2V1, Canada.
J Optom. 2024 Jan-Mar;17(1):100487. doi: 10.1016/j.optom.2023.100487. Epub 2023 Oct 9.
To report the retrospectively-based, clinical diagnostic findings for the horizontal, distance, fusional facility (DFF) test in the non-TBI (traumatic brain inury), ABI (acquired brain injury) population.
The DFF test (4 pd base-out/2 pd base-in) was assessed and compared retrospectively in the first author's optometric practice in three clinical populations: (1) post-mTBI, visually-symptomatic (n = 52), (2) post-ABI, non-mTBI, visually-symptomatic (n = 34), and (3) visually-normal, visually asymptomatic (n = 44).
The DFF values in each group were significantly different from each other (p < 0.05). The mean non-TBI, ABI group value was significantly lower than found in the mTBI group, and both were significantly lower than the mean found in the normal cohort (p < 0.05). There was a significant reduction in DFF with increased age (p < 0.001). ROC values for the AUC ranged from excellent to acceptable (0.94-0.74).
The DFF test is a new and useful way to assess horizontal, distance, dynamic, fusional facility in those with presumed non-mTBI, ABI neurological conditions to assist in its diagnosis.
报告非创伤性脑损伤（TBI）、获得性脑损伤（ABI）人群中水平、距离、融合功能（DFF）测试的回顾性临床诊断结果。
在作者的验光实践中，对 4 pd 基底外/2 pd 基底内的 DFF 测试进行了回顾性评估和比较，分为三组：（1）创伤后症状性（n=52），（2）非创伤性、无症状性 ABI（n=34），（3）无症状性正常视力（n=44）。
各组的 DFF 值差异均有统计学意义（p<0.05）。非 TBI、ABI 组的平均值明显低于 mTBI 组，均明显低于正常组（p<0.05）。DFF 随年龄增长而显著降低（p<0.001）。ROC 曲线下面积的 AUC 值从优秀到可接受（0.94-0.74）。
DFF 测试是一种评估非创伤性、ABI 神经疾病患者水平、距离、动态、融合功能的新方法，有助于其诊断。
