Xu Guangcan, Fu Junxia, Qi Haolan, Li Linyu, Chen Wenqian, Gao Yi, Ma Tianju, Ye Zi, Li Zhaohui
School of Medicine, Nankai University, Tianjin, China.
Department of Ophthalmology, The Third Medical Center, The Chinese People's Liberation Army General Hospital, Beijing, China.
Adv Ophthalmol Pract Res. 2022 Oct 22;3(1):29-32. doi: 10.1016/j.aopr.2022.10.002. eCollection 2023 Feb-Mar.
Due to media opacity, it is usually difficult to accurately evaluate the postoperative visual acuity in cataracts patients. As a small and portable tool, the critical flicker fusion frequency (CFF) device reflects the temporal resolution of visual function and has been widely used in clinical research. However, poor understanding of the technique and equipment limitations have restricted its clinical application in China.
There was a decrease in the CFF value in various ophthalmic diseases, indicating that the CFF is sensitive to detect visual functional changes. A number of studies have shown that the CFF test can accurately distinguish patients with simple cataracts from those with cataracts combined with fundus disease, and, as a visual test, it can more accurately predict postoperative visual acuity without being affected by media opacity. This study comprehensive reviews the basic principles of CFF and its application in ophthalmology, especially in cataracts.
As one of the tools for dynamic visual function detection, the CFF test could help doctors to assess the possible presence of fundus disease in cataracts patients, especially in eyes with dense cataracts, and more precisely provide a reasonable visual prognosis than other available visual tests.
由于介质混浊,通常难以准确评估白内障患者的术后视力。作为一种小型便携式工具,临界闪烁融合频率(CFF)装置反映了视觉功能的时间分辨率,已广泛应用于临床研究。然而,对该技术的了解不足以及设备限制阻碍了其在中国的临床应用。
多种眼科疾病患者的CFF值均有所下降,表明CFF对检测视觉功能变化较为敏感。多项研究表明,CFF测试能够准确区分单纯白内障患者与合并眼底疾病的白内障患者,并且作为一种视力测试,它能够更准确地预测术后视力,而不受介质混浊的影响。本研究全面综述了CFF的基本原理及其在眼科,尤其是白内障领域的应用。
作为动态视觉功能检测工具之一,CFF测试有助于医生评估白内障患者,尤其是致密白内障患者眼底疾病的可能存在情况,并且比其他现有视力测试更精确地提供合理的视力预后。