Mullie M A, Kirkham T H
Can J Ophthalmol. 1983 Jun;18(4):165-8.
Ophthalmodynamometry was performed on 100 patients with amaurosis fugax or transient cerebral ischemic attacks to determine its value in identifying significant (over 50%) carotid stenosis as verified by angiography. Of three criteria for an abnormal result of ophthalmodynamometry a corrected systolic pressure of 70 mm Hg or less had the highest sensitivity (95%) and overall accuracy (88%) in identifying significant carotid stenosis. However, with the use of all three criteria, only one of which had to be met in an individual case, ophthalmodynamometry still identified significant carotid obstruction with 80% sensitivity, 78% accuracy and a false-positive rate of 25%. Thus, ophthalmodynamometry appears to be just as useful as any of the more expensive and complicated noninvasive tests for carotid stenosis currently available.
对100例一过性黑矇或短暂性脑缺血发作患者进行了眼动脉压测量,以确定其在识别经血管造影证实的严重(超过50%)颈动脉狭窄方面的价值。在眼动脉压测量结果异常的三项标准中,校正收缩压70 mmHg或更低在识别严重颈动脉狭窄方面具有最高的敏感性(95%)和总体准确性(88%)。然而,使用所有三项标准(在个别病例中只需满足其中一项)时,眼动脉压测量仍能以80%的敏感性、78%的准确性和25%的假阳性率识别严重颈动脉阻塞。因此,眼动脉压测量似乎与目前可用的任何更昂贵、更复杂的颈动脉狭窄无创检测方法一样有用。