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[一种新型色盲检查镜检查在青光眼诊断中的应用]

[Use of a new anomaloscope test in diagnosis of glaucoma].

作者信息

Nguyen N X, Korth M, Wisse M, Jünemann A

机构信息

DFG-Klinische Forschergruppe (NA 55/6-1), Universität Erlangen-Nürnberg.

出版信息

Klin Monbl Augenheilkd. 1994 Mar;204(3):149-54. doi: 10.1055/s-2008-1035512.

DOI:10.1055/s-2008-1035512
PMID:8196300
Abstract

BACKGROUND

The Color Vision Meter 712 (CVM) is a new automatic computerized anomaloscope relying on both the Rayleigh and the Moreland equation. In the present study the diagnostic value of Color Vision Meter was examined in glaucoma for the first time and was compared with the Farnsworth 100 hue test.

PATIENTS AND METHODS

33 normals, 15 patients with ocular hypertension (OHT) and a heterogenic group of 31 glaucoma patients were tested with the Nagel anomaloscope, the Color Vision Meter 712 and the Farnsworth 100 hue test. The following determinations were made in all subjects: 1. Anomalous quotient of the Rayleigh equation of the Nagel anomaloscope and of the Color Vision Meter, 2. Mean tritan score of 100 hue test, 3. The matching range, mid matching point, and anomalous quotient of the Moreland equation with the Color Vision Meter.

RESULTS

While in the OHT group only the matching range of the Moreland equation was enlarged, all three variables (matching range, mid matching point and anomalous quotient) of the Moreland equation were significantly changed in the glaucoma group. The mean tritan score of the 100 hue test showed in the OHT group only a slight difference compared to normals, and in the glaucoma group a low significance and a low sensitivity. The matching range of the Moreland equation seems to be most useful with a sensitivity of 87.1% and a specificity of 93.6%.

CONCLUSION

Our results show that the new anomaloscope Color Vision Meter 712 should be considered as a quick screening test for the examination of blue-color vision disturbances in glaucoma because of its higher sensitivity, its easier use for examiner and patients, and its shortened examination time (5 min per equation).

摘要

背景

712型色觉仪(CVM)是一种新型的自动计算机化色盲检查仪,它同时依赖瑞利方程和莫兰德方程。在本研究中,首次对色觉仪在青光眼诊断中的价值进行了检测,并与 Farnsworth 100色调试验进行了比较。

患者和方法

对33名正常人、15名高眼压症(OHT)患者以及31名不同类型的青光眼患者进行了 Nagel 色盲检查仪、712型色觉仪和 Farnsworth 100色调试验检测。对所有受试者进行了以下测定:1. Nagel 色盲检查仪和色觉仪瑞利方程的异常商;2. 100色调试验的平均蓝色混淆评分;3. 色觉仪莫兰德方程的匹配范围、中间匹配点和异常商。

结果

在高眼压症组中,只有莫兰德方程的匹配范围扩大,而在青光眼组中,莫兰德方程的所有三个变量(匹配范围、中间匹配点和异常商)均有显著变化。100色调试验的平均蓝色混淆评分在高眼压症组与正常人相比仅有轻微差异,在青光眼组中具有较低的显著性和敏感性。莫兰德方程的匹配范围似乎最有用,其敏感性为87.1%,特异性为93.6%。

结论

我们的结果表明,新型色盲检查仪712型色觉仪应被视为一种快速筛查试验,用于检查青光眼患者的蓝色色觉障碍,因为它具有更高的敏感性、对检查者和患者使用更方便以及检查时间缩短(每个方程5分钟)的优点。

相似文献

1
[Use of a new anomaloscope test in diagnosis of glaucoma].[一种新型色盲检查镜检查在青光眼诊断中的应用]
Klin Monbl Augenheilkd. 1994 Mar;204(3):149-54. doi: 10.1055/s-2008-1035512.
2
[Evaluation of acquired color vision defects by means of the two equation method in primary open-angle glaucoma with normal pressure and in patients from the risk group].[通过两方程法对眼压正常的原发性开角型青光眼及风险组患者获得性色觉缺陷的评估]
Klin Oczna. 1997;99(4):245-8.
3
[Color vision defects in chronic open angle glaucoma].[慢性开角型青光眼中的色觉缺陷]
Fortschr Ophthalmol. 1990;87(3):255-9.
4
Color vision and contrast sensitivity tests in early diagnosis of primary open-angle glaucoma.色觉和对比敏感度测试在原发性开角型青光眼早期诊断中的应用
Bull Soc Belge Ophtalmol. 1992;244:73-83.
5
Failure of concordance of the Farnsworth D15 test and the Nagel anomaloscope matching range in anomalous trichromatism.在异常三色视中, Farnsworth D15测试结果与Nagel色盲检查镜匹配范围不一致。
Vis Neurosci. 2008 May-Jun;25(3):451-3. doi: 10.1017/S0952523808080231.
6
[Blue-sensitive VEP test in diagnosis of glaucoma].[蓝敏视觉诱发电位检测在青光眼诊断中的应用]
Klin Monbl Augenheilkd. 1993 Nov;203(5):324-8. doi: 10.1055/s-2008-1045685.
7
Observations on color vision testing in ocular hypertension and glaucoma.高眼压症和青光眼的色觉测试观察
Int Ophthalmol. 1992 Nov;16(6):417-22. doi: 10.1007/BF00918431.
8
[Color vision in glaucoma].[青光眼患者的色觉]
Cesk Oftalmol. 1990 May;46(3):194-207.
9
[The role of color vision disturbances in diagnostics of early diabetic retinopathy].[色觉障碍在早期糖尿病视网膜病变诊断中的作用]
Klin Oczna. 2002;104(3-4):249-51.
10
[The examination of color vision using a 2 metameric equation method].[使用双色匹配方程法进行色觉检查]
Ophtalmologie. 1990 Mar-Apr;4(2):197-205.

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2
Color axis evaluation of the Farnsworth Munsell 100-hue test in primary open-angle glaucoma and normal-pressure glaucoma.原发性开角型青光眼和正常眼压性青光眼患者中Farnsworth-Munsell 100色觉试验的颜色轴评估
Graefes Arch Clin Exp Ophthalmol. 1996 Aug;234 Suppl 1:S180-6. doi: 10.1007/BF02343069.