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白内障手术前后的眩光障碍和对比敏感度

Glare disability and contrast sensitivity before and after cataract surgery.

作者信息

Superstein R, Boyaner D, Overbury O, Collin C

机构信息

Department of Ophthalmology, Sir Mortimer B. Davis Jewish General Hospital, McGill University, Quebec, Canada.

出版信息

J Cataract Refract Surg. 1997 Mar;23(2):248-53. doi: 10.1016/s0886-3350(97)80349-5.

DOI:10.1016/s0886-3350(97)80349-5
PMID:9113577
Abstract

PURPOSE

To determine whether brightness-induced glare decreases spatial contrast sensitivity and visual acuity in preoperative cataract patients with functional visual complaints and to compare preoperative with postoperative results.

SETTING

Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada.

METHODS

Twenty patients with a visual acuity of 20/70 or better at the time of chart selection and no other ocular pathology who were referred for cataract surgery were evaluated with the Optec 3000 vision tester to assess contrast sensitivity and visual acuity in the presence and absence of glare. Testing was done preoperatively and 1 and 3 months postoperatively.

RESULTS

An analysis of variance indicated that there were statistically significant double interactions between the preoperative/postoperative and glare/no-glare variables and between the preoperative/postoperative and spatial frequency variables. Postoperatively, visual acuity and contrast sensitivity improved to within normal limits. There were no statistically significant differences in visual acuity and spatial contrast sensitivity between 1 and 3 months postoperatively.

CONCLUSION

Spatial contrast sensitivity and glare testing provided objective assessment of patients who had good visual acuity yet also had functional complaints.

摘要

目的

确定亮度诱导眩光是否会降低术前有功能性视力问题的白内障患者的空间对比敏感度和视敏度,并比较术前和术后结果。

地点

加拿大魁北克省蒙特利尔市莫蒂默·B·戴维斯爵士犹太综合医院。

方法

选取20例在选择研究对象时视力为20/70或更好且无其他眼部病变、因白内障手术前来就诊的患者,使用Optec 3000视觉测试仪评估有无眩光情况下的对比敏感度和视敏度。术前以及术后1个月和3个月进行测试。

结果

方差分析表明,术前/术后与眩光/无眩光变量之间以及术前/术后与空间频率变量之间存在统计学上显著的双重交互作用。术后,视敏度和对比敏感度提高到正常范围内。术后1个月和3个月之间,视敏度和空间对比敏感度无统计学上的显著差异。

结论

空间对比敏感度和眩光测试为视力良好但仍有功能性视力问题的患者提供了客观评估。

相似文献

1
Glare disability and contrast sensitivity before and after cataract surgery.白内障手术前后的眩光障碍和对比敏感度
J Cataract Refract Surg. 1997 Mar;23(2):248-53. doi: 10.1016/s0886-3350(97)80349-5.
2
Functional complaints, visual acuity, spatial contrast sensitivity, and glare disability in preoperative and postoperative cataract patients.术前和术后白内障患者的功能主诉、视力、空间对比敏感度和眩光残疾情况。
J Cataract Refract Surg. 1999 Apr;25(4):575-81. doi: 10.1016/s0886-3350(99)80059-5.
3
The association of postoperative subjective visual function with acuity, glare, and contrast sensitivity in patients with early cataract.早期白内障患者术后主观视觉功能与视力、眩光及对比敏感度的相关性
Arch Ophthalmol. 1996 May;114(5):529-36. doi: 10.1001/archopht.1996.01100130521004.
4
Impact of cataract surgery on self-reported visual difficulties: comparison with a no-surgery reference group.白内障手术对自我报告的视觉困难的影响:与非手术参照组的比较。
J Cataract Refract Surg. 2003 May;29(5):941-8. doi: 10.1016/s0886-3350(02)01846-1.
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Comparison of acuity, contrast sensitivity, and disability glare before and after cataract surgery.白内障手术前后视力、对比敏感度和失能眩光的比较。
Arch Ophthalmol. 1993 Jan;111(1):56-61. doi: 10.1001/archopht.1993.01090010060027.
6
[Early clinical evaluation of visual function in patients with age-related cataract].[年龄相关性白内障患者视觉功能的早期临床评估]
Zhonghua Yan Ke Za Zhi. 2006 Mar;42(3):236-40.
7
Cataract in traffic.交通中的白内障。
Graefes Arch Clin Exp Ophthalmol. 1999 Apr;237(4):278-82. doi: 10.1007/s004170050233.
8
Assessing the reliability, discriminative ability, and validity of disability glare tests.评估残疾眩光测试的可靠性、辨别能力和有效性。
Invest Ophthalmol Vis Sci. 1993 Jan;34(1):108-19.
9
Effect of cataract surgery on contrast sensitivity and glare in patients with 20/50 or better Snellen acuity.白内障手术对视力为20/50或更好的患者对比敏感度和眩光的影响。
J Cataract Refract Surg. 1994 Nov;20(6):620-5. doi: 10.1016/s0886-3350(13)80650-5.
10
Clinical measurement of glare effect in cataract patients.白内障患者眩光效应的临床测量。
Ann Ophthalmol. 1989 May;21(5):183-7.

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