Goldmann V Standard Automated Perimetry Underestimates Central Visual Sensitivity in Glaucomatous Eyes with Increased Axial Length
Goldmann V Standard Automated Perimetry Underestimates Central Visual Sensitivity in Glaucomatous Eyes with Increased Axial Length
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Goldmann V 标准自动视野检查会低估眼轴长度增加的青光眼眼的中央视觉敏感度
DOI：
10.1167/tvst.6.5.13
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发表时间：
2017
影响因子：
3
通讯作者：
Asaoka Ryo
中科院分区：
文献类型：
--
作者：
Yanagisawa Mieko;Murata Hiroshi;Matsuura Masato;Fujino Yuri;Hirasawa Kazunori;Asaoka Ryo
目的：探讨眼轴长度 (AL) 对视网膜神经纤维层 (RNFL) 厚度测量与 Goldmann III 和 V 测量视野 (VF) 敏感性之间的结构-功能关系的影响。 方法：本研究纳入 85 例原发性开角型青光眼患者的 85 只眼。所有患者均使用 Goldmann III 和 V 靶进行光学相干断层扫描和 VF（汉弗莱场分析仪 24-2 或 30-2）测量。将视盘和VF分为6个簇，并在每个簇中研究视盘周围视盘RNFL（cpRNFL）厚度与VF敏感性（Goldmann III或V）、年龄和AL之间的关系。结果：Goldmann III的视觉敏感性（19.3±11.7 dB，平均值±标准差）显着低于Goldmann V的视觉敏感性（24.6±11.0 dB，P<0.001，线性混合模型）。 Goldmann III 和 V 的视觉敏感性与所有簇中的 cpRNFL 厚度显着相关。两个靶标的鼻部视网膜区域的 AL 增加时，视觉敏感度降低，然而，仅在颞区的 Goldmann V 靶标中观察到这种现象。结论：用大小 V 靶标测量的视觉敏感度随着颞区 AL 的增加而降低，该颞区对应于乳头黄斑束。在鼻部视网膜区域，Goldmann III 和 Goldmann V 的视觉敏感性随着 AL 的增加而降低。 转化相关性：在 AL 增加的青光眼眼中使用 Goldmann V 靶标测量视觉敏感性时需要仔细考虑。
Purpose: To investigate the effect of axial length (AL) on the structure–function relationship between retinal nerve fiber layer (RNFL) thickness measurements and visual field (VF) sensitivity measured with Goldmann III and V.Method: There were 85 eyes of 85 patients with primary open angle glaucoma included in the current study. Optical coherence tomography and VF (Humphrey Field Analyzer 24-2 or 30-2) measurements with Goldmann III and V targets were carried out in all patients. The optic disc and the VF were divided into six clusters and the relationship between circumpapillary RNFL (cpRNFL) thickness and VF sensitivity (with Goldmann III or V), age, and AL were investigated in each cluster.Result: Visual sensitivity with Goldmann III (19.3±11.7 dB, mean±standard deviation) was significantly lower than that with Goldmann V (24.6±11.0 dB, P< 0.001, linear mixed model). Visual sensitivities with both Goldmann III and V were significantly correlated with cpRNFL thickness in all clusters. Visual sensitivity decreased with increasing AL in the nasal retinal area for both targets, however, this phenomenon was only observed with the Goldmann V target in the temporal area.Conclusion: Visual sensitivity measured with the size V target decreases with increasing AL in the temporal area, which corresponds to the papillomacular bundle. In the nasal retinal area, visual sensitivity decreases with the increase of AL for both Goldmann III and Goldmann V.Translational Relevance: Careful consideration is needed when measuring visual sensitivity using Goldmann V target in glaucomatous eyes with increased AL.
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影响因子：
4.4
作者：
Redmond, Tony;Garway-Heath, David F.;Anderson, Roger S.
通讯作者：
Anderson, Roger S.
视盘和神经纤维层检查在监测早期青光眼损伤进展中的评估。
影响因子：
13.7
作者：
Quigley,HA;Katz,J;Derick,RJ;Gilbert,D;Sommer,A
通讯作者：
Sommer,A
影响因子：
2
作者：
Mori, Satoshi;Hangai, Masanori;Yoshimura, Nagahisa
通讯作者：
Yoshimura, Nagahisa
影响因子：
3.4
作者：
Araie, Makoto;Shirato, Shiroaki;Ohashi, Yasuo
通讯作者：
Ohashi, Yasuo
影响因子：
--
作者：
SOMMER, A;KATZ, J;WITT, KA
通讯作者：
WITT, KA