Comparison of diagnostic accuracy between Octopus 900 and Goldmann kinetic visual fields.

Comparison of diagnostic accuracy between Octopus 900 and Goldmann kinetic visual fields.
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DOI:
10.1155/2014/214829
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发表时间:
2014
影响因子:
--
通讯作者:
Rowlands A
Rowlands A
中科院分区:
生物学3区
文献类型:
--
作者:
Rowe FJ;Rowlands A

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目的.比较Octopus 900视野计和Goldmann视野计对动态视野检查的诊断准确性。方法.对40例全视野对照受试者和50例已知视野丧失患者进行前瞻性横断面评价。Octopus 3、5和10°/sec刺激速度的等电位线的测试持续时间和面积测量比较。Octopus与Goldmann视野检查的测试持续时间和视野分类类型的比较。对结果进行独立分级,以确定是否存在视野缺损以及缺损的类型和位置。统计学评价包括ANOVA和配对t检验,用于评价Bonferroni调整的参数数据。Bland Altman和Kappa检验用于测量数据之间的一致性。结果Octopus 5°/sec视野检查的测试持续时间与Goldmann视野检查相当。Octopus视野检查可靠地检测到视野损失的类型和位置,其中88.8%的结果与Goldmann结果匹配(K = 0.775)。结论.动态视野检查需要个体定制以确保准确性。Octopus视野检查可重现是否存在视野缺损。使用Octopus视野检查时,我们的筛选方案为5°/秒,用于确定外周等深线的边界,3°/秒用于盲点标测,并进一步评估缺损深度和尺寸的视野损失面积。
Purpose. To determine diagnostic accuracy of kinetic visual field assessment by Octopus 900 perimetry compared with Goldmann perimetry. Methods. Prospective cross section evaluation of 40 control subjects with full visual fields and 50 patients with known visual field loss. Comparison of test duration and area measurement of isopters for Octopus 3, 5, and 10°/sec stimulus speeds. Comparison of test duration and type of visual field classification for Octopus versus Goldmann perimetry. Results were independently graded for presence/absence of field defect and for type and location of defect. Statistical evaluation comprised of ANOVA and paired t test for evaluation of parametric data with Bonferroni adjustment. Bland Altman and Kappa tests were used for measurement of agreement between data. Results. Octopus 5°/sec perimetry had comparable test duration to Goldmann perimetry. Octopus perimetry reliably detected type and location of visual field loss with visual fields matched to Goldmann results in 88.8% of results (K = 0.775). Conclusions. Kinetic perimetry requires individual tailoring to ensure accuracy. Octopus perimetry was reproducible for presence/absence of visual field defect. Our screening protocol when using Octopus perimetry is 5°/sec for determining boundaries of peripheral isopters and 3°/sec for blind spot mapping with further evaluation of area of field loss for defect depth and size.
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