Automated perimetry detects visual field loss before manual Goldmann perimetry.
Automated perimetry detects visual field loss before manual Goldmann perimetry.
复制标题
自动视野检查在手动 Goldmann 视野检查之前检测视野丧失。
DOI：
10.1016/s0161-6420(95)31060-3
复制
发表时间：
1995
期刊：
影响因子：
13.7
通讯作者：
Sommer,A
中科院分区：
文献类型：
--
作者：
Katz,J;Tielsch,JM;Quigley,HA;Sommer,A
目的：以确定是否自动视野检查检测视野缺损之前手动Goldmann perimetry.Methods：对象与高眼压症无现场损失详细手动perimetry前瞻性每年自动和手动视野检查。手动视野检查视野丧失的受试者与无视野丧失的受试者年龄匹配。比较两组患者手动视野检查视野丧失前1年的自动视野。受试者从眼科医生办公室、眼科诊所和巴尔的摩地区基于人群的青光眼调查中招募。汉弗莱场分析仪检测到的异常结果进行了定义，使用青光眼hemifield测试，平均缺陷，并纠正模式standarddeviation.Results：40名受试者在8年的随访期间有场损失进行了比较，145名对照组高眼压谁没有缺陷。75%的转换者在手动视野检查视野丧失前1年的青光眼半视野测试结果异常，而22%的对照者青光眼半视野测试结果异常（比值比，13.4）。对于青光眼半视野测试结果为临界值的受试者，相对于对照受试者，12个月内手动视野检查视野丧失的比值比为3.3。校正模式标准差的优势比为6.0（P< 0.05），平均差的优势比为3.9（P< 0.05）。结论：手动视野检查视野丢失者在转换前1年比未转换者更可能有异常自动视野。然而，在研究期间手动视野检查未出现明确视野丧失的受试者中，22%在一次访视时出现异常自动视野，15%在连续两次访视时出现异常自动视野。
Purpose:To determine if automated perimetry detects visual field defects before manual Goldmann perimetry.Methods:Subjects with ocular hypertension without field loss on detailed manual perimetry were followed prospectively with annual automated and manual perimetry. Subjects with field loss on manual perimetry were age-matched post hoc to subjects who did not have field loss. The automated fields 1 year before the development of field loss on manual perimetry were compared between the two groups. Subjects were recruited from ophthalmologists' offices, eye clinics, and a population-based glaucoma survey in the Baltimore area. Abnormal results detected on the Humphrey Field Analyzer were defined using the glaucoma hemifield test, mean defect, and corrected-pattern standard deviation.Results:Forty subjects who had field loss during 8 years of follow-up were compared with 145 control subjects with ocular hypertension who did not have defects. Seventy-five percent of converters had abnormal results of the glaucoma hemifield test 1 year before field loss on manual perimetry, whereas 22% of controls had abnormal results of the glaucoma hemifield test (odds ratio, 13.4). The odds ratio of field loss developing on manual perimetry within 12 months was 3.3 for those with borderline results of the glaucoma hemifield test relative to the control subjects. The odds ratio was 6.0 for corrected-pattern standard deviation (P< 0.05) and 3.9 for mean deviation (P< 0.05).Conclusions:Those with field loss on manual perimetry were more likely to have had an abnormal automated field 1 year before conversion than those who did not convert. However, 22% of subjects in whom definitive field loss did not develop on manual perimetry during the study had abnormal automated fields at one visit and 15% had abnormal automated fields on two consecutive visits.