CLOCK CHARTA®: a novel multi-stimulus self-check visual field screener
CLOCK CHARTA®: a novel multi-stimulus self-check visual field screener
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DOI：
10.1007/s10384-014-0368-7
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发表时间：
2015-05-01
影响因子：
2.4
通讯作者：
Shimomura, Yoshikazu
中科院分区：
文献类型：
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作者：
Matsumoto, Chota;Eura, Mariko;Shimomura, Yoshikazu
时钟图(A(R))是本课题组研制的多刺激型自检视野筛查表。检查过程中旋转测试图，由患者自己指出视野异常。对114例(平均年龄60.0±11.1岁)青光眼患者的114只眼和45例(平均年龄45.0±16.4岁)正常人的45只眼(平均年龄45.0±16.4岁)进行了研究。使用Octopus 101 G2程序获得静态视野，并使用由Greve(0-I至IV期)和平均缺陷(MD；早期和早期)和平均缺陷(MD；早期6分贝；中等6分贝；中等6分贝；货币千分贝MD；12分贝)修改的Aulhorn分类进行分类。在整个25A视野以及5A度、10A度、15A度、20A度和25A度偏心区评价时钟图(A(R))对检测视野异常的敏感性和特异性。在青光眼中，GREVE I、II、III-VI期钟图(A(R))的敏感度分别为85%、93%、100%，早、中、重度眼的MD值分别为87、93、97%。钟表(A(R))视野缺损区与静止场的符合率在0~I级和II~VI级分别为85%和100%，在早、中、重度青光眼中分别为91%、96%和96%。时钟图(A(R))的特异度为89%，CLOCK图(A(R))是一种简便、可靠的检测青光眼患者视野异常的自查筛查表。
CLOCK CHART(A (R)) is a multi-stimulus-type self-check visual field screening sheet developed by our group. The test chart is rotated during the examination, and the visual field abnormalities are pointed out by the patients themselves. In this study, we evaluated the clinical usefulness of this chart in patients with glaucoma.We studied 114 eyes of 114 glaucoma patients (average age 60.0 +/- A 11.1 years) and 45 eyes of 45 normal individuals (average age 45.0 +/- A 16.4 years) using CLOCK CHART(A (R)). The static visual fields were obtained using the Octopus 101 G2 program and classified using the Aulhorn classification as modified by Greve (stages 0-I to IV) and by mean defect (MD; early < 6 dB; moderate 6 a parts per thousand currency sign MD a parts per thousand currency sign12 dB; severe > 12 dB).The sensitivity and specificity of CLOCK CHART(A (R)) for detecting visual field abnormalities were evaluated within the entire 25A degrees field and at the 5A degrees, 10A degrees, 15A degrees, 20A degrees, and 25A degrees eccentricity zones. The visual field agreement between the results of CLOCK CHART(A (R)) and the static visual fields were also evaluated.In glaucomatous eyes, the sensitivity of CLOCK CHART(A (R)) was 85, 93, and 100 % for Greve stages I, II and III-VI, respectively, and 87, 93, and 97 % for the MD value in early, moderate, and severe eyes, respectively. The agreement of the visual field defect area in CLOCK CHART(A (R)) with the static fields was 85 and 100 % with Greve stages 0-I to I and II-VI, respectively, and 91, 96, and 96 % in early, moderate and severe glaucomatous eyes according to MD, respectively. The specificity of CLOCK CHART(A (R)) was 89 %.CLOCK CHART(A (R)) is a simple and reliable self-check screening chart for detecting visual field abnormalities in patients with glaucoma.