Accuracy of pattern deviation in estimating the glaucomatous damage in the central 10° visual field in eyes with glaucoma and cataract
Accuracy of pattern deviation in estimating the glaucomatous damage in the central 10° visual field in eyes with glaucoma and cataract
复制标题
模式偏差估计青光眼和白内障眼中央10°视野青光眼损伤的准确性
DOI：
10.1136/bjo-2022-322274
复制
发表时间：
2022
影响因子：
4.1
通讯作者：
Tanito Masaki
中科院分区：
文献类型：
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作者：
Tomita Ryo;Asaoka Ryo;Hirasawa Kazunori;Fujino Yuri;Nakakura Shunsuke;Murata Hiroshi;Omura Tetsuo;Shoji Nobuyuki;Obana Akira;Nishiguchi Koji M;Tanito Masaki
背景/目的模式偏差（PD）在评估青光眼合并白内障患者中央10°的青光眼视野（VF）损害时的准确性尚不清楚。方法回顾性分析52例成功行白内障手术或白内障手术加人工晶状体植入术的青光眼患者的63眼。使用Humphrey Field analyzer 10-2测试，在术前和术后6个月内测量VF（分别为VF前和VF后）。VFpost平均总偏差值（mTDpost）表示无白内障青光眼损害，并评价该值与VFpre平均PD值（mPDpre）的差值（εmPD）。然后用mtdpost和mTDpre（ΔmTD）的差异来评估白内障的效果，同时评估mtdpoststand ΔmTD对εmPD的影响。此外，基于术前视力（VApre）和VFpre，确定了预测mtdpost的最佳模型。将该方法的误差（εOptimalModel）估计为与mTDpost的差值，并与εmPD进行比较。结果与mTDpre相比，mTDpost有显著改善（p=0.028）。mpdpred和mTDpost之间存在显著差异（p<0.001）。此外，随着mTDpostor ΔmTD的增加，εmPD显著增加（p<0.001, p=0.0444）。εOptimalModel的绝对值显著小于εmPD的绝对值（p<0.001）。结论本研究提醒临床医生，中央10°VF的PD可能低估了青光眼VF在青光眼发展过程中的损害，而高估了其在白内障发展过程中的损害。
Background/aimsThe accuracy of pattern deviation (PD) in estimating the damage to the glaucomatous visual field (VF) in the central 10° in eyes with glaucoma and cataract is unclear.MethodsThis retrospective study includes 63 eyes of 52 glaucoma patients who successfully underwent cataract surgery or cataract surgery plus iStent implantation. Using the Humphrey Field Analyser 10–2 test, VF was measured within 6 months preoperatively and postoperatively (VFpreand VFpost, respectively). The mean total deviation values in VFpost(mTDpost) indicates glaucomatous damage without cataract and the difference between this value and mean PD values in VFpre(mPDpre) was evaluated (εmPD). The effect of cataract was then evaluated as the difference between mTDpostand mTDpre(ΔmTD), while the effects of mTDpostand ΔmTD on εmPD were also assessed. In addition, based on preoperative visual acuity (VApre) and VFpre, the optimal model for predicting mTDpostwas identified. The error of this method (εOptimalModel) was estimated as the difference against mTDpost, which was compared with εmPD.ResultsCompared with mTDpre, there was a significant improvement in mTDpost(p=0.028). A significant difference was observed between mPDpreand mTDpost(p<0.001). Further, εmPD significantly increased with the increase of mTDpostor ΔmTD (p<0.001 and p=0.0444, respectively). The absolute εOptimalModel was significantly smaller than the absolute εmPD (p<0.001).ConclusionsThis study warns clinicians that PD of the central 10° VF might underestimate the glaucomatous VF damage with the progression of glaucoma and overestimate it as a cataract progresses.
影响因子：
4.2
作者：
Park, Hae-Young Lopilly;Hwang, Bo-Een;Park, Chan Kee
通讯作者：
Park, Chan Kee
影响因子：
6.6
作者：
Nakagawa, Shinichi;Schielzeth, Holger
通讯作者：
Schielzeth, Holger
DOI：
10.1034/j.1600-0420.1999.770201.x
发表时间：
1999-04-01
期刊：
ACTA OPHTHALMOLOGICA SCANDINAVICA
影响因子：
--
作者：
Bengtsson, B;Heijl, A
通讯作者：
Heijl, A