Dethecting glaucomatous damage with the Friedmann analyzer compared with te Goldmann perimeter and evaluation of stereoscopic photographs of the optic disk.
Dethecting glaucomatous damage with the Friedmann analyzer compared with te Goldmann perimeter and evaluation of stereoscopic photographs of the optic disk.
复制标题
使用弗里德曼分析仪与戈德曼周长仪比较来检测青光眼损伤并评估视神经盘的立体照片。
DOI：
10.1016/0002-9394(83)90262-3
复制
发表时间：
1983
影响因子：
4.2
通讯作者：
Anderson,DR
中科院分区：
文献类型：
--
作者：
Batko,KA;Anctil,JL;Anderson,DR
我们使用带有 98 孔板的弗里德曼视野分析仪测试 32 只正常对照眼，并建立高度具体的异常标准。当这些标准后来应用于另外 50 只正常对照眼的测试时，没有出现假阳性异常。根据这些标准，弗里德曼视野分析仪被证明在检测早期青光眼视野缺陷方面至少与使用戈德曼视野计进行仔细的手动视野检查一样灵敏。除了具有高灵敏度和特异性外，采用 98 孔板的弗里德曼视野分析仪速度快，只需很少的培训即可操作。相比之下，视盘立体照片的检查在检测或提示视野丧失的青光眼损伤方面也很敏感，但一些正常对照视神经也被认为是可疑的。忽略可疑的视盘以减少假阳性结果提高了特异性，但同时降低了检测明确视野损失的灵敏度。视盘评估和视野测试（使用 Goldmann 或 Friedmann 仪器）相结合比单独使用任何一种测试都能更好地检测到早期病例，因为每种方法都能发现另一种方法遗漏的一些早期病例。
We used a Friedmann visual field analyzer with a 98-hole plate to test 32 normal control eyes and to establish highly specific criteria for abnormality. When these criteria were later applied to the testing of 50 additional normal control eyes, there were no false-positive abnormalities. With these criteria, the Friedmann visual field analyzer proved to be at least as sensitive as careful manual perimetry with the Goldmann perimeter in detecting early glaucomatous visual field defects. In addition to having high sensitivity and specificity, the Friedmann visual field analyzer with the 98-hole plate is rapid and requires very little training to operate.By way of comparison, examination of stereoscopic photographs of the optic disk was also sensitive in detecting or suggesting glaucomatous damage with visual field loss, but some of the normal control optic nerves were also considered suspect. Ignoring the suspect disks in order to reduce false-positive results improved specificity but simultaneously reduced sensitivity for detecting definite visual field loss. The combination of optic disk evaluation and visual field testing (with either the Goldmann or the Friedmann instrument) better detected early cases than did either test alone, because each method picked up some early cases missed by the other.