Relationship between Car Accidents and Visual Field Defects in Severe Glaucoma Patients

我们对29例重度青光眼患者和29例年龄匹配的早、中期青光眼患者过去5年的机动车事故史进行了回顾性研究。早期青光眼受累2例，中期受累0例，重度受累10例。对于35例严重青光眼患者，双眼综合视野(IVF)通过合并单眼HFA30-2的结果来计算。我们比较了那些经历过MVA的人和那些没有经历过意外的人的试管婴儿。有MVA经历的患者，在视点5°以内的右眼MD较低(P=0.03)，下半影敏感度较低(P=0.002)。

We retrospectively studied the motor vehicle accidents (MVAs) history for the past five years of twenty nine patients with severe glaucoma and twenty nine age-matched patients with early-stage and middle-stage glaucoma. The number of cases who were involved MVAs was 2 in early stage glaucoma patients, 0 in middle-stage and 10 in severe-stage. Severe visual field defects had an increased risk of an MVA.As for 35 severe glaucoma patients, the binocular integrated visual field (IVF) was calculated by merging the results from the monocular HFA30-2. We compared the IVF between those who had experienced MVAs and those who had not experienced an accident. Patients who had experienced MVAs had lower MD in the better eye (P=0.03) and lower IVF sensitivities in the lower hemifield within 5° of the fixation point (P=0.002).