在患有多焦眼内眼镜的患者中,长视镜校正镜片对汉弗雷视野测试的影响
Naris Kitnarong1, Sakaorat Petchyim1, Pennapar Jampathong1
1Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Medicine
|October 13, 2023
概括
多焦眼内透镜 (MIOL) 不需要长视镜校正镜头 (PC) 进行汉弗雷视野 (HVF) 测试. 这一发现适用于不同的MIOL模型,简化了伪发病患者的视野评估.
科学领域:
- 眼科医生 眼科 眼科
- 视觉电生理学 视觉电生理学
- 青光眼的诊断 青光眼的诊断
背景情况:
- 在患有多焦眼内透镜 (MIOL) 的患者中,汉弗雷视野 (HVF) 测试通常包含长视镜校正镜头 (PC).
- 有限的数据存在于PC对HVF结果的影响,特别是在MIOL患者身上.
研究的目的:
- 为了研究长视镜校正镜片 (PC) 对汉弗雷视野 (HVF) 测试结果的影响,在植入多焦内眼镜片 (MIOL) 的患者中测试结果.
- 用两种不同的MIOL模型在伪发病患者中比较PC和没有PC的HVF结果.
主要方法:
- 这是一项前性,比较性交叉研究,涉及51名伪发病患者 (82只眼睛) 患有早期绿内障或非绿内障.
- 在眼睛上使用TECNIS ZM900或Acrysof IQ ReSTOR SN6AD1 MIOL进行了HVF测试,并没有PC.
- 测试条件之间的平均偏差 (MD),模式标准偏差 (PSD) 和可靠性指数的比较.
主要成果:
- 在可靠性指数 (固定损失,假阳性,假阴性) 中没有统计学上显著的差异,有或没有PC.
- 整体平均偏差 (MD) 显示出轻微但具有统计学意义的差异 (-3.5与PC相比 -3.1没有PC,P = .01).
- 在没有PC的情况下,TECNIS ZM900 MIOL显著改善了MD,尽管在临床上没有显著意义;Acrysof IQ ReSTOR SN6AD1没有显著差异.
结论:
- 在使用多焦眼内眼镜 (MIOL) 的伪眼病患者中,对于汉弗雷视野 (HVF) 测试,长视镜校正镜头 (PC) 可能不需要.
- 测试的MIOL模型,TECNIS ZM900和Acrysof IQ ReSTOR SN6AD1,产生了可比的HVF结果与PC和没有PC.
- 没有PC的HVF测试是MIOL患者的可行选择,简化了检查过程.
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