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认知功能的作用视野可靠性指数在眼患者中的作用

Aona Ichitani¹, Eri Takao¹, Masaki Tanito¹

¹Department of Ophthalmology, Shimane University Faculty of Medicine, Enya 89-1, Izumo 693-8501, Japan.

Journal of clinical medicine

|November 25, 2023

概括

认知障碍 (CI) 影响了8.0%的青光眼患者,可能会影响视觉现场测试的可靠性. 早期评估认知功能对于准确的青光眼诊断和管理至关重要.

科学领域:

眼科医生眼科眼科
神经学神经学
老年病的医生老年病的医生

背景情况:

玻璃眼是导致不可逆转失明的主要原因.
认知障碍 (CI) 在老年人中很普遍,可能会影响测试表现.
视野 (VF) 测试对于青光眼的诊断和监测至关重要,但其可靠性可能会受到损害.

研究的目的:

为了确定青光眼患者中CI的患病率.
调查CI和VF可靠性指数 (假阴性,假阳性,固定损失) 之间的关联.

主要方法:

746名青光眼患者 (1,464只眼睛) 在第三级医院诊所进行了回顾性分析.
使用Mini-Cog测试评估的认知障碍.
使用混合效应回归模型进行统计分析,以调整混因素.

主要成果:

疑似CI的患病率为8.0% (60/746名患者).
异常的Mini-Cog得分与虚假阴性 (FN) 和虚假阳性 (FP) 在VF测试中的更高率显著相关.
较低的单词回忆得分与较高的FN率相关;较低的时钟绘图得分与较高的FP率相关.

结论:

认知障碍在玻璃眼患者中很常见,并显著影响VF测试可靠性.
评估认知功能对于准确地解释VF测试结果在绿眼的护理中很重要.
这些发现强调了需要将综合认知查纳入格洛科马治疗方案中的必要性.

关键词:

痴呆症痴呆症是一种痴呆症.玻璃眼 glaucoma 玻璃眼玻璃眼玻璃眼玻璃眼轻度的认知障碍轻度的认知障碍测试可靠性的测试可靠性视觉现场测试视觉现场测试

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