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哪些青光眼患者可以从10-2视野测试中受益? 提出功能性脆弱性区域框架的建议

Jack Phu^1,2, Daniel Rafla¹, Michael Kalloniatis^1,2

¹School of Optometry and Vision Science, University of New South Wales, Kensington, NSW, Australia.

Clinical & experimental optometry

|December 6, 2023

概括

本研究介绍了一种方法,用于识别眼患者的功能脆弱区域 (FVZ),指导使用10-2视野测试进行增强监测. 识别FVZ有助于检测视野敏感度的微妙变化,这对玻璃眼病管理至关重要.

科学领域:

眼科医生眼科眼科
视觉现场测试视觉现场测试
青光眼的诊断青光眼的诊断

背景情况:

青光眼的管理需要精确的视野 (VF) 监控.
10-2 VF测试在特定情况下提供更高的灵敏度.
描述一个"功能漏洞区" (FVZ) 是优化VF测试策略的关键.

研究的目的:

试验一种方法,以确定10-2 VF测试网格在青光眼中的最佳部署.
定义"功能脆弱区" (FVZ) 以改善青光眼的评估.

主要方法:

对133名青光眼患者的24-2和10-2VF结果进行横截面分析.
"体积" (任意单位,A.U.) 的计算在中部的视野山下.
确定与A.U.显著相关的24-2因素. 24-2和10-2测试之间的差异.

主要成果:

超过55%的患者表现出FVZ,这表明10-2测试的灵敏度更高.
在24-2测试中,更差的平均偏差和更高比例的缺陷位置与FVZ有关.
一个24-2的平均偏差 -3.16到 -3.62dB和5+有缺陷的中央位置表明潜在的10-2测试实用.

结论:

来自24-2测试的临床标记可以指导10-2测试在青光眼评估中的有用性.
该研究为临床医生提供了一个试点参考工具,以评估FVZ环境中的10-2测试概率.
识别FVZ增强了未来对绿眼病患者视野监测的潜力.

关键词:

10-2-2 在这里,我们可以看到.24-2-2 时间是24-2 汉弗里场分析仪汉弗里场分析仪中央视野中心视野斑点视觉场所斑点视觉场所周边测量系统周边测量系统

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