偶数测量偏差与戈德曼平面化度在患有青光眼和青光眼疑似患者
Alina Shahid1, Kosha Patel1, Ramanjot K Kingra1
1Department of Clinical Education, Illinois Eye Institute, Illinois College of Optometry, Chicago, IL, USA.
Clinical & experimental optometry
|January 11, 2024
概括
临床医生表现出偶数偏差在执行高德曼平面化度测量时,这是一个标准的玻璃眼诊断工具. 这种偏差甚至在青光眼患者中仍然存在,可能会影响眼内压力测量的准确性.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜测量是指眼睛的测量.
- 临床测量 临床测量
背景情况:
- 戈尔德曼平面度测量是青光眼诊断和管理的标准.
- 之前的研究表明,一般患者群体中的偶数偏差.
- 这种偏差在青光眼患者中的持续性仍未得到研究.
研究的目的:
- 为了确定戈德曼平面化度测量中的偶数测量偏差是否在青光眼疑似患者和患者中持续存在.
- 评估潜在测量偏差对临床环境中的眼内压读数的影响.
主要方法:
- 从一个城市学术眼科护理服务的69000多个患者记录的回顾性分析.
- 包括对照组,青光眼疑似患者和接受戈德曼度测试的青光眼患者.
- 偶数与奇数计数眼内压测量的比较.
主要成果:
- 在所有研究组中都证实了偶数偏差.
- 对照显示,偶数比例为62.8% (p < 0.0001).
- 疑似青光眼患者 (61.9%),眼睛高血压患者 (66.0%) 和接受治疗的青光眼/眼睛高血压患者 (64.3%) 也表现出这种偏差 (p < 0.0001 对所有).
结论:
- 偶数测量偏差在戈德曼平面化度学中很普遍.
- 这种偏见可能会持续,即使临床医生意识到准确的眼内压力测量的重要性.
- 这些发现表明,在格劳科马评估中存在潜在的系统性错误.
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