24-2 ZEST和24-2 ZEST快速策略之间的比较,用于使用眼底周围的玻璃眼和眼睛高血压
Dario Romano1, Francesco Oddone2, Giovanni Montesano3,4
1Eye Clinic, ASST Santi Paolo e Carlo - San Paolo Hospital, University of Milan, Milan.
Journal of glaucoma
|January 21, 2024
概括
通过序列测试 (ZEST) 的Zippy估计FAST策略显著减少了青光眼和眼睛高血压患者的视觉现场测试时间. 这种更快的方法与标准ZEST策略相比,在周边损害量化方面保持了良好的一致性.
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:
- 视觉现场测试对于诊断和监测玻璃眼和眼睛高血压至关重要.
- 传统的视觉现场测试方法可能耗时,可能会影响患者的遵从性和吞吐量.
- 顺序测试 (ZEST) 的Zippy估计策略旨在优化视觉现场测试的效率.
研究的目的:
- 将ZEST FAST策略的检查时间与标准ZEST策略进行比较.
- 为了评估ZEST FAST策略的测试-重新测试可变性,在患有玻璃眼和眼睛高血压的患者中.
主要方法:
- 一项多中心的回顾性研究,涉及60名受试者 (30名青光眼,30名眼睛高血压).
- 每只眼睛都经历了三次视野检查,使用指南针外围与24-2网格:一个与ZEST和两个与ZEST快速.
- 分析包括平均检查时间,平均灵敏度和ZEST FAST测试-重新测试的变化.
主要成果:
- ZEST FAST显示检查时间显著缩短:38%的眼睛高血压 (223±29s vs 362±48s) 和31%的玻璃眼 (265±62s vs 386±78s).
- ZEST和ZEST FAST之间的平均灵敏度差异是微小的 (-0.24±1.30dB对于眼睛高血压, -0.14±1.08dB对于玻璃眼).
- ZEST FAST表现出良好的测试-重新测试可变性 (平均差异为0.2±0.8dB和0.24±0.96dB,分别为眼睛高血压和青光眼).
结论:
- 采用ZEST FAST策略,可显著减少视觉现场测试的持续时间.
- 在周边损害量化方面,ZEST FAST提供了与标准ZEST策略相似的结果.
- 这种优化的策略提高了效率,而不会影响对玻璃眼和眼睛高血压的诊断准确性.
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