在驾驶评估诊所对格朗哥马患者的主观症状和视野损伤之间的差异和一致性
Shiho Kunimatsu-Sanuki1,2, Takeo Fukuchi3, Masayo Takahashi4,5
1Nishikasai Inouye Eye Hospital, Tokyo, Japan. shihoktky@gmail.com.
Scientific reports
|January 3, 2025
概括
许多青光眼患者驾驶可能无法识别视觉症状,即使是严重的疾病. 降低高级集成视野 (IVF) 灵敏度与主观驾驶症状有关.
科学领域:
- 眼科医生 眼科 眼科
- 视觉神经科学是一种神经科学.
- 驾驶安全 驾驶安全 驾驶安全
背景情况:
- 玻璃眼是一种渐进的视神经病变,影响了外周视力.
- 玻璃眼中视野损失可能会损害驾驶性能和安全.
- 司机在驾驶过程中对视力缺陷的主观意识在青光眼患者中尚不清楚.
研究的目的:
- 为了调查绿眼病患者在日常驾驶过程中经历的主观视觉症状.
- 确定与这些症状存在相关的因素,包括视野参数和驾驶模拟器性能.
- 为了探索青光眼严重程度和报告的驾驶症状之间的关系.
主要方法:
- 227名青光眼患者填写了有关驾驶症状的问卷,并接受了汉弗瑞场分析仪24-2 (HFA 24-2) 测试和驾驶模拟器 (DS) 评估.
- 综合视野 (IVF) 从HFA 24-2数据计算出来.
- 多变量逻辑回归分析了与主观驾驶症状相关的因素.
主要成果:
- 63.9%的患者报告没有主观驾驶症状.
- 症状患病率随着绿眼病的严重程度而增加:22.9% (轻度),36.6% (中度),41.7% (严重).
- 患有症状的患者的眼睛平均偏差 (MD) 更差,并较低的优异IVF灵敏度 (0°-12°),与症状显著相关 (OR:1.07).
结论:
- 许多青光眼患者,包括那些患有严重疾病的人,可能缺乏对视觉症状影响他们的驾驶意识.
- 降低高级IVF灵敏度是一个重要的因素,有助于主观驾驶症状在玻璃眼.
- 客观的视觉现场测试对于评估青光眼患者驾驶风险至关重要.
相关概念视频
01:22Photoreceptors and Visual Pathways
5.6K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
5.6K
01:25Glaucoma: Overview
502
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
502