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确定与视觉敏度和折射误差测量相关的变量:一个系统性审查
Casper van der Zee1, Marc M Muijzer2, Janneau Lj Claessens1
1Ophthalmology Department, University Medical Center Utrecht, Utrecht, the Netherlands.
Ophthalmology
|April 27, 2025
概括
在成年人中,远距离视敏度 (VA) 和折射误差 (RE) 的测量变异性很高,超过了推值. 需要进行新的研究,但建议暂时限值为VA的±0.20 logMAR和RE的±0.70 D.
科学领域:
- 眼科和眼镜检查的眼科和眼镜检查
- 临床测量科学 临床测量科学
背景情况:
- 精确测量远距离视敏度 (VA) 和折射误差 (RE) 对于有效的眼睛护理至关重要.
- 目前缺乏关于VA和RE可接受测量变量的科学共识.
- 现有文献表明,VA的变化极限为±0.15最小分辨率角的对数 (logMAR),RE的极限为±0.5二光度 (D).
研究的目的:
- 在成年人群中系统评估远距离视敏度 (VA) 和折射误差 (RE) 的测量变异性.
- 将当前的测量变化与已确定的或建议的临床极限进行比较.
主要方法:
- 一个遵循PRISMA指南的系统审查,注册在PROSPERO (ID CRD42024554663) 上.
- 在Medline,PubMed和Embase数据库中进行的搜索.
- 使用诊断准确性研究质量评估2 (QUADAS-2) 工具评估偏差风险;用于证据确定性的推,评估,开发和评估 (GRADE) 的分级.
主要成果:
- 包括12项VA和6项RE的研究;33%的研究表明关键领域的偏差风险低.
- 在69%的子组中,一致性极限 (LoA) 超过了建议的变化范围 (VA: ±0.15 logMAR,RE: ±0.5 D).
- 总体总结平均LoA为VA的±0.20 logMAR和RE的±0.70 D,证据确定性非常低.
结论:
- 距离VA和RE测量在成年人中表现出很高的变化,超过了建议的临床极限.
- 目前的证据不足以支持拟议的变异性极限,通常来自方法学上较弱的研究.
- 建议VA的临时参考值为±0.20 logMAR,RE的临时参考值为±0.70 D,等待更严格的研究.
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