鉴于美国全国保险人群的典型视野测试频率,确定青光眼进展的时间
Brian C Stagg1, Ben J Brintz2, Joshua D Stein3
1Department of Ophthalmology and Visual Sciences, John Moran Eye Center, University of Utah, Salt Lake City, Utah; Department of Population Health Sciences, University of Utah, Salt Lake City, Utah.
Ophthalmology. Glaucoma
|November 28, 2025
概括
玻璃眼患者通常比推的频率少进行视野测试. 模拟显示,在目前的测试速度下,检测进展可能需要超过24年,这凸显了更频繁的查的必要性.
科学领域:
- 眼科医生 眼科 眼科
- 医疗模拟 医疗模拟
- 公共卫生 公共卫生
背景情况:
- 美国的眼光视野测试比美国眼科学会 (AAO) 推的年度查更少.
- 测试之间的中位时间为1.59年,四分位数间的范围为1.14-3.03年.
研究的目的:
- 根据当前的测试频率,确定检测青光眼视野进展所需的时间.
- 使用模拟建模,将检测时间与AAO推的年度查进行比较.
主要方法:
- 来自杜克玻璃眼注册局 (DGR) 的回顾性临床数据用于模拟建模.
- 模型评估了在各种测试频率 (第25个,第50个,第75个百分点和年度) 的进展检测时间.
- 模拟结合了不同的基线平均偏差 (MD) 和进展率,将进展定义为显著的负MD斜率.
主要成果:
- 在测试场景中,检测80%的进展时间从7.1年到24.3年不等.
- 不太频繁的测试 (例如,每3.03年一次) 将检测时间延长到24年以上.
- 每年测试减少了检测时间,从7.1年到14.1年.
结论:
- 目前的视野测试频率不足以及时检测青光眼的进展.
- 需要更频繁的测试或开发替代检测方法.
- 临床决策支持系统可以个性化视觉现场测试频率.
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