对眼内压力测量的比较分析,跨越不同度法和经验水平
Şerife Çiloğlu Hayat1, Yusuf Cem Yılmaz1, Hatice Davarcı2
1Specialist Dr, Basakşehir Cam Sakura State Hospital, Department of Ophthalmology, Istanbul, Turkey.
Korean journal of ophthalmology : KJO
|February 23, 2026
概括
戈德曼平面度测量 (GAT) 在眼科医生中显示出显著的观察者间变异性,经验较少的临床医生影响了测量准确性. 非接触性度测量 (NCT) 也显示出变异性,这表明在临床解释方面要谨慎,需要进行结构化培训.
科学领域:
- 眼科医生 眼科 眼科
- 视光学测量 视光学测量 视光学测量
- 临床测量 临床测量
背景情况:
- 眼内压力 (IOP) 测量对于青光眼的诊断和管理至关重要.
- 戈德曼平面度测量 (GAT) 是一种标准方法,但其可重现性可能会受到观察者经验的影响.
- 非接触性度测量 (NCT) 提供了一种更快,更替代的方法,但其与GAT的协议需要评估.
研究的目的:
- 评估不同经验水平的眼科医生之间戈德曼平面化度测量 (GAT) 的观察者间变异性.
- 评估测量眼内压力 (IOP) 的非接触性度计 (NCT) 和GAT之间的协议.
主要方法:
- 一项涉及210名患者的横截面观察性研究.
- 使用NCT对右眼进行IOP测量,然后在右眼进行GAT测量.
- 三名观察员参与:一名高级眼科医生 (Obs1) 和两名住院医生 (Obs2,Obs3).
主要成果:
- 在高级眼科医生和一名住院医生 (Obs2) 之间,以及高级眼科医生和NCT之间,发现了GAT-IOP测量的显著差异.
- 平均差异 (MD) 和95%的一致度极限 (LoA) 不同:Obs1与Obs2 (0.8 mmHg,±5.7 mmHg),Obs1与Obs3 (0.4 mmHg,±6.5 mmHg),Obs1与NCT (-0.9 mmHg,±7.3 mmHg).
- 与Obs3和NCT相比,Obs2读数的更高百分比在Obs1的±4 mmHg范围内;NCT显示了广泛的LoA,特别是在正常压力小组中.
结论:
- 在GAT测量中观察者间的变异性超过了±4 mmHg的临床基准,这表明在经验较少的观察者中可能存在与技能相关的准确性问题.
- 临床医生在解释NCT结果时应谨慎,特别是在术后或治疗调整期间.
- 结构化的培训协议和与GAT的交叉检查可以提高IOP测量的一致性.
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