CAJ | 학술논문

目的对比蓝黄视野检查法(Blueon Yellow Perimetry,BYP)和自动视野检查法(Standard Automatic Perimerty,SAP)在原发性开角型青光眼(Primary Open Angle Glaucoma,POAG)诊断中的应用.方法选择POAG患者72例120只眼,男性46例76只眼,女性26例44只眼,左50只眼,右70只眼,年龄16～79岁,平均(43.87±17.53)岁,应用HUMPHERY750Ⅱ-i电脑自动视野计的标准检测程序和蓝黄视野榆测程序分别进行SAP和BYP的检测.结果 POAG早期SAP和BYP检测中,BYP更能在视野缺损深度和缺损范围上反映青光眼的视功能损害程度.POAG进展期BYP检测出部分SAP所不能检测出的缺损部位,检测到的缺损深度和SAP相同.POAG晚期的SAP和BYP检测到相同的缺损范围和缺损深度.视野指数中异常阈值点数最能反映POAG早期视野损害.结论 BYP比SAP更加适用于POAG的早期视野损害的筛查,在视功能出现广泛的受损时,BYP反映视野缺损的能力与SAP相当.
목적 대비람황시야검사법(Blueon Yellow Perimetry,BYP)화자동시야검사법(Standard Automatic Perimerty,SAP)재원발성개각형청광안(Primary Open Angle Glaucoma,POAG)진단중적응용.방법 선택POAG환자72례120지안,남성46례76지안,녀성26례44지안,좌50지안,우70지안,년령16～79세,평균(43.87±17.53)세,응용HUMPHERY750Ⅱ-i전뇌자동시야계적표준검측정서화람황시야유측정서분별진행SAP화BYP적검측.결과 POAG조기SAP화BYP검측중,BYP경능재시야결손심도화결손범위상반영청광안적시공능손해정도.POAG진전기BYP검측출부분SAP소불능검측출적결손부위,검측도적결손심도화SAP상동.POAG만기적SAP화BYP검측도상동적결손범위화결손심도.시야지수중이상역치점수최능반영POAG조기시야손해.결론 BYP비SAP경가괄용우POAG적조기시야손해적사사,재시공능출현엄범적수손시,BYP반영시야결손적능력여SAP상당.
Objective To evaluate application of Blue on Yellow Perimetry(BYP)and Standard Au-tomatic Perimerty(SAP)in the diagnosis of primary open angle glaucoma(POAG)patients.Methods A total of 72 patients (120 eyes)diagnosed POAG were enrolled for SAP and BYP examination.There were 26 females (44 eyes)and 46 males (76 eyes).50 left eyes, 70 Right eyes.Mean (SD)age of the patients was 43.87(17.53) years(range, 16-79 years).All patients were both examined blue on yellow with FASTPAC and SAP with SITA Standard strategy separately,using the Humphrey Field Analyzer 750 Ⅱ-i and Program 30-2.Results In the early period POAG patients,BYP compared SAP with the scope of defect was usually increased,deeper and wider.In the moderate POAG patients,BYP could detect some defects that SAP could not,and showed the same defect depth as SAP.In the advanced period the ability of BYP to reflect the visual field damage is as same as SAP.In visual field index for the diagnosis of contributions,the defect points are with the best diagnos-tic value.Conclusions BYP should be more suitable for the screening of POAG suspected.When extensive vi-sual field damage occurred, the diagnostic capability of BYP was equal to SAP.