中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
8期
957-961
,共5页
马瑾%钟勇%赖宗白%王一玮
馬瑾%鐘勇%賴宗白%王一瑋
마근%종용%뢰종백%왕일위
视野计,Goldmann,Octopus%视野缺损
視野計,Goldmann,Octopus%視野缺損
시야계,Goldmann,Octopus%시야결손
Perimetry%Goldmann%Octopus%Visual field loss
目的 评价Octopus101视野计动态视野GKP (Goldmann Kinetic Perimetry)模块在眼科的应用.方法 对已确诊明确有视野缺损患者67例(107只眼)行动态视野GKP模块检查；其中青光眼24例(38只眼)、前部缺血性视神经病变18例(21只眼)、偏盲25例(48只眼),并对同一患者动、静态视野配对图进行一致性分析；同时检测GKP模块的重复性.结果 67例患者中男性27例,女性40例；平均年龄(50.7±12.7)岁(18～82岁)；视力范围在0.3～1.2之间；青光眼组、前部缺血性视神经病变组、偏肓组平均动态视野GKP检查时间分别为(8.43±2.21) min、(8.52±1.49) min、(6.89±2.06)min;各组Ⅲ4e和Ⅰ4e两种视标参数等视线面积相比差异具有统计学意义(均P＜0.01)；同一患者动、静态视野图形匹配在青光眼组76.32％ (29/38)；前部缺血性视神经病变组83.33％ (15/18)；偏盲组100％ (48/48)；Ⅲ4e和Ⅰ4e两种视标参数在两次重复检查(GKP1,GKP2)等视线面积差异均无统计学意义(分别P=0.68,P=0.59),两次重复检查结果相关性好(Spearman线性相关分析,均P＜0.001).结论 Octopus101 GKP模块可应用于青光眼、前部缺血性视神经病变、偏盲患者的诊断和定量随访,并重复性好.
目的 評價Octopus101視野計動態視野GKP (Goldmann Kinetic Perimetry)模塊在眼科的應用.方法 對已確診明確有視野缺損患者67例(107隻眼)行動態視野GKP模塊檢查；其中青光眼24例(38隻眼)、前部缺血性視神經病變18例(21隻眼)、偏盲25例(48隻眼),併對同一患者動、靜態視野配對圖進行一緻性分析；同時檢測GKP模塊的重複性.結果 67例患者中男性27例,女性40例；平均年齡(50.7±12.7)歲(18～82歲)；視力範圍在0.3～1.2之間；青光眼組、前部缺血性視神經病變組、偏肓組平均動態視野GKP檢查時間分彆為(8.43±2.21) min、(8.52±1.49) min、(6.89±2.06)min;各組Ⅲ4e和Ⅰ4e兩種視標參數等視線麵積相比差異具有統計學意義(均P＜0.01)；同一患者動、靜態視野圖形匹配在青光眼組76.32％ (29/38)；前部缺血性視神經病變組83.33％ (15/18)；偏盲組100％ (48/48)；Ⅲ4e和Ⅰ4e兩種視標參數在兩次重複檢查(GKP1,GKP2)等視線麵積差異均無統計學意義(分彆P=0.68,P=0.59),兩次重複檢查結果相關性好(Spearman線性相關分析,均P＜0.001).結論 Octopus101 GKP模塊可應用于青光眼、前部缺血性視神經病變、偏盲患者的診斷和定量隨訪,併重複性好.
목적 평개Octopus101시야계동태시야GKP (Goldmann Kinetic Perimetry)모괴재안과적응용.방법 대이학진명학유시야결손환자67례(107지안)행동태시야GKP모괴검사；기중청광안24례(38지안)、전부결혈성시신경병변18례(21지안)、편맹25례(48지안),병대동일환자동、정태시야배대도진행일치성분석；동시검측GKP모괴적중복성.결과 67례환자중남성27례,녀성40례；평균년령(50.7±12.7)세(18～82세)；시력범위재0.3～1.2지간；청광안조、전부결혈성시신경병변조、편황조평균동태시야GKP검사시간분별위(8.43±2.21) min、(8.52±1.49) min、(6.89±2.06)min;각조Ⅲ4e화Ⅰ4e량충시표삼수등시선면적상비차이구유통계학의의(균P＜0.01)；동일환자동、정태시야도형필배재청광안조76.32％ (29/38)；전부결혈성시신경병변조83.33％ (15/18)；편맹조100％ (48/48)；Ⅲ4e화Ⅰ4e량충시표삼수재량차중복검사(GKP1,GKP2)등시선면적차이균무통계학의의(분별P=0.68,P=0.59),량차중복검사결과상관성호(Spearman선성상관분석,균P＜0.001).결론 Octopus101 GKP모괴가응용우청광안、전부결혈성시신경병변、편맹환자적진단화정량수방,병중복성호.
Objective To evaluate the application of Octopus 101 perimetry GKP (Goldmann Kinetic Perimetry) module in ophthalmology. Methods Sixty-seven eligible patients (107 eyes) who had visual field (VF) loss were included in the study,24 cases (38 eyes) glaucoma,18 cases (21 eyes) anterior ischemic optic neuropathy and 25 cases (48 eyes) hemianopia.The consistency between static and kinetic VFs of the same eye was analyzed in this study,as well as the repeatability of GKP module. Results All 67 patients (average age 50.7±12.7 years,27 males and 40 females) were examined with GKP module vhile visual acuity in the range of 0.3-1.2.The average GKP examination time of glaucoma group,anterior ischemic optic neuropathy group and hemianopia group were 8.43±2.21min,8.52±1.49min,6.89±2.06min respectively.The average isopter area of Ⅲ 4 e were significantly different to isopter area of Ⅰ 4e (P ＜0.001,t-test) in each group.The VF pairs matched as follows:76.32％ (29/38) in glaucoma group,83.33％ (15/18) in anterior ischemic optic neuropathy group and 100％ (48/48) in hemianopia group.The isopter areas on the first and second SKP test (SKP 1 and SKP 2) were calculated and compared,and showed no significant difference (P=0.68,P=0.59).Correlation between SKP 1 and SKP 2 was good for each isopter (P ＜0.001,Pearson correlation). Conclusions GKP module can be used for the diagnosis and follow up of glaucoma,anterior ischemic optic neuropathy and hemianopia with good repeatability.
