SITA-Fast与Full Threshold两种视野检查程序在开角型青光眼中的应用探讨  

Application of SITA-Fast and full threshold perimetric threshold strategy in patients with primary open-angle glaucoma

作　　者：孙红[1] 袁志兰[1] 李艳[1] 

机构地区：[1]南京医科大学第一附属医院眼科,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2005年第5期309-311,314,共4页Journal of Nanjing Medical University(Natural Sciences)

基　　金：江苏省卫生厅重点资助项目(H9813)

摘　　要：目的:评价SITA鄄FAST视野阈值程序在开角型青光眼检查及视功能评价中的应用价值。方法:采用Humphery视野(POAG)计的SF程序与FT程序对正常人、早、中晚期开角型青光眼POAG患者及可疑患者进行检查,将两种检查时间、图形、视野指数(MD、PSD)及视野缺损点数进行比较和分析。结果:①SF程序检查时间仅为FT程序的1/3,P<0.01;②可疑POAG组中SF程序所得MD值、PSD值及早期POAG组中SF程序所得MD值均比FT程序低,P<0.01;③在正常组、POAG组中二种程序所得视野指数具有明显的正相关性,在可疑POAG组中不具有明显的相关性。结论:在青光眼筛查、POAG患者的视野检查中SF程序可取代FT程序,在可疑POAG患者的诊断中最好采用FT程序。Objective: To evaluate the application of SITA-Fast(SF) perimetric threshold strategy in detecting the visual function of open-angle glaucoma. Methods:The SF and FT strategy carried out by Humphery Field Analyzer 750 were used to examine the visual field of normal subjects, patients with POAG, and patients with suspected POAG, respectively. The examination duration,patterns,visual field indexes(MD,PSD) and defective points of the two perimetries were compared and analysed. Results:①The time of examination duration for SF strategy was bout one third of that for FT strategy, P < 0.01; ②MD,PSD of SF strategy was lower in patients with suspected POAG, MD of SF strategy was lower in patients with early POAG, P < 0.01; ③The visual field indexes of two strategies were positively correlated in normal subjects and patients with POAG,and were not correlated in patients with suspected POAG. Conclusion:SF strategy can be instead of FT strategy in glaucoma screening and detecting the visual function of open-angle glaucoma, but in the diagnosis of suspected POAG, FT strategy is better.

关 键 词：视野检查 青光眼 视功能 对比研究 

分 类 号：R775.2[医药卫生—眼科]