蓝黄视野在糖尿病视网膜病变早期诊断中的初步研究  

The pilot study of blue-on-yellow perimetry in early diagnosis of diabetic retinopathy

作　　者：王育新[1] 李毓敏[2] 王竞[2] 

机构地区：[1]浙江中医药大学附属第二医院眼科,杭州310005 [2]浙江大学医学院附属第一医院眼科中心

出　　处：《临床眼科杂志》2008年第1期34-36,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨蓝黄视野(B/YP)在糖尿病视网膜病变早期诊断中的应用价值。方法采用瑞士Octo- pus101型全自动视野计分别对无糖尿病视网膜病变(NDR组)患者30例(60只眼)、糖尿病视网膜病变(DR组)患者20例(40只眼)和非糖尿病人(对照组)20例(40只眼)进行白色视野(W/WP)和B/YP检查。对各组的W/WP和B/YP检查结果分别进行两两比较。结果白色视野中,NDR组和对照组之间MS差异有统计学意义(P<0.05 ),DR组和对照组之间MS、MD、LV差异有统计学意义(P<0.05)。蓝黄视野中,NDR组和对照组之间及DR组和对照组之间MS、MD、LV差异有统计学意义(P<0.05),NDR组和DR组之间MS、MD差异有统计学意义(P<0.05)。结论B/YP可以提示糖尿病患者早期视功能改变,在DR早期诊断中具有一定的临床应用价值。Objective To discuss the early diagnostic value of blue-on-yellow perimetry （B/YP） in diabetic retinopathy（DR）. Methods 30 patients （60 eyes） who have no diabetic retinopathy （NDR group） and 20 patients （40 eyes） who have diabetic retinopathy （DR group） and 20 non diabetes mellitus （Control group） underwent white-on-white perimetry （W/WP）, B/YP with OCTOPUS 101 automatic perimetry produced by Switzerland. All the data of every group were compared and analyzed. Results In W/WP, the difference of mean sensitivity （MS） between NDR group and control group had statistical significance （ P 〈 0.05 ） , the difference of MS and mean defect （ MD ） and loss variance （ LV ） between DR group and control group had statistical significance （ P 〈0.05）. In B/YP, the difference of MS ,MD, LV between NDR group and control group, DR group and control group had statistical significance （ P 〈 0.05 ）. The difference of MS and MD between NDR group and DR group had statistical significance （ P 〈0.05}. Conclusion B/YP can indicate the early changes of optic function of the diabetic. B/YP has potential value in clinical application.

关 键 词：蓝黄视野 糖尿病视网膜病变 视野缺损 

分 类 号：R587.1[医药卫生—内分泌] R774.1[医药卫生—内科学]