短波长自动视野检查与标准自动视野检查的对比分析  

The clinical comparative analysis between short wavelength automated perimetry and standard automated perimetry.

作　　者：李岩[1] 汤欣[1] 王兰惠[1] 

机构地区：[1]天津市眼科医院,天津医科大学眼科临床学院,天津市眼科学与视觉科学重点实验室,天津300020

出　　处：《中国实用眼科杂志》2012年第7期780-783,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的通过对短波长自动视野检查（shortwavelengthautomatedperimetry，SWAP）与标准自动视野检查（standardautomatedperimetry，SAP）的对比分析，了解短波长自动视野检查的临床应用价值。方法回顾性系列病例对照研究。对2009年12月至2010年2月在天津市眼科医院就诊的60例患者（120只眼）进行分析，病例中包含已确诊的青光眼患者25例（50只眼），均未处于急性发作期，非接触眼压值≤30mmHg（1mmHg=O．133kPa）；35例（70只眼）设为对照组，非接触眼压值21-30mmHg，但无青光眼症状体征。对全部被检眼进行SWAP及SAP检查，利用SPSSl3．0统计学软件对检查结果进行分析，SAP与SWAP间数据对比采用t检验，评价视力与视野指数之间的关联采用相关分析。结果青光眼组平均偏差（meandeviation，MD）在SAP模式下为（-11．08±6．96）dB，SWAP模式下为（-12．41±8．56）dB，二者比较差异无统计学意义（t=0．42，P=O．68，P〉O．05）；对照组MD在SAP模式下为（-2．74±2．13）dB，SWAP模式下为（-4．414±3．10）dB，差异有统计学意义（t=2．36，P=O．02，P〈0．05）。视力与MD间差异有统计学意义：SAP模式下为r=O．70，P=0．00，SWAP模式下为f=0．60，P=O．00。青光眼组模式标准差（patternstandarddeviation，PSD）在SAP模式下为（6．704±3．62）dB，SWAP模式下为（5．31±2．59）dB，二者比较差异无统计学意义（t=1．10。P=O．28，P〉0．05）；对照组MD在SAP模式下为（1．834±0．99）dB，SWAP模式下为（3．23±1．03）dB，二者比较差异有统计学意义（t=-4．92，P=0．00，P〈0．05）。视力与PSD间差异有统计学意义：SAP模式下为，r=-0．79P=0．00，SWAP模式下为r=0．61，P=0．00，P〈O．05。结论SWAP与SAP相比具有更高的敏感性，能更好地进行青光眼的早期诊断及预判。而对于分析青光眼病情的进展情况，SWAP与SAP结果差异有统计学意义。Objective To analyze the clinical application values of short wavelength automated perimetry （SWAP） by comparative analysis between short wavelength automated perimetry and stan- dard automated perimetry （SAP）. Methods The retrospective series case study was used. Collecting 60 patients （120 eyes）, including 25 patients （50 eyes） who had been diagnosed as glaucoma, but did not in acute stage of disease, the non-contact intraocular pressures were ≤30mmHg （lmmHg= 0.133kPa）; 35 patients （70 eyes） were recruited as normal control group whose non-contact intraocu- lar pressures were 21-30mmHg, but had no syndromes and signs of glaucoma. All eyes above were undergone SWAP and SAP, the statistical software SPSS13.0 was used to analyze inspection results, t test was used to compare data of SWAP with SAP, the relationship between visual acuity and visu-al field indices were estimated with correlation analysis. Results For glaucoma group, mean devia- tion （MD） in SAP were （-11.08±6.96）dB, and were （12.41±8.56）dB in SWAP, there was no signifi- cant difference between SAP and SWAP （t =0.42, P 〉0.05）, for normal control group, MD in SAP were （-2.74±2.13）dB, and were （-4.41±3.10）dB in SWAP, there was statistically significant difference between SAP and SWAP （t =-2.36, P 〈0.05）. There was positive correlation between visual acuity and MD： r =0.70, P 〈0.05 in SAP, and r =0.60, P 〈0.05 in SWAP. For glaucoma group, pattern standard deviation （PSD） in SAP were （6.70±3.62）dB, and were （5.31±2.59）dB in SWAP, there was no statistically significant difference between SAP and SWAP （t =1.10, P =0.28）, for normal control group, PSD in SAP were （1.83±0.99）dB, and were （3.23±1.03）dB in SWAP, there was statistically significant difference between SAP and SWAP （t =-4.92, P 〈0.05）. There was negative correlation be- tween visual acuity and PSD： r =-0.79, P 〈0.05 in SAP, and r =-0.61, P 〈0.05 in SWAP. Conclu- sions SWAP is more sensitive

关 键 词：视野检查 短波敏感 青光眼 

分 类 号：R775.1[医药卫生—眼科]