如何面对视野检查的随访分析.PDF

《眼科》2007 年第16 卷第1 期 Ophthalmol CHN, 2007, Vol. 16 No. 1 ·述评· 如何面对视野检查的随访分析？ 马嘉 袁援生 作者单位：650032 昆明医学院附属第一医院眼科 通讯作者：袁援生，Email: 1119abcd@163.com 【摘要】在进行视野随访分析时，首先应将两次以上结果相仿的视野作为基线视野。每次视野分析时 应注意视野可靠性指数，并排除检测误差以及生理波动效应的影响。每次检查须保证受检条件一致。系列 视野检查结果的平均缺损及模式标准差等指标可反映视野变化的整体方向，还要通过数值图和模式偏差数 值图等来比较每一位点光敏感度的改变，同时应结合临床表现的改变来分析某些细微的视野（恶化或好转）。 视野随访分析时应充分运用计算机自动视野计提供的统计分析软件。青光眼的视野变异性很大，通过视野 随访调整治疗方案，以达到目标眼压，进一步稳定视野，稳定病情。（眼科，2007, 16: 9-11 ） 【关键词】视野；视野检查法；青光眼 How to perform the follow-up analysis of visual field test. MA Jia, YUAN Yuan-sheng. Department of Ophthalmology, the First Affiliated Hospital of Kunming Medical College, Kunming 650032, China Corresponding author: YUAN Yuan-sheng, Email: 1119abcd@163.com 【Abstract 】In How to perform the follow-up analysis of visual field test . MA Jia, YUAN Yuan-sheng. Department of Ophthalmology, the First Affiliated Hospital of Kunming Medical the course of follow-up analyses of visual field test, it should take more than two visual field tests that had similar results as baseline test, and some factors should be taken into account, such as accordant testing conditions, reliable indeces, test errors and fluctuation effects, and so on. The indeces of Mean Deviation （MD ）and Pattern Standard Deviation （PSD ）could reflect the whole change trend of follow -up visual field test, while sensitivity value of every point and their pattern deviations could help to analyse tiny changes of visual field tests. Those statistic softw ares provided by automatic perimetry should be used adequately. Through the follow -up analyses of visual field test, glaucoma doctors could adjust therapy schemes in time in order to obtain objective intraocular pressure and stabilize visual field and glaucoma. (Ophthalmol CHN, 2007, 16: 9-11) 【Key words 】visual fields; perimetry; glaucoma 随着现代医学科学的不断发展，眼科学技术日新月异，尤其是视野检查。20 世纪70 年代计算机自动视野计的问世，使视野检