黄斑程序蓝/黄视野检查在青光眼早期诊断中的作用

Value of blue-on-yellow perimetry of macular program in the early diagnosis of glaucoma

目的:探讨黄斑程序视野检查,特别是蓝/黄视野检查(blue-on-yellow perimetry,B/YP)在青光眼早期诊断中的作用。方法:11例15眼早期青光眼,14例17眼中晚期青光眼,14例28眼可疑青光眼,应用Octopus 101全自动视野计G2程序的Dynamic分程序进行W/WP检查(Dynamic/Normal程序,dG2W/WP)及M2程序的Dynamic分程序分别进行白/白视野检查(white-on-white perimetry,W/WP)(Dynamic/Normal程序,dM2W/WP)和B/YP检查(Dynamic/BY程序,dM2B/YP)。并对3种视野检查方法的结果进行比较分析。结果:dG2W/WP,dM2W/WP,dM2B/YP检查早期POAG的敏感性分别为47%,53%,93%;dG2W/WP,dM2W/WP,dM2B/YP检测出青光眼视野损害的敏感性分别为:75%,75%,97%。dM2B/YP对青光眼早期诊断最敏感。结论:黄斑程序的B/YP检查是检测青光眼早期视野缺损的敏感方法之一。

AIM： To evaluate the application of blue-on-yellow perimetry （B/YP） of macular program in detecting the early visual field loss of glaucoma. METHODS： White-on-white perimetry （W/WP） of the G2 strategy （dG2W/WP）, the W/WP and B/YP of the M2 strategy （dM2W/WP, dM2B/YP） in the Octopus 101 automated perimetry were used to examine the visual field defects of 11 cases （15 eyes） of early primary open angle glaucoma （POAG）, 14 cases （17 eyes） of middle and late POAG and 14 cases （28 eyes） of suspected POAG. The statistical analysis on the examination results was carried out. RESULTS： In three kinds of visual field examination methods, dM2B/YP was the most sensitive method in detecting the glaucomatous visual field defects. The sensitivity of dG2W/WP , dM2W/WPand dM2B/YP in the diagnosis of early glaucoma was 47%, 53%, 93% respectively; the sensitivity of dG2W/WP, dM2W/WP and dM2B/YP in the detecting of glaucomatous visual field defects was 75%, 75%, 97% respectively. CONCLUSION： The B/YP of macular program is a relatively sensitive method for detecting the early visual field defects in POAG.