论文部分内容阅读
视野检查是眼科疾病诊断和治疗的一种十分重要的检测工具,但对于儿童,由于各方面限制因素,如配合度差、理解力弱等,进行视野检查、获取可靠的视野结果仍是一项十分严峻的挑战。国际上用于儿童视野检查的方法各式各样,如基于成人设计的视野检查,包括静态视野检查法、动态视野检查法、应用新的检测策略,以及目前专门针对各种无法顺利进行视野检查的儿童设计的先进检查技术。目前针对儿童设计的视野检查方法从保持儿童固视、提高专注力、减少检查时间等方面进行了改善,使儿童能够更好地配合及完成视野检查,及时识别视野缺损;针对正常儿童、婴儿以及有认知障碍的儿童应采取不同的检查方法、算法以及进行大样本数据收集以获取可靠视野结果。本文就近年来儿童视野检查的各种方法进行综述,剖析不同方法的优缺点,为临床及研究中提高检查准确性、获取更可靠的视野结果提供帮助,促进研究者们针对儿童视野检查方法进行更多的研究,以期在此基础上有新的突破。“,”Perimetry is an important tool for diagnosing and managing ophthalmic disease, and it is uniquely important for predicting prognosis, monitoring therapy, and assessing outcomes in diverse contexts.However, children have a shorter attention span and are less cooperative and more easily distracted than adults, making it difficult to perform typical adult-based tests and obtain reliable results.This is a very serious challenge.So far, many methods have been used for children internationally, for example, the kinetic perimetry, and static perimetry included in adult-based tests, in addition to, new detection strategies and new examination technologies speciafically designed for children who are unable to perform for standard perimetry measures.At present, improving perimetry in children requires their cooperation, e.g., maintaining a continuous fixation on a central target during the test, reducing inspection time, etc.so that recognition of a visual field deficit, leading to early treatment, may possibly prevent subsequent vision loss.Different examination methods, algorithms and normative databases can be useful for testing normal children, infants, or children with cognitive impairment to ensure the most reliable testing possible.Through a literature review, this paper summarizes the various methods of pediatric perimeters.Critical expert analysis of the advantages and disadvantages of these methods is also provided.This will help both clinicians and researchers improve the accuracy of examination and obtain reliable results.It will also encourage other researchers to conduct further study on pediatric perimeters with a view toward making new breakthroughs.