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目的 探讨青光眼与疑似青光眼患者自动静态视野随诊检查结果的可靠性。方法回顾性分析 1994年 8月至 2 0 0 0年 6月 ,使用Octopus 1 2 3全自动静态视野计连续检测次数≥ 2次的青光眼患者 (82只眼 )和疑似青光眼患者 (80只眼 )的视野检测资料 ,根据检测次数分为A、B、C组 ,比较各组患者视野检测结果的假阳性反应率 (FP)、假阴性反应率 (FN)及可靠性因子 (RF)。结果依据瑞士Interzeag公司提供的参考标准 ,疑似青光眼患者组 197份视野检测结果中 ,不可靠视野检测结果 10份 (5 1% ) ;青光眼患者 2 15份视野检测结果中 ,不可靠视野检测结果 39份 (18 1% )。青光眼患者各组的假阴性反应率远高于疑似青光眼患者 (P <0 0 1)。结论 多数疑似青光眼患者自动静态视野随诊检查结果可靠 ,少数不可靠的视野检测结果属偶然现象 ;假阴性反应结果与青光眼患者视野状态有关。
Objective To investigate the reliability of follow-up examination of auto static field of vision in patients with glaucoma and suspected glaucoma. Methods A retrospective analysis of 82 patients with glaucoma (82 eyes) and suspected glaucoma (80 eyes) with consecutive ≥2 tests using the Octopus 1 2 3 automatic static field monitor was performed from August 1994 to June 2000, The visual field test data were divided into A, B and C groups according to the number of times of detection. The false positive rate (FP), false negative rate (FN) and reliability factor (RF) were compared between the two groups. Results According to the reference standard provided by Interzeag AG in Switzerland, unidentified visual field test results of 197 visual field test results were 10 (51%) in glaucoma patients, unreliable visual field test results of 2 15 visual field test results in glaucoma patients Copies (18 1%). The incidence of false-negatives in each group of patients with glaucoma was much higher than that of patients with suspected glaucoma (P <0.01). Conclusions Most patients with suspected glaucoma have reliable follow-up results of automatic static field of vision. A few unreliable visual field test results are accidental. The false negative results are related to the visual field of patients with glaucoma.