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首页> 外文期刊>Indian Journal of Ophthalmology >Morphision: A method for subjective evaluation of metamorphopsia in patients with unilateral macular pathology (i.e., full thickness macular hole and epiretinal membrane)
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Morphision: A method for subjective evaluation of metamorphopsia in patients with unilateral macular pathology (i.e., full thickness macular hole and epiretinal membrane)

机译:变形:单侧黄斑病变(即全层黄斑裂孔和视网膜前膜)患者主观评估变形的方法

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Background:Lack of clinical tests to quantify spatial components of distortion in patients with full thickness macular holes (FTMH) and epiretinal membranes (ERM).Aim:To develop a test for subjective evaluation of visual distortion in the central visual field around fixation in patients with unilateral FTMH or ERM.Settings and Design:Prospective case-control study carried out at tertiary referral center.Materials and Methods:Twenty-five patients with unilateral macular disease (13 macular epiretinal membranes, 12 full-thickness macular holes), and nine controls (without ocular pathology) underwent ophthalmological examination with logMAR ETDRS visual acuity, near vision and contrast sensitivity assessed. Macular optical coherence tomography and metamorphopsia assessment using Morphision test was also carried out. This test consists of a set of modified Amsler charts for detection, identification, and subjective quantification of visual distortion in the central visual field around fixation. Morphision test content and construct validity, and reliability (test-retest method) were evaluated. Sixteen patients completed an unstructured survey on test performance and preference.Results:Every patient with unilateral FTMH or ERM identified a particular chart using Morphision test (content validity). None of the normal subjects without symptoms of metamorphopsia identified any distortion (construct validity). Test-retest showed a 100% consistency for frequency and 67% for amplitude. The mean amplitude difference between measurements was 0.02 degrees (SD = 0.038). The coefficient of repeatability was 0.075. There was a correlation between Morphision amplitude score and visual acuity and contrast sensitivity, individually.Conclusions:Morphision test allowed detection and subjective quantification of metamorphopsia in the clinical setting in our patients with unilateral macular epiretinal membranes and full thickness macular holes.
机译:背景:缺乏临床测试来量化具有全厚度黄斑裂孔(FTMH)和视网膜前膜(ERM)的患者畸变的空间成分。目的:开发一项主观评估患者固定周围中央视野的视觉畸变的测试设置与设计:在三级转诊中心进行前瞻性病例对照研究。材料与方法:25例单侧黄斑病变患者(13眼黄斑前膜,12层全厚度黄斑裂孔)和9例对照(无眼部病理)接受logMAR ETDRS视力,近视和对比敏感度评估的眼科检查。还进行了黄斑光学相干断层扫描和变形评估,使用了Morphision检验。该测试由一组修改后的Amsler图表组成,用于检测,识别和主观量化固定周围中央视野中的视觉变形。评估了变形测试的内容和构造的有效性以及可靠性(重测方法)。结果:每位单方面FTMH或ERM的患者使用Morphision检验(内容效度)确定了一张特定的图表,这16名患者完成了对测试性能和偏好的非结构化调查。没有变态症状的正常受试者均未发现任何畸变(结构效度)。重测表明,频率一致性为100%,振幅为67%。测量之间的平均幅度差为0.02度(SD = 0.038)。重复性系数为0.075。结论:Morphision测试可在单侧黄斑前视网膜膜和全层黄斑裂孔患者的临床环境中检测和主观量化变态。

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