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首页> 外文期刊>Ophthalmologica: International Journal of Ophthalmology=Journal International d'Ophtalmologie >Assessment of an effective visual field testing strategy for a normal pediatric population.
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Assessment of an effective visual field testing strategy for a normal pediatric population.

机译：评估一个有效视野测试一个正常的儿童人口的策略。

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AIM: To investigate which visual field testing strategy yields more reliable and tolerable field analysis in a normal pediatric population. MATERIAL AND METHODS: 68 healthy children aged 6-13 years with no ocular or systemic diseases were included in the study. One randomly selected eye of each child underwent standard achromatic visual field analysis using a Model 750 Humphrey Field Analyzer II (Carl Zeiss Meditec, Dublin, Calif., USA). We evaluated the reliability criteria (false negative, false positive and fixation loss scores) and the duration of the visual field tests performed by Fastpac (with stimulus sizes III and V, respectively) and SITA Fast with stimulus size III. Moreover, subjects underwent Goldmann perimetry testing with stimulus V. Ability to complete the perimetry tests was also scored. Perimetric analysis was stopped before the end if signs of fatigue appeared. Mean sensitivity, mean defect and pattern standard deviation were recorded for automated tests. RESULTS: All subjects but 8 successfully completed each of four tests. The mean duration of the tests was 4.23, 5.46, 6.35 and 11.06 min for SITA Fast with stimulus size III, Fastpac with stimulus size V, Size III and Goldmann perimetry, respectively (p < 0.001). Both false-negative and false-positive test scores were found to be significantly lower for SITA Fast with stimulus size III compared to the other automated tests (p < 0.01). Children older than 8 years (n = 35) achieved significantly higher test reliability scores (p < 0.01). CONCLUSION: As early detection of structural and functional visual abnormalities may be of utmost importance in the pediatric population considering many potentially serious neurological and ocular problems met with, accurate and reproducible visual field testing is vital. To achieve this goal, visual field testing with SITA Fast algorithm seemed to be a promising strategy for a pediatric population in a typical clinical setting.
机译：目的:探讨视觉实地测试战略收益更加可靠和可容忍的分析在一个正常的儿童人口。材料和方法:68岁的健康儿童6-13年没有眼部或系统性疾病被包括在研究。每个孩子的接受标准的消色差视野分析使用一个模型750汉弗莱现场分析仪II(卡尔蔡司Meditec制造、都柏林、美国加利福尼亚州)。标准(假阴性、假阳性固定损失分数)和持续时间由Fastpac(视野测试分别刺激大小III和V)和悉快速刺激大小三世。接受Goldmann视野测量测试刺激诉完成视野测量能力测试也得分。停止结束前如果疲劳的迹象出现了。标准偏差记录模式自动化测试。成功地完成了四个测试。测试时间是4.23,5.46,6.35悉快速刺激大小和11.06分钟三世,三世和V Fastpac刺激大小,大小分别Goldmann视野测量(p < 0.001)。假阴性和假阳性的测试成绩是显著降低悉快速刺激大小三世相比其他自动化测试(p < 0.01)。8年以上(n = 35)取得了显著更高的可靠性测试成绩(p < 0.01)。结论:结构和早期检测视觉功能异常可能是最大的重要性在儿科人口考虑到许多潜在的严重的神经会见和眼部问题,准确可再生的视野测试是至关重要的。实现这一目标,视野测试与悉快速算法似乎是一个有前途的战略在一个典型的临床儿科人口设置。

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