关键词: Glaucoma Humphrey visual field Perimetry Virtual reality perimetry Visual field analysis

来  源:   DOI:10.5005/jp-journals-10078-1434   PDF(Pubmed)

Abstract:
UNASSIGNED: Automated perimetry plays an important role in the diagnosis and monitoring of glaucoma patients. The purpose of this study is to prospectively determine parity between Humphrey visual field analyzer (HVFA) perimetry (the current gold standard) and the VisuALL virtual reality perimeter (VRP).
UNASSIGNED: In this prospective fully paired diagnostic accuracy study, patients with stable, long-term HVFA visual fields (horizontal dots for ≥4 consecutive visits on progression analysis) with preperimetric, mild, moderate, or severe visual field loss were familiarized with the VRP and then tested using its proprietary software. These results were used for point-by-point comparison with a contemporaneous HVFA test. This study was approved by the Institutional Review Board (IRB) of the University of the Incarnate Word, San Antonio, Texas, United States of America (IRB approval #20-06-002).
UNASSIGNED: The prospective study analyzed 43 eyes of 24 glaucoma patients. Spearman\'s correlation of mean deviation (MD) revealed a strong correlation between HVFA and VRP with rs(41) = 0.871, p < 0.001. The overall mean difference in locus-locus sensitivity between the devices was -0.4 ± 1.5 dB but varied for different visual field locations and glaucoma severity.
UNASSIGNED: The parity between the VRP and HVFA was remarkably strong for mild and moderate glaucoma. Given its portability, ease of use, space efficiency, and low cost, the VRP presents a viable alternative.
UNASSIGNED: Automated perimetry, specifically the HVFA, has been the gold standard for visual field assessment since its introduction. The recent COVID-19 pandemic has illuminated the advantages of the VRP, allowing for safer visual assessment for both patient and clinician alike. Our study hopes to establish parity between these systems, allowing for the efficient integration of a novel head-mounted perimetry system that can safely diagnose and monitor glaucomatous progression in clinical practice.
UNASSIGNED: Investigation of parity between Olleyes VisuALL virtual reality perimetry (VRP) and existing standard HVFA perimetry is essential to the diagnosis and management of glaucoma. Linear correlations between the two were established from 43 glaucomatous eyes. Parity was strong for mild and moderate glaucoma, presenting VRP as a viable alternative.
UNASSIGNED: Griffin JM, Slagle GT, Vu TA, et al. Prospective Comparison of VisuALL Virtual Reality Perimetry and Humphrey Automated Perimetry in Glaucoma. J Curr Glaucoma Pract 2024;18(1):4-9.
摘要:
自动视野检查在青光眼患者的诊断和监测中起着重要作用。这项研究的目的是前瞻性地确定汉弗莱视野分析仪(HVFA)视野(当前的黄金标准)和VisuALL虚拟现实周长(VRP)之间的奇偶校验。
在这项前瞻性完全配对诊断准确性研究中,患者病情稳定,长期HVFA视野(进展分析连续4次以上的水平点)温和,中度,或严重的视野丧失熟悉VRP,然后使用其专有软件进行测试。这些结果用于与同期HVFA测试进行逐点比较。这项研究得到了化身词大学的机构审查委员会(IRB)的批准,圣安东尼奥,德州,美利坚合众国(IRB批准#20-06-002)。
前瞻性研究分析了24例青光眼患者的43只眼。Spearman的平均偏差(MD)相关性显示HVFA和VRP之间有很强的相关性,rs(41)=0.871,p<0.001。设备之间的基因座-基因座灵敏度的总体平均差异为-0.4±1.5dB,但因视野位置和青光眼严重程度的不同而有所不同。
对于轻度和中度青光眼,VRP和HVFA之间的均等性非常强。鉴于其便携性,易用性,空间效率,成本低,VRP提出了一个可行的替代方案。
自动视野检查,特别是HVFA,自引入以来,一直是视野评估的黄金标准。最近的COVID-19大流行阐明了VRP的优势,为患者和临床医生提供更安全的视觉评估。我们的研究希望在这些系统之间建立平等,允许有效集成新型的头戴式视野检查系统,该系统可以在临床实践中安全地诊断和监测青光眼进展。
研究OlleyesVisuALL虚拟现实视野检查(VRP)和现有标准HVFA视野检查对青光眼的诊断和管理至关重要。从43只青光眼中建立了两者之间的线性相关性。轻度和中度青光眼的均等性强,提出VRP作为一个可行的替代方案。
格里芬JM,SlagleGT,VuTA,etal.VisuALL虚拟现实视野法和Humphrey自动视野法在青光眼中的前瞻性比较。JCurr青光眼Pract2024;18(1):4-9。
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