dynamic visual acuity

  • 文章类型: Journal Article
    背景:急性和完全的单侧前庭去传入引起同侧前庭眼反射增益的显着变化,使患者在主动或被动头部运动期间无法稳定凝视。这种无法产生视觉环境在移动的错觉,在头部的快速角加速度或线性加速度期间导致持续的视觉不适。这被称为示波。我们的目的是了解通过前庭神经切开术在5天(D5)和3个月(M3)完全单侧前庭神经分离后的自发感觉是否与前庭眼反射增益和动态视力的丧失相关。
    方法:在耳鼻喉科三级护理中心(2019-2022年)对前庭神经切开术导致单侧前庭完全丢失的患者进行了回顾性队列研究。根据M3评估的自发性示波症状的存在(G1组)或不存在(G2组),将其分为2组。通过示波严重程度问卷评估示波严重程度。在D5和M3测量每组的基于视频头脉冲测试(vHIT)的前庭眼反射增益和动态视敏度。使用χ2检验比较分类变量,使用非参数Wilcoxon-Mann-Whitney检验比较定量变量。
    结果:所有患者在D5和M3时都有完全的前庭去传入。在D5(G1=8名患者,G2=5名患者),同侧和对侧前庭眼反射增益和动态视力丧失没有显着差异。Oscillopsia严重程度问卷G1为2.68±1.03,G2为1.23±1.03(P<0.05)。在M3(G1=9例,G2=6名患者),在流行病学和临床数据以及前庭眼反射和动态视力丧失方面,组间没有显着差异。Oscillopsia严重程度问卷G1为2.10±0.63,G2为1.24±0.28(P<0.05)。
    结论:完全性单侧前庭丧失后的自发失能感觉可通过示踪严重程度问卷得到很好的评估,但不能通过客观的前庭测试来解释。评估前庭反射增益(vHIT)或D5或M3时的动态视力丧失。需要进一步的研究来测量现实生活条件下的示性,并确定导致其持久性的因素。
    回顾性注册。
    BACKGROUND: Acute and complete unilateral vestibular deafferentation induces a significant change in ipsilateral vestibuloocular reflex gain, making the patient unable to stabilize gaze during active or passive head movements. This inability creates the illusion that the visual environment is moving, resulting in persistent visual discomfort during rapid angular or linear acceleration of the head. This is known as oscillopsia. Our objective was to understand if the spontaneous sensation of oscillopsias after complete unilateral vestibular deafferentation by vestibular neurotomy at 5 days (D5) and at 3 months (M3) is correlated with the loss of vestibuloocular reflex gain and dynamic visual acuity.
    METHODS: Retrospective cohort study was conducted in an otolaryngology tertiary care center (2019-2022) on patients with complete unilateral vestibular loss by vestibular neurotomy. They were divided into 2 groups according to the presence (group G1) or absence (group G2) of a spontaneous complaint of oscillopsia assessed at M3. Severity of oscillopsias evaluated by Oscillopsia Severity Questionnaire. Vestibuloocular reflex gain based on video head impulse test (vHIT) and the dynamic visual acuity were measured for each group at D5 and M3. Categorical variables were compared using χ2 test and quantitative variables using the nonparametric Wilcoxon-Mann-Whitney test.
    RESULTS: All patients have a complete vestibular deafferentation at D5 and M3. At D5 (G1 = 8 patients, G2 = 5 patients), there is no significant difference for ipsilateral and contralateral vestibuloocular reflex gains and dynamic visual acuity losses. The Oscillopsia Severity Questionnaire was 2.68 ± 1.03 in G1 and 1.23 ± 1.03 in G2 (P < .05). At M3 (G1 = 9 patients, G2 = 6 patients), there is no significant difference between groups for epidemiologic and clinical data and for vestibuloocular reflex and dynamic visual acuity losses. The Oscillopsia Severity Questionnaire was 2.10 ± 0.63 in G1 and 1.24 ± 0.28 in G2 (P < .05).
    CONCLUSIONS: The spontaneous disabling sensation of oscillopsia after complete unilateral vestibular loss is well assessed by the Oscillopsia Severity Questionnaire but cannot be explained by objective vestibular tests assessing vestibuloocular reflex gain (vHIT) or dynamic visual acuity loss at D5 or M3. Further studies are needed to measure the sensation of oscillopsia under real-life conditions and to identify the factors responsible for its persistence.
    UNASSIGNED: Retrospectively registered.
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  • 文章类型: Journal Article
    量化动态视敏度(DVA)的变化,并解释急性暴露于低压低氧状态后的隐藏原因。
    研究组包括18名20-24岁的健康男性和15名健康女性参与者。DVA采用美地心(天津)有限公司自主开发的软件进行测量。Ltd.在八个海拔高度进行测量。数据分析采用Kolmogorov-Smirnov检验,配对样本T检验,以及用于重复测量的双向重复测量方差分析(ANOVA)。
    在恒定高度,随着角速度的增加,DVA总体上呈下降趋势,并且在绝大多数高度上呈波动下降趋势。在恒定的角速度下,DVA随海拔高度逐渐增加,在海拔5时DVA增加最明显,此后随着海拔增加DVA逐渐降低。最后,随着海拔高度的下降,DVA再次增加,并在实验结束时达到较高水平,优于初始状态的DVA。
    在高海拔的低压低氧环境下,DVA受角速度和缺氧程度的影响,表现为DVA的增加或减少,这会影响驾驶员在驾驶过程中对显示和控制界面的观察,获取信息,和决策能力,这反过来又可能危及飞行安全。
    UNASSIGNED: To quantify the changes in dynamic visual acuity (DVA) and explain the hidden reasons after acute exposure to hypobaric hypoxia status.
    UNASSIGNED: The study group comprised 18 healthy male and 15 healthy female participants aged 20-24 years old. DVA was measured with the self-developed software of Meidixin (Tianjin) Co., Ltd. Measurements were taken at eight altitudes. Data analysis was performed using the Kolmogorov-Smirnov test, paired sample T-test, and two-way repeated measures analysis of variance (ANOVA) for repeated measurements.
    UNASSIGNED: At constant altitude, DVA showed an overall decreasing trend with increasing angular velocity and a fluctuating decrease at the vast majority of altitudes. At constant angular velocities, DVA gradually increased with altitude, with the most pronounced increase in DVA at altitude 5, and thereafter a gradual decrease in DVA as altitude increased. Finally, as altitude decreased, DVA increased again and reached a higher level at the end of the experiment, which was superior to the DVA in the initial state.
    UNASSIGNED: Under a hypobaric hypoxic environment at high altitude, DVA was affected by the angular velocity and the degree of hypoxia, manifesting as an increase or decrease in DVA, which affects the pilot\'s observation of the display and control interfaces during the driving process, acquisition of information, and decision-making ability, which in turn may potentially jeopardize the safety of the flight.
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  • 文章类型: Journal Article
    动态视力(KVA)是日本开发的指标,指的是识别与观察者来回移动的移动物体的能力。这篇综述概述了KVA的历史以及在Juntendo大学健康与运动科学学院进行的KVA研究,即运动员的KVA特征,与KVA相关的因素,运动和KVA的年龄依赖性下降,二十二碳六烯酸(DHA)和虾青素对KVA的影响。KVA定义于1960年代初,测量装置是在1968年发明的。健康与体育科学学院的研究始于1990年代。在田径运动和骨架运动中,冬季下坡事件,排名较高的运动员的KVA高于排名较低的运动员。尽管无法从静态视力或反应时间预测KVA,发现KVA与视觉诱发电位的峰值潜伏期之间存在显着相关性。KVA无法通过训练得到改善,并且在8至17岁之间没有变化。相比之下,剑道的习惯性练习可能会抑制KVA的年龄依赖性下降。DHA还可以改善低KVA受试者的KVA;然而,虾青素没有改善KVA。
    Kinetic vision acuity (KVA) is an index developed in Japan that refers to the capacity to recognize a moving object that moves back and forth against the observer. This review outlines the history of KVA and studies on KVA conducted at the Faculty of Health and Sports Science of Juntendo University, i.e. characteristics of KVA in athletes, factors associated with KVA, sports and age-dependent decline of KVA, and effects of docosahexaenoic acid (DHA) and astaxanthin on KVA. KVA was defined in the early 1960s, and the measurement device was invented in 1968. Studies at the Faculty of Health and Sports Science began in the 1990s. In track-and-field athletics and skeleton, a winter downhill event, higher-ranked athletes had higher KVA than lower-ranked athletes. Although KVA cannot be predicted from static visual acuity or reaction time, a significant correlation was found between KVA and the peak latency of visual-evoked potentials. KVA could not be improved by training and did not change between age of 8 and 17 years. In contrast, habitual practice in kendo may inhibit the age-dependent decline in KVA. DHA may also improve KVA in subjects with low KVA; however, astaxanthin did not improve KVA.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fnins.2023.1278626。].
    [This corrects the article DOI: 10.3389/fnins.2023.1278626.].
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  • 文章类型: Journal Article
    在现场制造的能力,瞬间的决定对于国家橄榄球联盟(NFL)比赛官员来说至关重要。视觉功能中的多个原则对于这些播放调用的准确性和精确性至关重要,包括中央凹时间和畅通的视线,静态视力,动态视力,前庭眼反射,足够的视野。先前的研究表明,这些神经眼科原则的标准化课程已经证明了有效性和自我评估的改进,信心,以及NFL游戏官员未来利用的可能性,以在主持比赛期间最大化视觉表现。虚拟现实技术还可以帮助优化对特定神经眼科原理的理解并模拟现实生活中的游戏玩法。作者与NFL官员和领导层之间的个人交流表明,人们对NFL主持的3D虚拟现场培训非常感兴趣。在这份手稿中,我们回顾了该领域当前和过去关于NFL官员神经眼科课程的研究.然后,我们概述了我们当前的可视化工程过程,以获取现实生活中的NFL游戏玩法2D数据并为足球官员的虚拟现实游戏玩法培训创建3D环境,以练习突出神经眼科原理的游戏。然后,我们深入回顾了这些原则背后的生理学,并讨论了将这些原则实现为足球裁判虚拟现实的策略。
    The ability to make on-field, split-second decisions is critical for National Football League (NFL) game officials. Multiple principles in visual function are critical for accuracy and precision of these play calls, including foveation time and unobstructed line of sight, static visual acuity, dynamic visual acuity, vestibulo-ocular reflex, and sufficient visual field. Prior research has shown that a standardized curriculum in these neuro-ophthalmic principles have demonstrated validity and self-rated improvements in understanding, confidence, and likelihood of future utilization by NFL game officials to maximize visual performance during officiating. Virtual reality technology may also be able to help optimize understandings of specific neuro-ophthalmic principles and simulate real-life gameplay. Personal communication between authors and NFL officials and leadership have indicated that there is high interest in 3D virtual on-field training for NFL officiating. In this manuscript, we review the current and past research in this space regarding a neuro-ophthalmic curriculum for NFL officials. We then provide an overview our current visualization engineering process in taking real-life NFL gameplay 2D data and creating 3D environments for virtual reality gameplay training for football officials to practice plays that highlight neuro-ophthalmic principles. We then review in-depth the physiology behind these principles and discuss strategies to implement these principles into virtual reality for football officiating.
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  • 文章类型: Journal Article
    动态视敏度(DVA)被认为是研究视觉功能的重要组成部分,尤其是在团队运动等具有挑战性的环境中。除了频繁的比较研究,关于DVA的潜在机制和刺激表现的可能差异,仍然缺乏很多信息。了解DVA在不同对比和轨迹条件下的性能对于实现更具体的数据和更好的测量生态有效性至关重要。55名西班牙顶级职业男运动员,包括23个足球,14篮球,并选出了18名水球运动员。静态视敏度(SVA)在5m处进行评估。在速度(52°/s)的组合条件下,在2m处确定DVA,三个轨迹(水平,对角线45°和135°)和两个对比(99.7%和13%)。大多数DVA条件测量的显着差异表明,最佳分数对应于水平,在对角线轨迹上,和高对比度。SVA和DVA之间的相关性根据对比条件显示出不同的关系。职业足球,篮球,参考所有DVA评估条件,水球运动员具有相似的特征。
    Dynamic visual acuity (DVA) is considered an essential component for studying the visual function, especially in challenging environments like team sports. Beyond frequent comparative studies, much information is still lacking about the mechanisms underlying DVA and possible differences in stimulus presentation. It is crucial to understand the performance of DVA under different conditions of contrast and trajectories to achieve more specific data and better ecological validity of measurements. Fifty-five top professional male Spanish athletes, including 23 soccer, 14 basketball, and 18 water polo players were selected. Static visual acuity (SVA) was evaluated at 5 m. DVA was determined at 2 m under combined conditions of velocity (52°/s), three trajectories (horizontal, diagonal 45° and 135°) and two contrasts (99.7% and 13%). Significant differences in most DVA conditions measurements show that the best scores correspond to horizontal, over diagonal trajectories, and high contrast. The correlation between SVA and DVA showed a different relationship depending on the contrast conditions. Professional soccer, basketball, and water polo players have similar characteristics with reference to all the DVA evaluated conditions.
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  • 文章类型: English Abstract
    Objective:To observe the results of dynamic visual acuity screening tests in patients with peripheral vertigo and explore its clinical significance. Methods:The number of 48 healthy volunteers were enrolled as control group and 25 peripheral vertigo patients as experimental group. In the experimental group, there are 12 patients with vestibular neuritis, 1 patient with Hunt syndrome, 5 patients with sudden deafness with vertigo and 7 patients with bilateral vestibular dysfunction. Horizontal and vertical dynamic visual acuity screening tests were performed on them. The number of lost rows of horizontal and vertical dynamic visual acuity was compared between the control group and the experimental group to figure out if there is a statistical difference. The number of lost rows of horizontal and vertical dynamic visual acuity was compared within the experimental group to figure out if there is a statistical difference. The two groups of 18 cases of unilateral vestibular function decline and 7 cases of bilateral vestibular function decline in the experimental group were compared with the control group, and figure out if there is a statistical difference. Results:The median number of lost rows of horizontal dynamic visual acuity in 48 healthy volunteers was 1.5 and median number of lost rows of vertical dynamic visual acuity was 1.0 in the control group. The median number of lost rows of horizontal dynamic visual acuity of 26 healthy volunteers was 6 and median number of lost rows of vertical dynamic visual acuity was 5 in the experimental group. Compared to the experimental group, the number of lost rows both have statistical significance in horizontal and vertical dynamic visual acuity(P<0.01). The comparison of horizontal and vertical lost rows within the test group also have statistical significance(P<0.01). Twenty five patients with exceptional vestibular disease in the experimental group were divided into unilateral vestibular function reduction group(n=18) and bilateral vestibular function reduction group(n=7). Compared with the control group, there was significant differences in the number of horizontal and vertical lost rows(P<0.01) within the three groups. After pairwise comparison, the number of lost rows of horizontal and vertical in the control group was significantly lower than that in the unilateral vestibular function reduction group and the bilateral vestibular function reduction group(P<0.01). There was a highly significant correlation between the number of horizontally lost rows of DVA and the mean vHIT values of bilateral horizontal semicircular canals in 25 patients(P<0.01); and a highly significant correlation between the number of vertically lost rows of DVA and the mean vHIT values of vertical semicircular canals in 4 groups bilaterally(P<0.01). Conclusion:The Dynamic Visual Acuity Screening Test is a useful addition to existing tests of peripheral vestibular function, particularly the vHIT test, and provides a rapid assessment of the extent of 2 Hz VOR impairment in patients with reduced vestibular function.
    目的:观察外周性眩晕患者动态视敏度(dynamic visual acuity, DVA)筛查试验结果并探讨其临床意义。 方法:48名健康志愿者作为对照组,25例外周性眩晕患者作为试验组,其中前庭神经炎患者12例,Hunt综合征患者1例,突发性聋伴眩晕5例,双侧前庭功能下降患者7例。进行水平与垂直动态视敏度筛查试验。将试验组与对照组的水平、垂直动态视敏度丢失行数进行比较;对试验组内水平、垂直丢失行数进行比较;将试验组内单、双侧前庭功能分别与对照组进行比较。 结果:对照组水平DVA丢失行数中位数为1.5,垂直DVA丢失行数中位数为1.0;试验组水平DVA丢失行数中位数为6.0,垂直DVA丢失行数中位数为5.0。对照组和试验组的水平、垂直丢失行数比较差异均有统计学意义(P<0.01)。试验组组内水平和垂直丢失行数比较差异有统计学意义(P<0.01)。将试验组分为单侧前庭功能下降组(18例)和双侧前庭功能下降组(7例),与对照组进行对比,3组两两比较,水平和垂直丢失行数比较差异均有统计学意义(P<0.01),对照组水平和垂直DVA丢失行数明显分别低于单侧前庭功能下降组和双侧前庭功能下降组,单侧前庭功能下降组的水平和垂直丢失行数明显低于双侧前庭功能下降组(P<0.01)。25例外周性眩晕患者水平丢失行数与双侧水平半规管vHIT均值之间呈显著相关关系(P<0.01);垂直丢失行数与双侧垂直半规管vHIT均值之间呈显著相关关系(P<0.01)。 结论:DVA筛查试验是现有外周前庭功能检查特别是vHIT测试的有效补充,能快速评估前庭功能下降患者的2 Hz 前庭眼反射损伤程度。.
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  • 文章类型: Journal Article
    在许多运动中,使用动态视力。为了提高动态视力,重要的是要了解视觉系统可能导致妥协的方面。
    研究可能影响职业足球运动员动态视敏度的视觉系统参数。
    2022年,对40名职业球员进行了分析。筛查包括一项调查,测量屈光不正,以及静态和动态视力和双目视觉参数。所有运动员均为男性,平均年龄为24.9±4.8岁。
    平均屈光不正为-0.29±0.61D,22.5%的运动员仅近视,7.5%的运动员远视。静态视力为R:-0.037±0.094LogMAR,L:-0.036±0.098LogMAR。动态视力为0.154±0.118LogMAR。单眼静态视敏度与动态视敏度呈正相关,r=0.524(r2=0.275,右眼p<0.001),左眼r=0.553(r2=0.306,p<0.001)。对于散光成分(J=0)和远距视觉中的立体视觉,相关性是,r=-0.472(r2=0.223,p=0.002)和r=-0.467(r2=0.218,p=0.002),分别。
    在远距视力中静态视敏度较低的运动员,或远距视力较差的立体视觉或更近视的散光,动态视力低于其他运动员。
    UNASSIGNED: In many sports, dynamic visual acuity is used. In order to improve dynamic visual acuity, it is important to understand the aspects of the visual system that can cause compromise.
    UNASSIGNED: To investigate the parameters of the visual system that may influence dynamic visual acuity in professional soccer players.
    UNASSIGNED: In 2022, 40 professional players were analysed. Screening consisted of a survey, the measurement refractive error, and static and dynamic visual acuity and the binocular vision parameters. All athletes were men with a mean age of 24.9 ± 4.8 years.
    UNASSIGNED: The mean refractive error was -0.29 ± 0.61D, and 22.5% of athletes are myopic only and 7.5% hyperopic. Static visual acuity was R: -0.037 ± 0.094 LogMAR , L: -0.036 ± 0.098 LogMAR. Dynamic visual acuity was 0.154 ± 0.118 LogMAR . There is a positive and moderate correlation between monocular static visual acuity and dynamic visual acuity, with r = 0.524 (r2 = 0.275 , p < 0.001) for the right eye and r = 0.553 (r2 = 0.306, p < 0.001) for the left eye. For the component of astigmatism (J = 0) and for stereopsis in distance vision, the correlation was, r = -0.472 (r2 = 0.223, p = 0.002) and r = -0.467 (r2 = 0.218, p = 0.002), respectively.
    UNASSIGNED: Athletes with lower static visual acuity in distance vision, or with worse stereopsis in distance vision or more myopic astigmatism, have lower dynamic visual acuity than other athletes.
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  • 文章类型: Journal Article
    研究年龄相关性白内障患者植入复曲面双焦点或三焦点人工晶状体后的动态视力(DVA)。
    这是一项前瞻性随机对照试验。在入选并随机接受单侧超声乳化和环面三焦的124例患者中(939M/MP,CarlZeissMeditecAG,Jena,德国)或环形双焦点(909M,CarlZeissMeditecAG,Jena,德国)人工晶状体(IOL)植入,99例患者完成随访并纳入最终分析.术后,未校正和校正距离(UDVA和CDVA),中等(UIVA和DCIVA)和近(UNVA和DCNVA)静态视敏度,在一周时评估20、40和80度每秒(dps)的明显屈光和未校正和校正距离DVA(UDDVA和CDDVA),一个月三个月.
    术后三个月,三焦点和双焦点IOL组的UDVA分别为0.13±0.11和0.14±0.13,分别。明显更好的UIVA(三焦,0.17±0.13vs.双焦,0.23±0.13,p=0.037)和DCIVA(三焦,0.16±0.11vs.双焦,术后3个月,在植入曲面三焦比双焦点IOL的患者中观察到0.20±0.12,p=0.048)。在三个月时,植入环形双焦点IOL的患者在80dps(0.5607±0.2032)时获得的CDDVA优于三焦组(0.6573±0.2450,p=0.039)。术后20、40和80dps时的UDDVA和CDDVA与年龄(分别为p<0.05)和术后静态视力(分别为p<0.05)显着相关。
    复曲面三焦点IOL可提供更好的静态中间视敏度,复曲面双焦点人工晶体植入术提供了较好的高速远距离动态视力。
    UNASSIGNED: To investigate the dynamic visual acuity (DVA) after implantation of toric bifocal or trifocal intraocular lens in age-related cataract patients.
    UNASSIGNED: This was a prospective randomized controlled trial. Of one hundred and twenty-four patients enrolled and randomized to receive unilateral phacoemulsification and toric trifocal (939 M/MP, Carl Zeiss Meditec AG, Jena, Germany) or toric bifocal (909 M, Carl Zeiss Meditec AG, Jena, Germany) intraocular lenses (IOL) implantation, ninety-nine patients completed the follow-up and were included in final analysis. Postoperatively, uncorrected and corrected distance (UDVA and CDVA), intermediate (UIVA and DCIVA) and near (UNVA and DCNVA) static visual acuity, manifest refraction and uncorrected and corrected distance DVA (UDDVA and CDDVA) at 20, 40 and 80 degrees per second (dps) were evaluated at one week, one month and three months.
    UNASSIGNED: Three months postoperatively, the UDVA were 0.13 ± 0.11 and 0.14 ± 0.13 in the toric trifocal and bifocal IOL group, respectively. Significant better UIVA (trifocal, 0.17 ± 0.13 vs. bifocal, 0.23 ± 0.13, p = 0.037) and DCIVA (trifocal, 0.16 ± 0.11 vs. bifocal, 0.20 ± 0.12, p = 0.048) were observed in patients implanting toric trifocal than bifocal IOL at three months postoperatively. Patients implanted with toric bifocal IOL obtained better CDDVA at 80 dps (0.5607 ± 0.2032) than the trifocal group (0.6573 ± 0.2450, p = 0.039) at three months. Postoperative UDDVA and CDDVA at 20, 40 and 80 dps were significantly associated with age (p < 0.05, respectively) and postoperative static visual acuity (p < 0.05, respectively).
    UNASSIGNED: Toric trifocal IOL provides better static intermediate visual acuity, and toric bifocal IOL implantation provides better distance dynamic visual acuity at high speed.
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  • 文章类型: Journal Article
    研究患者报告的视觉障碍对角膜屈光手术后近视患者动态视力的影响。
    这是一项前瞻性非随机研究。成人近视患者接受双侧激光辅助上皮下角膜磨镶术(LASEK),飞秒激光辅助原位角膜磨镶术(FS-LASIK),包括带平角靶的小切口微透镜提取(SMILE)。评估了八种类型的患者报告的视觉障碍的频率,术后3个月测量严重程度和令人困扰的动态视力(DVA)为每秒40度和80度(dps).
    该研究纳入了95名患者,平均年龄为27.6±6.4岁。最常报告的视觉障碍是视力波动(70.5%),其次是眩光(66.3%)和光晕(57.4%)。术后80dps的DVA与光环总分(p=0.038)和判断距离的难度(p=0.046)显着相关。在有光环的患者中,术后DVA在40dps时比没有光环的患者明显更差(p=0.024)。对于没有光环或难以判断距离的患者,80dps的DVA明显优于有症状的患者(光环,p=0.047;判断距离困难,p=0.029)。通过外科手术进行的亚组分析表明,仅在接受FS-LASIK的患者中观察到有和没有视力障碍的患者之间DVA的显着差异。
    术后,患有晕圈或难以判断距离的近视角膜屈光手术患者的低速和高速DVA明显比没有症状的患者差。本研究为患者有视觉障碍时涉及动态视觉的日常任务的术后指导提供了基础。
    UNASSIGNED: To investigate the impact of patient-reported visual disturbance on dynamic visual acuity in myopic patients after corneal refractive surgery.
    UNASSIGNED: This is a prospective nonrandomized study. Adult myopic patients receiving bilateral laser-assisted sub-epithelial keratomileusis (LASEK), femtosecond laser-assisted in situ keratomileusis (FS-LASIK), or small incision lenticule extraction (SMILE) with Plano target were included. Eight types of patient-reported visual disturbance were evaluated regarding frequency, severity and bothersome and dynamic visual acuity (DVA) of 40 and 80 degrees per second (dps) was measured postoperatively at 3 months.
    UNASSIGNED: The study enrolled 95 patients with an average age of 27.6 ± 6.4 years. The most frequently reported visual disturbance was the fluctuation in vision (70.5%), followed by glare (66.3%) and halo (57.4%). Postoperative DVA at 80 dps was significantly associated with the total score of haloes (p = 0.038) and difficulty in judging distance (p = 0.046). Significant worse postoperative DVA at 40 dps was observed in patients with haloes than those without (p = 0.024). The DVA at 80 dps for patients without haloes or difficulty in judging distance was significantly better than that with the symptoms (haloes, p = 0.047; difficulty in judging distance, p = 0.029). Subgroup analysis by surgical procedures demonstrated that the significant difference in DVA between patients with and without visual disturbance was only observed in patients receiving FS-LASIK.
    UNASSIGNED: Postoperatively, myopic patients undergoing corneal refractive surgery with haloes or difficulty in judging distance have significantly worse low and high-speed DVA than those without the symptoms. The present study provided the basis for postoperative guidance in daily tasks involving dynamic vision when patients have visual disturbances.
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