不同视力表用于视网膜手术后视力评估的分析。

Hongpeng Li, Linxing Chen, H. Fang, Hongxing Diao, Wenyan Liu
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摘要

背景不同的视力表可以有针对性地评价不同眼病患者的视功能。我们对数字对数最小分辨角(LogMAR)视力表与标准对数视力表进行对比分析,用于测量视网膜脱离手术后的视力。方法采用数字LogMAR视力表和标准对数视力表,采用LogMAR记录法测量100例(100眼)视网膜脱离手术患者的视力,比较两种方法在所有患者和不同年龄组的平均测量值的差异。结果对所有患者进行分析时,数字对数视力表与标准对数视力表的平均视力差为-0.07个LogMAR单位。10-20岁和21-40岁年龄组两种视力表术后平均视力比较差异无统计学意义(P < 0.05), 41-65岁两种视力表术后平均视力比较差异有统计学意义(P < 0.05)。结论数字LogMAR视力表与标准视力表均能有效、可靠地测量视力。标准视力表测得的视力高于数字LogMAR视力表测得的视力。我们建议使用数字LogMAR视力表作为测量视网膜脱离手术后视力的首选图表。
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Analysis of different vision charts used for visual acuity assessment after retinal surgery.
BACKGROUND Different visual acuity chart can be targeted to evaluate the visual function of patients with different eye diseases. We conducted a comparative analysis of the digital logarithm of the minimum angle of resolution (LogMAR) vision chart and the standard logarithmic vision chart for the measurement of visual acuity after retinal detachment surgery. METHODS We used the digital LogMAR vision chart and the standard logarithmic vision chart to measure the visual acuity of 100 patients (100 eyes) who underwent retinal detachment surgery at our hospital using the LogMAR recording method and compared the differences between the mean measurements obtained by both methods for all patients and for different age groups. RESULTS When all of the patients were analyzed, the mean visual acuity differed between the digital LogMAR vision chart and the standard logarithmic vision chart by -0.07 LogMAR units. No significant difference was observed in the mean visual acuity between the two vision charts in the 10-20 year and 21-40 year age groups (P > 0.05), while a significant difference was observed in post-operative mean visual acuity between the two vision charts for patients aged 41-65 years (P < 0.05). CONCLUSIONS Both the digital LogMAR vision chart and the standard vision chart were effective and reliable for the measurement of visual acuity. The visual acuity measured by the standard vision chart was higher than that measured by the digital LogMAR vision chart. We recommend using the digital LogMAR vision chart as the preferred chart for measuring visual acuity after retinal detachment surgery.
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