摘要
目的评价基于扩展现实(XR)的眼镜式可穿戴视野计(XRVF)在黄斑疾病患者视野评估中的应用效果。方法采用自身对照研究方法,于2022年10月至2024年10月在武汉大学人民医院眼科中心连续招募黄斑疾病患者41例41眼作为研究对象。所有受试者均采用自主研发的可穿戴视野计XRVF进行10-2中心视野检测,与传统的Humphrey视野计(HFA)检测参数进行比较,比较参数包括视网膜敏感度、假阳性率、假阴性率、测试时长,并进行受试者满意度问卷调查。结果受检眼使用HFA测试的视网膜敏感度为(23.24±3.71)dB,高于XRVF的(22.01±3.45)dB,差异有统计学意义(t=4.924,P=0.036)。受检眼使用HFA和XRVF测试的假阳性率分别为(2.39±2.51)%和(2.59±3.29)%,假阴性率分别为(3.49±6.05)%和(3.74±5.38)%,差异均无统计学意义(t=-3.624,P=0.948;t=-1.241,P=0.519)。受检眼采用HFA和XRVF的测试时长分别为6.15(5.78,6.65)和5.98(5.71,6.69)min,差异无统计学意义(Z=-1.987,P=0.953)。92.6%的受试者认为XRVF设备舒适且简单实用。结论可穿戴视野计XRVF与HFA具有良好的一致性,能够有效可靠地评估黄斑疾病患者的视野功能,且易被患者接受。
ObjectiveTo evaluate the application effect of a wearable visual field meter based on extended reality(XR)glasses for patients with macular disease.MethodsA self-controlled study was conducted.A total of 41 consecutive patients(41 eyes)with macular disease were recruited at Renmin Hospital of Wuhan University from October 2022 to October 2024.All patients underwent 10-2 center visual field test using a self-developed wearable visual field meter(XRVF),and the results were compared with those obtained using a traditional Humphrey field analyzer(HFA).The comparison parameters included mean retinal sensitivity(MS),false positive rate(FPR),false negative rate(FNR),and testing duration.A subject satisfaction questionnaire was administered.This study followed the Declaration of Helsinki.The study protocol was approved by the Medical Ethics Committee of Renmin Hospital of Wuhan University(No.WDRY2024-K263),and all subjects signed the informed consent form.ResultsThe retinal sensitivity of patients measured by HFA was(23.24±3.71)dB,which was higher than(22.01±3.45)dB by XRVF,showing a statistically significant difference(t=4.924,P=0.036).The FPR measured by HFA and XRVF were(2.39±2.51)%and(2.59±3.29)%,respectively,and the FNR were(3.49±6.05)%and(3.74±5.38)%,respectively,showing no statistically significant difference(t=-3.624,P=0.948;t=-1.241,P=0.519).The median test duration for HFA and XRVF was 6.15(5.78,6.65)and 5.98(5.71,6.69)minutes,respectively,without statistically significant difference(Z=-1.987,P=0.953).92.6%of the subjects thought the device was comfortable,simple and practical.ConclusionsThe XRVF has good consistency with the HFA,can effectively and reliably evaluate the visual field function of patients with macular disease,and is easily accepted by patients.
作者
袁静
王兴昌
孙锡全
焦辉广
王倩
童艳霞
涂碧玥
严茜茜
赵振
欧小杰
阿卜杜拉·萨伍提
Yuan Jing;Wang Xingchang;Sun Xiquan;Jiao Huiguang;Wang Qian;Tong Yanxia;Tu Biyue;Yan Xixil;Zhao Zhen;Ou Xiaojie;Abdulla Sawut(Eye Center,Renmin Hospital of Wuhan University,Wuhan 430060,China;Shenzhen Vision Stick Medical Technology Co.,Ltd.,Shenzhen 518055,China)
出处
《中华实验眼科杂志(中英文)》
北大核心
2025年第11期1035-1040,共6页
Chinese Journal Of Experimental Ophthalmology
基金
湖北省重点研发计划(2021BCA125)。
