Quantitative Evaluation of Metamorphopsia With Using M-CHARTS

Emi Sugiyama, Hisato Gunji, Masaomi Ito, Satoshi Tanaka, Noriko Aoyagi, H. Tsuneoka
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Abstract

Purpose: To determine whether M-CHARTS(R) (Inami Co. Tokyo, Japan) is useful in objectively assessing metamorphopsia before and after vitrectomy of macular disease. Subjects and Methods: Twenty eyes of 20 patients, who underwent vitreous surgery for treatment of macular disease in June to October 2007, were used as the subjects (premacular membrane: 9 eyes of 9 patients, macular edema: 10 eyes of 10, and macular hemorrhage: an eye of one). Visual acuity test and M-CHARTS were carried out 2 weeks (mean) before and after the vitreous surgery to investigate the relationship between the results of these tests and the subjective symptoms of the patients. Results: The scores of metamorphopsia were improved after the vitrectomy. The improvement was almost coincident with that of the subjective symptoms. The scores of metamorphosia were mostly reduced even though the visual acuity did not change after the vitrectomy. Conclusion: It is demonstrated that M-CHARTS can help to easily and objectively quantify subjective symptoms of patients with metamorphopsia. M-CHARTS is very useful in evaluation of therapeutic results.
用m图定量评价变形视症
目的:确定M-CHARTS(R) (Inami Co. Tokyo, Japan)是否有助于客观评估黄斑病变玻璃体切除术前后的变形。对象与方法:以2007年6 - 10月行玻璃体手术治疗黄斑病变的20例患者的20只眼为研究对象(黄斑前膜9例,黄斑水肿10例,黄斑出血1例)。在玻璃体手术前后2周(平均)进行视力测试和m - chart,探讨这些测试结果与患者主观症状的关系。结果:玻璃体切除术后变形评分明显提高。这种改善几乎与主观症状的改善一致。玻璃体切除术后视力无明显变化,但变态评分大多降低。结论:m图能方便、客观地量化变形视患者的主观症状。m图在评价治疗效果方面非常有用。
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