Vincent Michael Patella OD , Nevin W. El-Nimri OD, PhD , John G. Flanagan PhD , Mary K. Durbin PhD , Timothy Bossie OD , Derek Y. Ho MD, PhD , Mayra Tafreshi MBA , Michael A. Chaglasian OD , David Kasanoff OD , Satoshi Inoue MSc , Sasan Moghimi MD , Takashi Nishida MD, PhD , Murray Fingeret OD , Robert N. Weinreb MD
{"title":"新型双眼视觉功能周界参考数据库：随机临床试验","authors":"Vincent Michael Patella OD , Nevin W. El-Nimri OD, PhD , John G. Flanagan PhD , Mary K. Durbin PhD , Timothy Bossie OD , Derek Y. Ho MD, PhD , Mayra Tafreshi MBA , Michael A. Chaglasian OD , David Kasanoff OD , Satoshi Inoue MSc , Sasan Moghimi MD , Takashi Nishida MD, PhD , Murray Fingeret OD , Robert N. Weinreb MD","doi":"10.1016/j.xops.2024.100583","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To construct a comprehensive reference database (RDB) for a novel binocular automated perimeter.</p></div><div><h3>Design</h3><p>A four-site prospective randomized clinical trial.</p></div><div><h3>Subjects and Controls</h3><p>Three hundred fifty-six healthy subjects without ocular conditions that might affect visual function were categorized into 7 age groups.</p></div><div><h3>Methods</h3><p>Subjects underwent comprehensive ocular examination of both eyes before enrollment. Using the TEMPO/IMOvifa automated perimeter (Topcon Healthcare/CREWT Medical Systems), each subject completed 4 binocular threshold visual field (VF) tests during a single visit: First, practice 24-2 and 10-2 tests were obtained from both eyes. Next, study 24-2 and 10-2 tests were obtained from both eyes. Test order of each sequence was randomized, and the tests were conducted under standard automated perimetry testing conditions: Goldmann stimulus size III, 3183 cd/m<sup>2</sup> maximum stimulus intensity, and background intensity of 10 cd/m<sup>2</sup>, using AIZE-Rapid test strategy. Standard VF reliability indices were assessed. For each subject, 24-2 and 10-2 test results from 1 randomly selected eye were analyzed.</p></div><div><h3>Main Outcome Measures</h3><p>Perimetric threshold sensitivity and reference limits for each test analysis parameter.</p></div><div><h3>Results</h3><p>The ages of the study cohort were widely distributed, with a mean age (standard deviation [SD]) of 52.3 (18.5) years. Sex assignment was 44.0% male and 56.0% female. The majority of subjects self-identified as White (67.4%), followed by Black or African American (13.5%) and Asian (8.7%), with 14.6% self-identified as Hispanic or Latino ethnicity. Mean sensitivity (SD) was 29.1 (1.3) decibels (dB) for the 24-2 and 32.4 (1.0) dB for the 10-2 test. For the 24-2 and 10-2, mean sensitivity (SD) age-related changes averaged −0.06 (0.01) dB and −0.05 (0.01) dB per year, respectively. The normal range of pointwise threshold sensitivity increased with eccentricity and showed asymmetry around the mean, particularly notable in the 24-2 test. Mean (SD) binocular test duration was 3.18 (0.38) minutes (1 minute 35 seconds per eye) for the 24-2 test and 3.58 (0.43) minutes (1 minute 47 seconds per eye) for the 10-2 test.</p></div><div><h3>Conclusions</h3><p>An RDB for the TEMPO/IMOvifa perimeter was established, highlighting the significance of considering both age and stimulus eccentricity in interpreting threshold VF test results.</p></div><div><h3>Financial Disclosure(s)</h3><p>Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.</p></div>","PeriodicalId":74363,"journal":{"name":"Ophthalmology science","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666914524001192/pdfft?md5=ec0b7377fc17660ad95c7721e62a1e84&pid=1-s2.0-S2666914524001192-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Reference Database for a Novel Binocular Visual Function Perimeter: A Randomized Clinical Trial\",\"authors\":\"Vincent Michael Patella OD , Nevin W. El-Nimri OD, PhD , John G. Flanagan PhD , Mary K. Durbin PhD , Timothy Bossie OD , Derek Y. Ho MD, PhD , Mayra Tafreshi MBA , Michael A. Chaglasian OD , David Kasanoff OD , Satoshi Inoue MSc , Sasan Moghimi MD , Takashi Nishida MD, PhD , Murray Fingeret OD , Robert N. Weinreb MD\",\"doi\":\"10.1016/j.xops.2024.100583\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>To construct a comprehensive reference database (RDB) for a novel binocular automated perimeter.</p></div><div><h3>Design</h3><p>A four-site prospective randomized clinical trial.</p></div><div><h3>Subjects and Controls</h3><p>Three hundred fifty-six healthy subjects without ocular conditions that might affect visual function were categorized into 7 age groups.</p></div><div><h3>Methods</h3><p>Subjects underwent comprehensive ocular examination of both eyes before enrollment. Using the TEMPO/IMOvifa automated perimeter (Topcon Healthcare/CREWT Medical Systems), each subject completed 4 binocular threshold visual field (VF) tests during a single visit: First, practice 24-2 and 10-2 tests were obtained from both eyes. Next, study 24-2 and 10-2 tests were obtained from both eyes. Test order of each sequence was randomized, and the tests were conducted under standard automated perimetry testing conditions: Goldmann stimulus size III, 3183 cd/m<sup>2</sup> maximum stimulus intensity, and background intensity of 10 cd/m<sup>2</sup>, using AIZE-Rapid test strategy. Standard VF reliability indices were assessed. For each subject, 24-2 and 10-2 test results from 1 randomly selected eye were analyzed.</p></div><div><h3>Main Outcome Measures</h3><p>Perimetric threshold sensitivity and reference limits for each test analysis parameter.</p></div><div><h3>Results</h3><p>The ages of the study cohort were widely distributed, with a mean age (standard deviation [SD]) of 52.3 (18.5) years. Sex assignment was 44.0% male and 56.0% female. The majority of subjects self-identified as White (67.4%), followed by Black or African American (13.5%) and Asian (8.7%), with 14.6% self-identified as Hispanic or Latino ethnicity. Mean sensitivity (SD) was 29.1 (1.3) decibels (dB) for the 24-2 and 32.4 (1.0) dB for the 10-2 test. For the 24-2 and 10-2, mean sensitivity (SD) age-related changes averaged −0.06 (0.01) dB and −0.05 (0.01) dB per year, respectively. The normal range of pointwise threshold sensitivity increased with eccentricity and showed asymmetry around the mean, particularly notable in the 24-2 test. Mean (SD) binocular test duration was 3.18 (0.38) minutes (1 minute 35 seconds per eye) for the 24-2 test and 3.58 (0.43) minutes (1 minute 47 seconds per eye) for the 10-2 test.</p></div><div><h3>Conclusions</h3><p>An RDB for the TEMPO/IMOvifa perimeter was established, highlighting the significance of considering both age and stimulus eccentricity in interpreting threshold VF test results.</p></div><div><h3>Financial Disclosure(s)</h3><p>Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.</p></div>\",\"PeriodicalId\":74363,\"journal\":{\"name\":\"Ophthalmology science\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-07-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666914524001192/pdfft?md5=ec0b7377fc17660ad95c7721e62a1e84&pid=1-s2.0-S2666914524001192-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ophthalmology science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666914524001192\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ophthalmology science","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666914524001192","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Reference Database for a Novel Binocular Visual Function Perimeter: A Randomized Clinical Trial
Purpose
To construct a comprehensive reference database (RDB) for a novel binocular automated perimeter.
Design
A four-site prospective randomized clinical trial.
Subjects and Controls
Three hundred fifty-six healthy subjects without ocular conditions that might affect visual function were categorized into 7 age groups.
Methods
Subjects underwent comprehensive ocular examination of both eyes before enrollment. Using the TEMPO/IMOvifa automated perimeter (Topcon Healthcare/CREWT Medical Systems), each subject completed 4 binocular threshold visual field (VF) tests during a single visit: First, practice 24-2 and 10-2 tests were obtained from both eyes. Next, study 24-2 and 10-2 tests were obtained from both eyes. Test order of each sequence was randomized, and the tests were conducted under standard automated perimetry testing conditions: Goldmann stimulus size III, 3183 cd/m2 maximum stimulus intensity, and background intensity of 10 cd/m2, using AIZE-Rapid test strategy. Standard VF reliability indices were assessed. For each subject, 24-2 and 10-2 test results from 1 randomly selected eye were analyzed.
Main Outcome Measures
Perimetric threshold sensitivity and reference limits for each test analysis parameter.
Results
The ages of the study cohort were widely distributed, with a mean age (standard deviation [SD]) of 52.3 (18.5) years. Sex assignment was 44.0% male and 56.0% female. The majority of subjects self-identified as White (67.4%), followed by Black or African American (13.5%) and Asian (8.7%), with 14.6% self-identified as Hispanic or Latino ethnicity. Mean sensitivity (SD) was 29.1 (1.3) decibels (dB) for the 24-2 and 32.4 (1.0) dB for the 10-2 test. For the 24-2 and 10-2, mean sensitivity (SD) age-related changes averaged −0.06 (0.01) dB and −0.05 (0.01) dB per year, respectively. The normal range of pointwise threshold sensitivity increased with eccentricity and showed asymmetry around the mean, particularly notable in the 24-2 test. Mean (SD) binocular test duration was 3.18 (0.38) minutes (1 minute 35 seconds per eye) for the 24-2 test and 3.58 (0.43) minutes (1 minute 47 seconds per eye) for the 10-2 test.
Conclusions
An RDB for the TEMPO/IMOvifa perimeter was established, highlighting the significance of considering both age and stimulus eccentricity in interpreting threshold VF test results.
Financial Disclosure(s)
Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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