东亚人与白种人远周边视野的比较

IF 4.2 1区医学 Q1 OPHTHALMOLOGY

American Journal of Ophthalmology Pub Date : 2025-06-20 DOI:10.1016/j.ajo.2025.06.035

Sepideh J. Dogahe , Armin Garmany , Mostafa S. Mousavi , Helia Ashourizadeh , Cheryl Khanna

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引用次数: 0

摘要

采用动态和静态视野测量比较东亚和高加索受试者的周边视野表现和面部轮廓依赖的视野缺陷。

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Comparison of Far Peripheral Visual Fields in East-Asian and Caucasian Subjects

Objective

To compare peripheral visual field performance and facial contour—dependent visual field defects between East Asian and Caucasian participants using both kinetic and static perimetry.

Design

Cross-sectional observational study.

Participants

Forty-seven healthy participants, including 25 East Asian individuals (Chinese, Japanese, or Korean ethnicity) and 22 Caucasian individuals, confirmed to have no ocular pathology on clinical examination and optical coherence tomography (OCT).

Intervention

All participants underwent visual field testing using the 60-4 threshold test on the Humphrey Field Analyzer II and kinetic perimetry on the Octopus perimeter. Three-dimensional facial reconstructions were generated from 2D facial photographs using neural network—enabled analysis to predict facial contour—dependent visual field obstructions.

Main Outcome Measures

Sum of threshold sensitivities from the 60-4 test, peripheral field extent at specified angles (0°-330°) on kinetic perimetry, and the number of predicted and observed facial contour—dependent visual field defects.

Results

East Asian participants showed significantly fewer predicted and observed facial contour—dependent defects compared to Caucasian participants (OS: 3 ± 0.09 vs 6 ± 0.08, P < .0001; OD: 2 ± 0.06 vs 4 ± 0.08, P < .001). Kinetic perimetry revealed extended peripheral field extent in East Asians in the inferior nasal quadrant at 300° and 330° (FDR < 0.05). The 60-4 test showed higher threshold sensitivity in select inferior nasal locations among East Asians.

Conclusion

Ethnicity-linked anatomical differences, particularly facial contour, may influence peripheral visual field performance. These findings support integrating facial structure and race-based context into the interpretation of visual field tests and highlight the value of combining kinetic and static perimetry.

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来源期刊

American Journal of Ophthalmology 医学-眼科学

CiteScore

9.20

自引率

7.10%

发文量

406

审稿时长

36 days

期刊介绍： The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect. The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports. Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.