中国斜视与小儿眼科杂志2024，Vol.32Issue(1)：26-30,后插11,6.DOI:10.3969/J.ISSN.1005-328X.2024.01.009
新型视功能检测平台在测量水平隐斜视中的临床评估
Assessment of Inspection Platform of Visual Function(IPVF)in horizontal phoria quantification
摘要
Abstract
Objective To assess the consistency between the new Inspection Platform of Visual Function(IPVF)and phoropter in measuring horizontal phoria.Methods Self-controlled prospective study.The subjects were examined using IPVF and phoropter for measuring horizontal phoria.The difference and consistency of phoria types were evaluated by MaNemar test and Kappa test.Bland-Altman consistency test was used to analyze the difference and distribution of the two methods,and the intra-class correlation coefficient(ICC)was used to calculate the correlation between the two methods.Results A total of 127 subjects were included,including 46 males and 81 females,aged 6～59 years.The average horizontal phoria measured by IPVF using the Maddox rod test is -8.74△±6.18△ at near,0.15△±4.80△ at distance,and -8.46△±5.90△ at near,0.74△±4.39△ at distance,using the Von Graefe test.The average horizontal phoria measured by phoropter using the Maddox rod test is-7.79△±6.02△ at near,-0.32△±4.58△ at distance,-7.53△±6.06△ at near,-0.30△±4.27△ at distance,using the Von Graefe test.There was no significant difference between the types of phoria measured by the two instruments,the consistency is good(Kappa values are all＞0.6,P values all＜0.001).The results of horizontal phoria measured by the two instru-ments are consistent(Maddox rod test ICCnear=0.936,ICCfar=0.935,P＜0.001;Von Graefe method ICCnear=0.837,ICCfar=0.885,P＜0.001),they also have good consistency among different age groups(ICC of each group is＞0.75).The overall average difference between them by Maddox rod test is 0.95△±1.99△ at near,-0.48△±1.64△ at distance.Using Von Graefe test,the overall average difference is 0.93△±3.31△ at near,-1.04△±1.84△ at distance.94.49％(120/127),95.28％(121/127),96.85％(123/127)and 97.64％(124/127)of the points are within the clinically acceptable consistency limits,and the two instruments have good consistency.Conclusion IPVF and phoropter have good consistency in horizontal phoria examination.Because of the advantages of more convenient,lower requirements for inspectors,more intuitive results and online storage,IPVF may have greater clinical application prospects in the future.关键词
隐斜视/Maddox rod法/Von Graefe法Key words
Phoria/Maddox rod test/von Graefe test引用本文复制引用
刘佩佩,齐福维,付晶..新型视功能检测平台在测量水平隐斜视中的临床评估[J].中国斜视与小儿眼科杂志,2024,32(1):26-30,后插11,6.基金项目
国家自然科学基金面上项目(82070998) （82070998）
北京市科委科技计划项目(Z201100005520044) （Z201100005520044）
