PURPOSE:A pattern electroretinogram (PERG) in which stimuli displaying the frequency-doubling (FD) illusion are presented simultaneously to multiple parts of the visual field was evaluated for its ability to diagnose glaucoma. This multiregion FD PERG is referred to in the current study as the MFP. METHODS:The nine stimulus regions were temporally modulated at incommensurate frequencies typically producing an FD percept. Two other spatial scales of the stimuli were also investigated. The sensitivity and specificity of MFP were examined using linear and quadratic discriminant methods. RESULTS:Even with the simpler linear discriminant classification, sensitivities and specificities of 100% were obtained in eyes with moderate to severe glaucoma. Of eyes with glaucoma strongly suspected, 67% were classified as being glaucomatous. Stimulus patterns having differing spatial scales produced different PERG visual field dependencies. CONCLUSIONS:The differing results for the 16-fold change in spatial scale may reflect the accessing of different mechanisms. The MFP method appears to have significant value for the diagnosis of glaucoma.

译文

目的:评估其中显示倍频(FD)幻觉的刺激同时出现在视野的多个部分的模式视网膜电图(PERG)的诊断青光眼的能力。在当前研究中,此多区域FD PERG被称为MFP。
方法:九个刺激区域在不适当的频率下进行时间调制,通常会产生FD感知。还研究了刺激的其他两个空间尺度。使用线性和二次判别方法检查了MFP的敏感性和特异性。
结果:即使采用简单的线性判别分类,中度至重度青光眼的敏感性和特异性仍达到100%。在强烈怀疑患有青光眼的眼睛中,有67%被归类为青光眼。具有不同空间比例的刺激模式会产生不同的PERG视野依赖性。
结论:空间尺度16倍变化的不同结果可能反映了不同机制的进入。 MFP方法似乎对青光眼的诊断具有重要价值。

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