目的:分析非动脉炎性前部缺血性视神经病变(NAION)眼的微视野固视性质。方法:选择NAION患者23例27眼,分别以检眼镜法和NidekMP-1微视野仪检测其固视性质,并对检测结果进行比较。结果:以检眼镜法检测,18眼表现为中心固视,9眼表现为中心外固视;以微视野法检测,18眼表现为稳定的中心固视,9眼表现为中心外固视,其中相对不稳定固视6眼,不稳定固视3眼。中心固视眼视力明显好于中心外固视眼(P〈0.05)。结论:检眼镜法检测NAION患者的固视性质时可以明确区分中心固视和中心外固视,微视野法则可以进一步对固视的稳定性加以分析。
AIM : To investigate the fixation features in non-anterior ischemic optic neuropathy ( NAION ) eyes with microperimetery. METHODS: Twenty-three patients with 27 NAION eyes were enrolled in this study. The fixation features were measured by Nidek MP- 1 microperimeter and direct ophthalmoscope, and the results were analyzed. RESULTS: There were 18 eyes manifesting central fixation, 9 eyes with eccentric fixation by the direct ophthalmoscopy. There were 18 eyes manifesting predominantly central and stable fixation, 6 eyes with predominantly eccentric and relative unstable fixation, and 3 eyes with predominantly eccentric and unstable fixation. Best- corrected visual acuity (BCVA) of the central fixation eyes was better than the eccentric fixation ones (P〈0.05). CONCLUSION: The difference between central andeccentric fixation can be detected definitely by the direct ophthalmoscopy in the NAION eyes, while microperimetery can manifest fixation location and stability in details.