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Evaluation of refractive correction for standard automated perimetry in eyes wearing multifocal contact lenses

International Journal of Ophthalmology(English edition) 2017年第10期10卷 1559-1565页

作者： Kazunori Hirasawa Hikaru Ito yukari ohori Yui Takano Nobuyuki Shoji Department of Orthoptics and Visual Science School of Allied Health SciencesKitasato University Department of Ophthalmology School of medicineKitasato University

AIM：To evaluate the refractive correction for standard automated perimetry（SAP）in eyes with refractive multifocal contact lenses（CL）in healthy young ***：Twenty-nine eyes of 29 participants were *** was paralyzed in all participants with 1%cyclopentolate *** was performed using the Humphrey SITA-standard 24-2 and 10-2 protocol under three refractive conditions：monofocal CL corrected for near distance（baseline）;multifocal CL corrected for distance（m CL-D）;and m CL-D corrected for near vision using a spectacle lens（m CL-N）.Primary outcome measures were the foveal threshold,mean deviation（MD）,and pattern standard deviation（PSD）.RESULTS：The foveal threshold of m CL-N with both the24-2 and 10-2 protocols significantly decreased by 2.2-2.5 d B（P〈0.001）,while that of m CL-D with the 24-2 protocol significantly decreased by 1.5 d B（P=0.0427）,as compared with that of *** there was no significant difference between the MD of baseline and m CL-D with the24-2 and 10-2 protocols,the MD of m CL-N was significantly decreased by 1.0-1.3 d B（P〈0.001）as compared with that of both baseline and m CL-D,with both 24-2 and 10-2 *** was no significant difference in the PSD among the three refractive conditions with both the 24-2 and 10-2 ***：Despite the induced mydriasis and the optical design of the multifocal lens used in this study,our results indicated that,when the dome-shaped visual field test is performed with eyes with large pupils and wearing refractive multifocal CLs,distance correction without additional near correction is to be recommended.

关键词： intraocular lens multifocal contact lens refractive correction standard automated perimetry visual field

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