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中心性漿液性脈絡網膜症的色覺研究

Color Sense Study in Central Serous Chorioretinopathy

摘要


本文就中心性漿液性脈絡網膜症的患者(共38眼),做各種色覺檢查,依其螢光眼底攝影的結果,就不同階段過程的色覺變化提出報告。結果顯示石原式、東京醫大式色盲表,都只能測出少數異常患者,Panel D-15,Farnsworth 100 Hue檢查顯示黃藍異常或併有綠色異常,其發生異常程度隨著疾病進行過程而有平行變化。Anomaloscope則在活動期中全呈異常均衡範圍而均衡點移向紅色端,非活動期則除一例,其餘均幾呈現正常值。

關鍵字

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並列摘要


Fluorescein angiography is clinically used to clarify the progression and stages of Central serous chorioretinopathy (CSCR). The authors have tried to correlate the various color tests with the disease process. Our results discovered that the pseudoisochromatic plates of Ishihara and Tokyo Medical College are not helpful in detecting the anomaly. On the other hand, panel D-15 revealed typically yellow-blue defect in 50% of jet spot stage, 60% of round enlarged stage, 8% in residual spots stage and none in transparent stage. Farnsworth 100-Hue test revealed tritan or tritan-deutan combination axes in 100% of jet spot stage, 80% of round enlarged stage, 40% of residual spots stage, and none in transparent stage. The results demonstrated that the progress & recovery of the disease itself had some correlation with the color sense functional tests. In the same time, the anomaloscope showed abnormal equation including extended scale range and red-shift of Rayleigh equation in all cases of both jet spot & round enlarged active stages, while only 1 case of inactive CSCR.

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