Objective quantitative assessment of visual quality with a double-pass instrument for myopic foveoschisis patients_Chinese Journal of Ocular Fundus Diseases

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Tenth People's Hospital of Tongji University, Shanghai 200072, China;

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Keywords：

Vision, ocular; Vision tests; Retinoschisis; Myopia, degenerative/complications

DOI：

10.3760/cma.j.issn.1005-1015.2016.01.012

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Objective To objectively quantitative assess the visual quality in patients with myopic foveoschisis (MF) using a double-pass optical quality analysis system (OQASⅡ). Methods Sixty-two subjects participated in this cross-sectional, observational study, who were divided into three groups based on the pathologic conditions including myopic foveoschisis group (MFG), myopic control group (MCG) and normal control group (NCG). Measurements with OQASⅡwere performed for the modulation transfer function cut off frequency (MTF cut-off), the Strehl ratio (SR) and the objective scatter index (OSI). Visual data were analyzed using ANOVA and Pearson's correlation accompanied by logMAR BCVA and axial length (AL). Results The mean values for MTF cut-off, SR and OSI of MFG, MCG and NCG were 18.18±4.81, 0.13±0.03, 3.50±0.44; 22.87±2.66, 0.14±0.02, 2.42±0.29; 33.68±4.70, 0.23±0.02, 1.68±0.20 respectively, and statistical difference were proved except SR between MFG and MCG, or BCVA between MCG and NCG (P < 0.05). LogMAR BCVA and AL have negative correlations to MTF cut-off (r=-0.928, -0.658; P < 0.05) and SR (r=-0.577, -0.893; P < 0.05) with high coefficients in MFG. Log MAR BCVA has negative correlations to MTF cut-off and SR (r=-0.659, -0.806; P < 0.05) in MCG. Log MAR BCVA has negative correlations to MTF cut-off and SR (r=-0.606, -0.602; P < 0.05) and positively correlated to OSI (r=0.561, P < 0.05) in NCG. Conclusions The mean value of BCVA, MTF cut-off, SR, OSI of myopic foveoschisis patients were lower than those myopic patients without foveoschisis and normal people. there exists a significant negative correlation between Log MAR BCVA, AL to MTF cut-off and SR. Compared with myopic and normal subjects, myopic foveoschisis have lower BCVA, MTF cut-off, SR but higher OSI.

Citation： LiQingchen, GaoPeng, LiHuanhuan, LuoXu, GaoXinrui, WangFang, WangHao. Objective quantitative assessment of visual quality with a double-pass instrument for myopic foveoschisis patients. Chinese Journal of Ocular Fundus Diseases, 2016, 32(1): 47-51. doi: 10.3760/cma.j.issn.1005-1015.2016.01.012 Copy

1.	Nomura H, Ando F, Niino N, et al.Age-related change in contrast sensitivity among Japanese adults[J].Jpn J Ophthalmol, 2003, 47(3):299-303.
2.	Kiser AK, Mladenovich D, Eshraghi F, et al. Reliability and consistency of visual acuity and contrast sensitivity measures in advanced eye disease [J]. Optom Vis Sci, 2005, 82(11):946-954.
3.	Hohberger B, Laemmer R, Adler W, et al.Measuring contrast sensitivity in normal subjects with OPTEC 6500: influence of age and glare[J].Graefe's Arch Clin Exp Ophthalmol, 2007, 245(12):1805-1814.
4.	Díaz-Doutón F, Benito A, Pujol J, et al.Comparison of the retinal image quality with a Hartmann-Shack wavefront sensor and a double-pass instrument[J].Invest Ophthalmol Vis Sci, 2006, 47(4):1710-1716.
5.	王新, 马忠旭, 高原, 等.OQAS系统和i-Trace像差仪比较人工晶状体眼调制传递函数[J].中国实用眼科杂志, 2014, 32(5):550-553.DOI: 10.3760/cma.j.issn.1006-4443.2014.05.006.WangX, MaZX, GaoY, etal.Comparisonoftheretinalimagequalitywithadouble-passinstrumentandi-Traceabrrometer[J].ChinJPractOphthalmol, 2014, 32(5):550-553.DOI: 10.3760/cma.j.issn.1006-4443.2014.05.006.
6.	谷天瀑, 魏瑞华, 林伟平, 等.双通道视觉分析系统评估配戴角膜塑形镜前后的视觉质量和眼内散射[J].眼科新进展, 2015, 35(5):445-448.DOI:10.13389/j.cnki.rao.2015.0121.Gu TP, Wei RH, Lin WP, et al.Assessment of optical quality and intraocular scattering before and after orthokeratology with a double-pass optical quality analysis system [J].Rec Adv Ophthalmol, 2015, 35(5):445-448.DOI:10.13389/j.cnki.rao.2015.0121.
7.	Takano M, Kishi S.Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma[J].Am J Ophthalmol, 1999, 128(4):472-476.
8.	Artal P, Benito A, Pérez GM, et al.An objective scatter index based on double-pass retinal images of a point source to classify cataracts.PLoS One, 2011, 6(2): 16823.http://upcommons.upc.edu/bitstream/handle/2117/13878/An%20objective%20scatter.pdf?sequence=1.DOI:10.1371/journal.pone.0016823.
9.	许根贵, 吴艺君, 盛文, 等.甲状腺相关眼病患者视觉质量及影响因素[J].中华眼视光学与视觉科学杂志, 2013, 15(2):98-103.DOI:10.3760/cma.j.issn.1674-845X.2013.02.009.Xu GG, Wu YJ, Sheng W, et al.Visual quality reduction and related factors in thyroid-associated ophthalmopathy[J].Chin J Optom Ophthalmol Vis Sci, 2013, 15(2): 98-103.DOI:10.3760/cma.j.issn.1674-845X.2013.02.009.
10.	肖信, 刘伟民, 王英.双通道视觉质量分析系统评价弱视儿童的视觉质量[J].眼科新进展, 2014, 34(12):1157-1160.DOI:10.13389/j.cnki.rao.2014.0321.Xiao X, Liu WM, Wang Y.Evaluation of visual quality in amblyopic children using double-pass optical quality a-nalysis system[J].Rec Adv Ophthalmol, 2014, 34 (12): 1157-1160.DOI:10.13389/j.cnki.rao.2014.0321.
11.	Saad A, Saab M, Gatinel D.Repeatability of measurements with a double-pass system[J].J Cataract Refract Surg, 2010, 36(1):28-33. DOI: 10.1016/j.jcrs.2009.07.033.
12.	Tomás J, Piáero DP, Alió JL.Intra-observer repeatability of optical quality measures provided by a double-pass system[J].Clin Exp Optom, 2012, 95(1):60-65. DOI: 10.1111/j.1444-0938.2011.00660.x.
13.	李佳佳, 郭秀瑾.双通道视觉质量分析系统对青年近视患者视觉质量的评估[J].中华眼视光学与视觉科学杂志, 2015, 17(5):292-295.DOI:10.3760/cma.j.issn.1674-845X.2015.05.009.Li JJ, Guo XJ.Evaluation of the optical quality of young patients with myopia using the Double-pass Optical Quality Analysis System[J].Chin J Optom Ophthalmol Vis Sci, 2015, 17(5):292-295.DOI:10.3760/cma.j.issn.1674-845X.2015.05.009.
14.	Vilaseca M, Peris E, Pujol J, et al.Intra-and intersession repeatability of a double-pass instrument[J].Optom Vis Sci, 2010, 87(9):675-681. DOI: 10.1097/OPX.0b013e3181ea1ad3.
15.	Xu CC, Xue T, Wang QM, et al. Repeatability and reproducibility of a double-pass optical quality analysis device.PLoS One, 2015, 10(2):0117587. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0117587.DOI:10.1371/journal.pone.0117587.
16.	万修华, 张烨, 乔利亚, 等.双通道系统视觉质量分析仪评价正常人视觉质量的可重复性研究[J].眼科, 2013, 22(3):175-179.Wan XH, Zhang Y, Qiao LY, et al.The repeatability of objective optical quality parameters measured by the Optical Quality Analysis System in normal subjects[J]. Ophthalmol CHN, 2013, 22(3):175-179.
17.	Saw SM, Gazzard G, Shih-Yen EC, et al.Myopia and associated pathological complications[J].Ophthalmic Physiol Opt, 2005, 25(5):381-391.
18.	De Wit GC, Coppens JE.Stray light of spectacle lenses compared with stray light in the eye[J].Optom Vis Sci, 2003, 80(5):395-400.
19.	蔡啸谷, 乔利亚, 张烨, 等.双通道视觉质量分析系统可靠性评价及相关影响因素分析[J].眼科新进展, 2013, 33(7):646-650.Cai XG, Qiao LY, Zhang Y, et al.Reliability evaluation of double-pass optical quality analysis system and analysis of relevant influencing factors[J].Rec Adv Ophthalmol, 2013, 33(7):646-650.
20.	Lim R, Mitchell P, Cumming RG.Refractive associations with cataract: the Blue Mountains Eye Study[J].Invest Ophthalmol Vis Sci, 1999, 40(12):3021-3026.
21.	Van Den Berg TJ, Van Rijn LJ, Michael R, et al.Straylight effects with aging and lens extraction[J].Am J Ophthalmol, 2007, 144(3):358-363.
22.	乔利亚.蔡啸谷, 万修华, 等.应用双通道客观视觉质量分析系统与光线追踪波阵面像差系统分析正常人眼调制传递函数[J].中华眼科杂志, 2015, 51(1):20-25.DOI:10.3760/cma.j.issn.0412-4081.2015.01.006.Qiao LY, Cai XG, Wan XH, et al.Comparison of ocular modulation transfer function measurements by ray tracing wavefront technology and double-pass system[J].Chin J Ophthalmol, 2015, 51(1):20-25.DOI:10.3760/cma.j.issn.0412-4081.2015.01.006.
23.	肖显文, 张红, 田芳.双通道视觉质量分析系统评估Toric人工晶状体植入术后的视觉质量[J].眼科新进展, 2014, 34(4):345-349.DOI:10.13389/j.cnki.rao.2014.0093.Xiao XE, Zhang H, Tian F.Evaluating visual quality after Toric intraocular lens implantation with double passage optical quality analysis system[J].Rec Adv Ophthalmol, 2014, 34(4): 345-349.10.13389/j.cnki.rao.2014.0093.
24.	邢晓杰, 宋慧, 汤欣.应用OQAS双通道系统对人工晶状体眼视觉质量评估可重复性研究[J].中国实用眼科杂志, 2014, 32(10):1163-1168.10.3760/cma.j.issn.1006-4443.2014. 010.008.Xing XJ, Song H, Tang X.Repeatability of measurements with a double-pass OQAS system after 3 IOLs implantations[J].Chin J Pract Ophthalmol, 2014, 32(10):1163-1168.10.3760/cma.j.issn.1006-4443.2014. 010.008.

1. Nomura H, Ando F, Niino N, et al.Age-related change in contrast sensitivity among Japanese adults[J].Jpn J Ophthalmol, 2003, 47(3):299-303.
2. Kiser AK, Mladenovich D, Eshraghi F, et al. Reliability and consistency of visual acuity and contrast sensitivity measures in advanced eye disease [J]. Optom Vis Sci, 2005, 82(11):946-954.
3. Hohberger B, Laemmer R, Adler W, et al.Measuring contrast sensitivity in normal subjects with OPTEC 6500: influence of age and glare[J].Graefe's Arch Clin Exp Ophthalmol, 2007, 245(12):1805-1814.
4. Díaz-Doutón F, Benito A, Pujol J, et al.Comparison of the retinal image quality with a Hartmann-Shack wavefront sensor and a double-pass instrument[J].Invest Ophthalmol Vis Sci, 2006, 47(4):1710-1716.
5. 王新, 马忠旭, 高原, 等.OQAS系统和i-Trace像差仪比较人工晶状体眼调制传递函数[J].中国实用眼科杂志, 2014, 32(5):550-553.DOI: 10.3760/cma.j.issn.1006-4443.2014.05.006.WangX, MaZX, GaoY, etal.Comparisonoftheretinalimagequalitywithadouble-passinstrumentandi-Traceabrrometer[J].ChinJPractOphthalmol, 2014, 32(5):550-553.DOI: 10.3760/cma.j.issn.1006-4443.2014.05.006.
6. 谷天瀑, 魏瑞华, 林伟平, 等.双通道视觉分析系统评估配戴角膜塑形镜前后的视觉质量和眼内散射[J].眼科新进展, 2015, 35(5):445-448.DOI:10.13389/j.cnki.rao.2015.0121.Gu TP, Wei RH, Lin WP, et al.Assessment of optical quality and intraocular scattering before and after orthokeratology with a double-pass optical quality analysis system [J].Rec Adv Ophthalmol, 2015, 35(5):445-448.DOI:10.13389/j.cnki.rao.2015.0121.
7. Takano M, Kishi S.Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma[J].Am J Ophthalmol, 1999, 128(4):472-476.
8. Artal P, Benito A, Pérez GM, et al.An objective scatter index based on double-pass retinal images of a point source to classify cataracts.PLoS One, 2011, 6(2): 16823.http://upcommons.upc.edu/bitstream/handle/2117/13878/An%20objective%20scatter.pdf?sequence=1.DOI:10.1371/journal.pone.0016823.
9. 许根贵, 吴艺君, 盛文, 等.甲状腺相关眼病患者视觉质量及影响因素[J].中华眼视光学与视觉科学杂志, 2013, 15(2):98-103.DOI:10.3760/cma.j.issn.1674-845X.2013.02.009.Xu GG, Wu YJ, Sheng W, et al.Visual quality reduction and related factors in thyroid-associated ophthalmopathy[J].Chin J Optom Ophthalmol Vis Sci, 2013, 15(2): 98-103.DOI:10.3760/cma.j.issn.1674-845X.2013.02.009.
10. 肖信, 刘伟民, 王英.双通道视觉质量分析系统评价弱视儿童的视觉质量[J].眼科新进展, 2014, 34(12):1157-1160.DOI:10.13389/j.cnki.rao.2014.0321.Xiao X, Liu WM, Wang Y.Evaluation of visual quality in amblyopic children using double-pass optical quality a-nalysis system[J].Rec Adv Ophthalmol, 2014, 34 (12): 1157-1160.DOI:10.13389/j.cnki.rao.2014.0321.
11. Saad A, Saab M, Gatinel D.Repeatability of measurements with a double-pass system[J].J Cataract Refract Surg, 2010, 36(1):28-33. DOI: 10.1016/j.jcrs.2009.07.033.
12. Tomás J, Piáero DP, Alió JL.Intra-observer repeatability of optical quality measures provided by a double-pass system[J].Clin Exp Optom, 2012, 95(1):60-65. DOI: 10.1111/j.1444-0938.2011.00660.x.
13. 李佳佳, 郭秀瑾.双通道视觉质量分析系统对青年近视患者视觉质量的评估[J].中华眼视光学与视觉科学杂志, 2015, 17(5):292-295.DOI:10.3760/cma.j.issn.1674-845X.2015.05.009.Li JJ, Guo XJ.Evaluation of the optical quality of young patients with myopia using the Double-pass Optical Quality Analysis System[J].Chin J Optom Ophthalmol Vis Sci, 2015, 17(5):292-295.DOI:10.3760/cma.j.issn.1674-845X.2015.05.009.
14. Vilaseca M, Peris E, Pujol J, et al.Intra-and intersession repeatability of a double-pass instrument[J].Optom Vis Sci, 2010, 87(9):675-681. DOI: 10.1097/OPX.0b013e3181ea1ad3.
15. Xu CC, Xue T, Wang QM, et al. Repeatability and reproducibility of a double-pass optical quality analysis device.PLoS One, 2015, 10(2):0117587. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0117587.DOI:10.1371/journal.pone.0117587.
16. 万修华, 张烨, 乔利亚, 等.双通道系统视觉质量分析仪评价正常人视觉质量的可重复性研究[J].眼科, 2013, 22(3):175-179.Wan XH, Zhang Y, Qiao LY, et al.The repeatability of objective optical quality parameters measured by the Optical Quality Analysis System in normal subjects[J]. Ophthalmol CHN, 2013, 22(3):175-179.
17. Saw SM, Gazzard G, Shih-Yen EC, et al.Myopia and associated pathological complications[J].Ophthalmic Physiol Opt, 2005, 25(5):381-391.
18. De Wit GC, Coppens JE.Stray light of spectacle lenses compared with stray light in the eye[J].Optom Vis Sci, 2003, 80(5):395-400.
19. 蔡啸谷, 乔利亚, 张烨, 等.双通道视觉质量分析系统可靠性评价及相关影响因素分析[J].眼科新进展, 2013, 33(7):646-650.Cai XG, Qiao LY, Zhang Y, et al.Reliability evaluation of double-pass optical quality analysis system and analysis of relevant influencing factors[J].Rec Adv Ophthalmol, 2013, 33(7):646-650.
20. Lim R, Mitchell P, Cumming RG.Refractive associations with cataract: the Blue Mountains Eye Study[J].Invest Ophthalmol Vis Sci, 1999, 40(12):3021-3026.
21. Van Den Berg TJ, Van Rijn LJ, Michael R, et al.Straylight effects with aging and lens extraction[J].Am J Ophthalmol, 2007, 144(3):358-363.
22. 乔利亚.蔡啸谷, 万修华, 等.应用双通道客观视觉质量分析系统与光线追踪波阵面像差系统分析正常人眼调制传递函数[J].中华眼科杂志, 2015, 51(1):20-25.DOI:10.3760/cma.j.issn.0412-4081.2015.01.006.Qiao LY, Cai XG, Wan XH, et al.Comparison of ocular modulation transfer function measurements by ray tracing wavefront technology and double-pass system[J].Chin J Ophthalmol, 2015, 51(1):20-25.DOI:10.3760/cma.j.issn.0412-4081.2015.01.006.
23. 肖显文, 张红, 田芳.双通道视觉质量分析系统评估Toric人工晶状体植入术后的视觉质量[J].眼科新进展, 2014, 34(4):345-349.DOI:10.13389/j.cnki.rao.2014.0093.Xiao XE, Zhang H, Tian F.Evaluating visual quality after Toric intraocular lens implantation with double passage optical quality analysis system[J].Rec Adv Ophthalmol, 2014, 34(4): 345-349.10.13389/j.cnki.rao.2014.0093.
24. 邢晓杰, 宋慧, 汤欣.应用OQAS双通道系统对人工晶状体眼视觉质量评估可重复性研究[J].中国实用眼科杂志, 2014, 32(10):1163-1168.10.3760/cma.j.issn.1006-4443.2014. 010.008.Xing XJ, Song H, Tang X.Repeatability of measurements with a double-pass OQAS system after 3 IOLs implantations[J].Chin J Pract Ophthalmol, 2014, 32(10):1163-1168.10.3760/cma.j.issn.1006-4443.2014. 010.008.

Chinese Journal of Ocular Fundus Diseases

Objective quantitative assessment of visual quality with a double-pass instrument for myopic foveoschisis patients

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