首页|全视野视网膜电图联合眼底照相对视网膜脱离术前视功能的评价

全视野视网膜电图联合眼底照相对视网膜脱离术前视功能的评价

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目的 探讨全视野视网膜电图(F-ERG)联合超广角扫描激光眼底成像术对视网膜脱离(RD)术前的视功能客观评价意义.方法 对16例RD患者的16只眼进行F-ERG及眼底照相检测,采用ERG-JET电极,评估患者在明适应和暗适应条件下视网膜的总体功能,并与视网膜脱离范围进行相关性分析.结果 视网膜脱离区域与F-ERG暗视3.0反应的a波,暗视10.0反应的a波与b波呈负相关(P<0.05),与暗室震荡3.0反应的OS2,明视闪烁反应的N1-P1指标呈负相关性(P<0.05),与暗视震荡3.0反应的P2ms呈正相关(P<0.05).结论 全视野ERG能客观定量评价RD术前视功能,与视网膜脱离范围大小具有相关性,两种检查都可以作为术前评估患者眼部状态的客观功能学指标.
Evaluation of full-field electroretinography combined with fundus photography on the preoperative visual function of retinal detachment
Objective To investigate the significance of full-field electroretinography(F-ERG)combined with ultra-wide-angle scanning laser fundus imaging for the objective evaluation of visual function in retinal detachment(RD)before surgery.Methods A prospective case series study.F-ERG and fundus photography were performed in 16 eyes of 16 patients with RD,and ERG-jet electrodes were used to assess the overall retinal function under bright-adapted and dark-adapted conditions and to correlate it with the extent of retinal detachment.Results The area of retinal detachment was negatively correlated with the a-wave of the F-ERG dark-adapted 3.0 response,the a-wave of the dark-adapted 10.0 re-sponse and the b-wave of the dark-adapted 10.0 response(P<0.05),and was significantly negatively correlated with the OS2 of the dark-adapted 3.0 response,the N1-P1 index of the bright-adapted flicker response(P<0.05),and was signifi-cantly positively correlated with the P2ms of the dark-adapted 3.0 response(P<0.05),there was no significant correlation between F-ERG and disease duration.Conclusions F-ERG can objectively and quantitatively evaluate the preoperative visual function of RD and correlate with the extent of retinal detachment,and both tests can be used as objective functional indicators for preoperative assessment of patients'ocular status.

Retinal detachmentFull-field electroretinographyFundus photographyRetinal sensitivity

路星、郜雪燕、李晓俊、纪康康、董凯

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230001 合肥,中国科学技术大学附属第一医院眼科

视网膜脱离 全视野视网膜电图 眼底照相 视网膜敏感性

国家自然科学基金面上项目中国科学技术大学联合新医学资金资助项目安徽省教育厅科研资助项目中国科学技术大学附属第一医院资助项目

82070977YD91100020132022AH0401912019ZC047

2024

临床眼科杂志
安徽医科大学,安徽眼科研究所

临床眼科杂志

CSTPCD
影响因子:0.791
ISSN:1006-8422
年,卷(期):2024.32(1)
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