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[弱视患者多焦视网膜电图的研究]

[Investigation of multifocal electroretinogram in amblyopia].

作者信息

Ju Hong, Zhao Kan-xing, Zhou Nan, Zhang Wei

机构信息

Tianjin Eye Hospital, Tianjin 300040, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2004 Oct;40(10):655-62.

Abstract

OBJECTIVE

To investigate the changes of the multifocal electroretinogram (mfERG) in amblyopic eyes. Methods The mfERG of 28 anisometropic amblyopic cases (28 eyes), 25 strabismic amblyopic cases (25 eyes), 14 isometropic amblyopic cases (28 eyes) and 54 normal control eyes were tested.

RESULTS

The N1 wave and P1 wave amplitude densities of mfERG first order kernel and the P1 wave amplitude densities of second order kernel in amblyopic eyes were significantly attenuated in the central region of the visual field (P < 0.05), and these phenomena gradually reduced with the increase of the eccentricity. The N1 wave and P1 wave amplitude densities of mfERG first order kernel at the temporal visual field were smaller than that of the nasal visual field, and the latencies were delayed at the temporal visual field in all groups (P < 0.05). The P1 wave amplitude densities of mfERG second order kernel at the upper visual field were smaller than that of the lower visual field in all groups (P < 0.05), and no significant differences could be detected in other indexes between the upper visual field and the lower visual field (P > 0.05). There was no significant difference in latencies of mfERG between the amblyopic eyes and control eyes (P > 0.05). No significant difference of mfERG was found among the three types of amblyopic eyes. In the amblyopic eyes, there was no linear correlation between visual acuity eyes and various indexes of mfERG (P > 0.05). There was significant difference in mfERG between the amblyopic eyes and contralateral eyes (P < 0.05), but there was no significant difference between the contralateral eyes and the control eyes (P > 0.05).

CONCLUSIONS

The X ganglion cells in the retina of amblyopic eyes are abnormal, but the visual information transmitting time in the retina was normal in the amblyopic eyes.

摘要

目的

探讨弱视眼多焦视网膜电图(mfERG)的变化。方法 对28例屈光参差性弱视患者(28只眼)、25例斜视性弱视患者(25只眼)、14例等视性弱视患者(28只眼)及54只正常对照眼进行mfERG检测。

结果

弱视眼mfERG一阶核的N1波和P1波振幅密度以及二阶核的P1波振幅密度在视野中央区明显衰减(P<0.05),且这些现象随偏心度增加而逐渐减轻。所有组中,mfERG一阶核在颞侧视野的N1波和P1波振幅密度均小于鼻侧视野,且颞侧视野的潜伏期延迟(P<0.05)。所有组中,mfERG二阶核在上半视野的P1波振幅密度均小于下半视野(P<0.05),上半视野与下半视野的其他指标差异无统计学意义(P>0.05)。弱视眼与对照眼的mfERG潜伏期差异无统计学意义(P>0.05)。三种类型弱视眼之间的mfERG差异无统计学意义。在弱视眼中,视力与mfERG各项指标之间无线性相关性(P>0.05)。弱视眼与对侧眼的mfERG差异有统计学意义(P<0.05),但对侧眼与对照眼之间差异无统计学意义(P>0.05)。

结论

弱视眼视网膜中的X神经节细胞异常,但弱视眼视网膜中的视觉信息传递时间正常。

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