Layton C J, Safa R, Osborne N N
Nuffield Laboratory of Ophthalmology, Oxford University, Walton St, Oxford OX2 6AW, UK.
Graefes Arch Clin Exp Ophthalmol. 2007 Sep;245(9):1335-45. doi: 10.1007/s00417-006-0506-0. Epub 2007 Jan 31.
Diabetes inhibits dark adaptation and both processes alter the electroretinogram (ERG) in similar ways. This study aimed to investigate the relationship between oscillatory potentials (OPs) and the b-wave during dark adaptation and to determine if this relationship changes during the development of diabetes.
Twenty-one rats were assigned to adaptation, control and diabetic groups. Rats were dark adapted for periods between 20 minutes and 4 hours, and ERGs recorded. Diabetes was induced with streptozotocin, and ERGs measured after 3, 6, 9 and 12 weeks after injection.
Increasing periods of dark adaptation led to a logarithmic increase in the amplitude of the b-wave and the OPs. This was accompanied by a decrease in the peak times of the OPs and b-wave. Total OP amplitude and b-wave amplitude were linearly related, allowing an empirical OP constant to be developed to describe the relationship between the two parameters. Diabetes led to a progressive decrease in the amplitude and increase in the peak time of all waves. The OP constant decreased in a linear fashion with increasing duration of diabetes.
It is argued that OP masking of the b-wave could explain previous inconsistencies in reported ERG changes in diabetes and that a slowing of dark adaptation does not account for these ERG changes. The report concludes that the OPs and b-wave amplitudes and latencies are intimately related in the normal retina and that this correlation is lost predictably during the development of diabetes.
糖尿病会抑制暗适应,且这两种过程都会以相似的方式改变视网膜电图(ERG)。本研究旨在探讨暗适应过程中振荡电位(OPs)与b波之间的关系,并确定在糖尿病发展过程中这种关系是否会发生变化。
将21只大鼠分为适应组、对照组和糖尿病组。大鼠进行20分钟至4小时不等的暗适应,并记录ERG。用链脲佐菌素诱导糖尿病,在注射后3、6、9和12周测量ERG。
暗适应时间的增加导致b波和OPs振幅呈对数增加。同时,OPs和b波的峰值时间减少。总OPs振幅与b波振幅呈线性相关,从而得出一个经验性的OP常数来描述这两个参数之间的关系。糖尿病导致所有波的振幅逐渐降低,峰值时间增加。随着糖尿病病程的延长,OP常数呈线性下降。
有人认为,b波的OPs掩盖效应可以解释先前报道的糖尿病患者ERG变化的不一致性,而暗适应减慢并不能解释这些ERG变化。该报告得出结论,在正常视网膜中,OPs与b波的振幅和潜伏期密切相关,而在糖尿病发展过程中这种相关性会可预测地丧失。