Lowitzsch K, Welt R
Neurologische und Augenklinik im Klinikum Ludwigshafen.
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1991 Dec;22(4):217-23.
For differential, therapeutic, and prognostic reasons the recognition of early lesions in glaucoma chronicum simplex is very important. Besides sophisticated ophthalmological investigations optic nerve and retinal functions can be tested by flash and pattern-reversal evoked visual potentials and electroretinograms. 38 glaucomatous eyes were investigated by VEP and ERG applying single and flicker flashes as well as transient pattern-reversal stimuli of different check sizes. The results related to the degree of visual field disturbances show the damage of retinal and neuronal elements in a descending order affecting first of all the macular cones, then the rod system, and later on the elements of the second retinal neuron. The ganglion cells seems to be affected after all.
出于鉴别诊断、治疗及预后判断的原因,识别单纯慢性青光眼的早期病变非常重要。除了复杂的眼科检查外,还可以通过闪光和图形翻转诱发视觉电位以及视网膜电图来检测视神经和视网膜功能。对38只青光眼患眼进行了视觉诱发电位(VEP)和视网膜电图(ERG)检查,采用单次闪光和闪烁闪光以及不同方格大小的瞬态图形翻转刺激。与视野障碍程度相关的结果显示,视网膜和神经元成分的损伤呈递减顺序,首先影响黄斑锥体细胞,然后是视杆系统,随后是视网膜第二神经元的成分。最后神经节细胞似乎也受到了影响。