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[臭氧疗法对因孔源性视网膜脱离接受手术患者视网膜电生理参数的影响]

[Impact of ozone therapy on the electrophysiological parameters of the retina in patients operated on for its rhegmatogenous detachment].

作者信息

Neroev V V, Sarygina O I, Zueva M V, Tsapenko I V, Egorova E N

出版信息

Vestn Oftalmol. 2007 Sep-Oct;123(5):33-6.

PMID:18078056
Abstract

The impact of ozone therapy on changes in the data of maximum combined electroretinography (ERG), macular ERG (MERG), and rhythmic ERG (RERG) at 12, 32, and 40 Hz was studied in the rehabilitative period in patients operated on for rhegmatogenous retinal detachment. The integral and local glial indices K(g) and K(c) were calculated. Studies were conducted before, within 1 week and 1 and 2 months after a course of therapy. With ozone therapy, ERG and RERG depended on the specific features of changes available in the fundus of the eye before surgery. In the early rehabilitative period after surgery (circlage with subretinal fluid removal), ozone therapy normalized the glial indices, by decreasing the supernormal activity of Muller's glial cells and drastically increasing their reduced activity. The maximum effect was revealed for the function of phororeceptors (except for the eyes showing pronounced myopic dystrophic changes in the fundus). There were increases in MERG, ERG b-wave, and low-frequency RERG by 12 Hz, i.e. improved functions of the macular region and distal neurons of the retinal rod cell system. A latent period was established for the manifestation of a positive effect of ozonwe therapy on the functional of neurons of the internal retinal nuclear layer, as evidenced by RERG changes. Ozone therapy positively affect retinal electrogenesis in cases of total retinal detachment accompanied by a pronounced reduction in the glial index Kg before surgery. The therapy was found to have a positive impact on the functional activity of the retina of pair eyes, by developing within a one-moth latent period.

摘要

研究了臭氧疗法对孔源性视网膜脱离手术患者康复期最大联合视网膜电图(ERG)、黄斑视网膜电图(MERG)和节律性视网膜电图(RERG)在12、32和40Hz时数据变化的影响。计算了整体和局部胶质细胞指数K(g)和K(c)。在治疗疗程前、治疗后1周、1个月和2个月进行了研究。对于臭氧疗法,ERG和RERG取决于手术前眼底存在的变化的具体特征。在手术后的早期康复期(视网膜下液引流环扎术),臭氧疗法通过降低米勒胶质细胞的超常活性并大幅增加其降低的活性,使胶质细胞指数正常化。对于光感受器功能(除眼底显示明显近视性营养不良变化的眼睛外)显示出最大效果。MERG、ERG b波和12Hz的低频RERG增加,即黄斑区域和视网膜杆细胞系统远端神经元的功能得到改善。RERG变化证明,臭氧疗法对视网膜内核层神经元功能产生积极影响存在潜伏期。在手术前胶质细胞指数Kg明显降低的完全性视网膜脱离病例中,臭氧疗法对视网膜电发生有积极影响。发现该疗法对双眼视网膜的功能活动有积极影响,在一个月的潜伏期内显现出来。

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