Kyhn Maria Voss, Kiilgaard Jens F, Scherfig Erik, Prause Jan U, la Cour Morten
Department of Ophthalmology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Acta Ophthalmol. 2008 Nov;86(7):786-93. doi: 10.1111/j.1600-0420.2007.01020.x. Epub 2008 Aug 27.
This study aimed to investigate the spatial resolution of a porcine multifocal electroretinogram (mfERG) protocol by testing its ability to detect laser-induced retinal lesions. Furthermore, we wanted to describe time-dependent changes in implicit time and amplitude of the different mfERG peaks after laser-induced retinal damage.
Three pigs underwent a three-port pars plana vitrectomy, followed by laser photocoagulation of different lesion sizes within the visual streak. In an additional six non-vitrectomized pigs, we studied changes in mfERG signals with time after a uniform laser photocoagulation within the visual streak. The animals were evaluated with mfERG 1 and 6 weeks after treatment. After the last mfERG examination, selected eyes were processed for histological examination.
The size of the smallest lesion detected was approximately 1/4 of the longest diameter of the optic disc (LDOD) measured in pixels. When analysing the uniform lesions we found that signals deriving from the centre of the laser lesions were characterized by a significant reduction in the amplitude of all three peaks after 1 week of observation. After 6 weeks, the amplitudes of P1 and N2 were still significantly reduced. The implicit times were unaffected by laser treatment in the acute phase. After 6 weeks only P1 was significantly delayed.
We have determined the spatial resolution of the mfERG in the porcine retina to be smaller than or equal to the area of two adjacent hexagons, corresponding to a width of approximately 288 pixels or 1.2 mm. Laser lesions of uniform size resulted in a significant reduction of the amplitudes 1 and 6 weeks after treatment.
本研究旨在通过测试猪多焦视网膜电图(mfERG)检测激光诱导的视网膜病变的能力,来研究其空间分辨率。此外,我们还想描述激光诱导视网膜损伤后不同mfERG峰的隐含时间和振幅随时间的变化。
三只猪接受了三通道平坦部玻璃体切除术,随后对视锥细胞内不同大小的病变进行激光光凝。在另外六只未进行玻璃体切除术的猪中,我们研究了视锥细胞内均匀激光光凝后mfERG信号随时间的变化。在治疗后1周和6周对动物进行mfERG评估。在最后一次mfERG检查后,选取部分眼睛进行组织学检查。
检测到的最小病变大小约为以像素为单位测量的视盘最长直径(LDOD)的1/4。在分析均匀病变时,我们发现,在观察1周后,来自激光病变中心的信号的特征是所有三个峰的振幅显著降低。6周后,P1和N2的振幅仍显著降低。隐含时间在急性期不受激光治疗的影响。6周后,只有P1显著延迟。
我们确定猪视网膜中mfERG的空间分辨率小于或等于两个相邻六边形的面积,对应宽度约为288像素或1.2毫米。均匀大小的激光病变在治疗后1周和6周导致振幅显著降低。