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图形诱发视网膜电图(PERG):与年龄相关的改变及青光眼的变化

The pattern-evoked electroretinogram (PERG): age-related alterations and changes in glaucoma.

作者信息

Korth M, Horn F, Storck B, Jonas J

机构信息

Augenklinik der Universität, Erlangen, Federal Republic of Germany.

出版信息

Graefes Arch Clin Exp Ophthalmol. 1989;227(2):123-30. doi: 10.1007/BF02169783.

DOI:10.1007/BF02169783
PMID:2721979
Abstract

Pattern-onset electroretinograms (PERGs) were studied in 147 normal subjects of different ages (14-79 years) and in 110 eyes of 65 patients with glaucoma or ocular hypertension. The responses showed an increase (P less than 0.001) in peak latency with increasing age and a decrease (P less than 0.001) in amplitude which approximately parallels the loss of ganglion cells estimated by other authors. Many glaucoma eyes showed a loss of the normally present spatial tuning. In the age group above 50 years 50% of the onset responses were significantly diminished and the peak latencies were not significantly different. A negative correlation (P less than 0.001) was found between the size of the PERG and the cup/disc ratio and a positive correlation (P less than 0.001) with the area of the neuroretinal rim of the optic disc. The PERG decreased (P less than 0.01) with increasing visual field losses.

摘要

对147名不同年龄(14 - 79岁)的正常受试者以及65例青光眼或高眼压症患者的110只眼睛进行了图形起始视网膜电图(PERG)研究。结果显示,随着年龄增长,峰值潜伏期增加(P < 0.001),振幅降低(P < 0.001),这与其他作者估计的神经节细胞损失大致平行。许多青光眼患者的眼睛显示出正常存在的空间调谐丧失。在50岁以上年龄组中,50%的起始反应明显减弱,且峰值潜伏期无显著差异。PERG的大小与杯盘比呈负相关(P < 0.001),与视盘神经视网膜边缘面积呈正相关(P < 0.001)。随着视野缺损增加,PERG降低(P < 0.01)。

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