Moss Heather E
Department of Ophthalmology & Visual Sciences, Department of Neurology & Rehabilitation, University of Illinois at Chicago, Chicago, IL.
Adv Ophthalmol Optom. 2016 Aug;1(1):231-247. doi: 10.1016/j.yaoo.2016.03.004.
Visual function is an important parameter to consider when managing patients with papilledema. Though the current standard of care uses standard automated perimetry (SAP) to obtain this information, this test is inherently subjective and prone to patient errors. Objective visual function tests including the visual evoked potential, pattern electroretinogram, photopic negative response of the full field electroretinogram, and pupillary light response have the potential to replace or supplement subjective visual function tests in papilledema management. This article reviews the evidence for use of objective visual function tests to assess visual function in papilledema and discusses future investigations needed to develop them as clinically practical and useful measures for this purpose.
在管理视乳头水肿患者时，视觉功能是一个需要考虑的重要参数。尽管目前的护理标准使用标准自动视野计（SAP）来获取此信息，但该测试本质上是主观的，容易出现患者误差。客观视觉功能测试，包括视觉诱发电位、图形视网膜电图、全视野视网膜电图的明视负反应和瞳孔对光反应，有可能在视乳头水肿管理中替代或补充主观视觉功能测试。本文综述了使用客观视觉功能测试评估视乳头水肿患者视觉功能的证据，并讨论了将其开发为临床上实用且有用的测量方法所需的未来研究。
