New York Eye and Ear Infirmary of Mount Sinai, Brooklyn, New York.
Asia Pac J Ophthalmol (Phila). 2018 Sep-Oct;7(5):352-355. doi: 10.22608/APO.2017532. Epub 2018 Apr 11.
Visual evoked potentials (VEP) can be used to assess the function of the visual system objectively. Research on VEP testing as a method of glaucoma evaluation has been performed for many years. Pattern VEP has shown good specificity and sensitivity in the detection of glaucoma in some studies, but other studies have not shown similar efficacy. Multifocal VEP can produce a topographical measure of glaucomatous damage and has been shown to be able to detect a similar number of defects in patients with glaucoma or ocular hypertension as compared with the visual field test. Despite promising data on these VEP test modalities in the assessment of glaucoma, multiple aspects of test administration make their routine use impractical in a clinical setting. New VEP testing modalities, such as short-duration transient VEP and isolated-check VEP, allow the test to be performed more quickly and easily. Further research on these more recent technologies may allow us to use VEP effectively in the diagnosis and management of glaucoma.
视觉诱发电位（VEP）可用于客观评估视觉系统的功能。多年来，人们一直致力于研究 VEP 测试作为青光眼评估方法的应用。在一些研究中，图形 VEP 在青光眼的检测中显示出了良好的特异性和敏感性，但其他研究并未显示出类似的效果。多焦 VEP 可以对青光眼损害进行地形学测量，并且已经证明其在检测青光眼或高眼压症患者的缺陷方面与视野测试相当。尽管这些 VEP 测试模式在青光眼评估方面的数据很有前景，但测试的实施在临床环境中存在多个方面的问题，使其无法常规使用。新型 VEP 测试模式，如短潜伏期瞬态 VEP 和孤立检查 VEP，使测试能够更快、更容易地进行。对这些更新技术的进一步研究可能使我们能够有效地将 VEP 用于青光眼的诊断和管理。
