Kim Bum G, Chang In B, Jeong Kyeong D, Park Jae Y, Kim Jae S, Hwang Je Hyung
Department of Ophthalmology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Doc Ophthalmol. 2019 Aug;139(1):1-9. doi: 10.1007/s10633-019-09686-7. Epub 2019 Mar 18.
To compare full-field electroretinography (ffERG) parameters obtained from handheld and tabletop electroretinography (ERG) devices in normal subjects.
Twenty volunteers underwent ffERG using a tabletop and handheld stimulator. The responses obtained from the right eyes were compared. The coefficient of variation and intraclass correlation coefficient (ICC) were derived to assess inter- and intra-individual reliability.
The b-wave in the rod response, a- and b-waves in the maximal combined response, a-wave in the cone response, and the 30-Hz flicker response showed significantly greater amplitudes when recorded with the tabletop stimulator than with the handheld stimulator. The implicit time of response (ITR) in the 30-Hz flicker response was longer when recorded with the handheld stimulator than when recorded with the tabletop stimulator. With regard to amplitude, the ICC indicated moderate-to-high reliability in the measurement of the b-wave in the rod response, and a- and b-waves in the maximal combined response. With regard to ITR, measurement of the b-wave in the rod response and a-wave in the maximal combined response showed moderate-to-high reliability.
Despite the significantly lower ERG amplitude measurements recorded by the handheld stimulator, there were no significant differences in variability between the two stimulators.
比较正常受试者使用手持式和台式视网膜电图(ERG)设备获得的全视野视网膜电图(ffERG)参数。
20名志愿者分别使用台式和手持式刺激器进行ffERG检查。比较右眼获得的反应。计算变异系数和组内相关系数(ICC)以评估个体间和个体内的可靠性。
与手持式刺激器相比,使用台式刺激器记录时,视杆细胞反应中的b波、最大联合反应中的a波和b波、视锥细胞反应中的a波以及30Hz闪烁反应的振幅明显更大。使用手持式刺激器记录时,30Hz闪烁反应的反应潜伏期(ITR)比使用台式刺激器记录时更长。在振幅方面,ICC表明视杆细胞反应中的b波以及最大联合反应中的a波和b波测量具有中度至高可靠性。在ITR方面,视杆细胞反应中的b波和最大联合反应中的a波测量显示出中度至高可靠性。
尽管手持式刺激器记录的ERG振幅测量值明显较低,但两种刺激器之间的变异性没有显著差异。