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健康受试者的适应时间、视网膜电图和瞳孔描记术。

Adaptation time, electroretinography, and pupillography in healthy subjects.

作者信息

Asakawa Ken, Ito Akari, Kobayashi Hinako, Iwai Aya, Ito Chihiro, Ishikawa Hitoshi

机构信息

Department of Orthoptics and Visual Science, School of Allied Health Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0373, Japan.

出版信息

Doc Ophthalmol. 2019 Aug;139(1):33-44. doi: 10.1007/s10633-019-09693-8. Epub 2019 Apr 1.

Abstract

PURPOSE

To investigate the relationship between adaptation time and the parameters of electroretinography (ERG) and pupillography in healthy subjects.

METHODS

Forty-six eyes of 23 healthy women (mean age 21.7 years) were enrolled. ERG and pupillography were tested in each of the right and left 23 eyes, respectively. ERG with a skin electrode was used to determine amplitude and implicit time by the records of rod-, flash-, cone-, and flicker-responses with white light (0.01-30 cd s/m). Infrared pupillography was used to record the pupillary light reflex to 1-s stimulation of red light (100 cd/m). Cone- and flicker- (rod-, flash- and pupil) responses were recorded after light (dark) adaptation at 1, 5, 10, 15, and 20 min.

RESULTS

Amplitude (µV) was significantly different between 1 min and ≥ 5 or ≥ 10 min after adaptation in b-wave of cone- or rod-response, respectively. Implicit time (ms) differed significantly between 1 min and ≥ 5 min after adaptation with b-wave of cone- and rod-response. There were significant differences between 1 min and ≥ 10 or ≥ 5 min after dark adaptation in parameter of minimum pupil diameter (mm) or constriction rate (%), respectively.

CONCLUSIONS

Cone-driven ERG can be recorded, even in 5 min of light adaptation time without any special light condition, whereas rod-driven ERG and pupillary response results can be obtained in 10 min or longer of dark adaptation time in complete darkness.

摘要

目的

研究健康受试者中适应时间与视网膜电图(ERG)及瞳孔描记术参数之间的关系。

方法

纳入23名健康女性(平均年龄21.7岁)的46只眼。分别对左右23只眼进行ERG和瞳孔描记术检测。使用皮肤电极的ERG通过记录白光(0.01 - 30 cd·s/m)下的视杆、闪光、视锥和闪烁反应来测定振幅和潜伏时间。红外瞳孔描记术用于记录对1秒红光(100 cd/m)刺激的瞳孔光反射。在明(暗)适应1、5、10、15和20分钟后记录视锥和闪烁(视杆、闪光和瞳孔)反应。

结果

视锥或视杆反应的b波在适应后1分钟与≥5或≥10分钟之间,振幅(µV)分别有显著差异。视锥和视杆反应的b波在适应后1分钟与≥5分钟之间,潜伏时间(ms)有显著差异。暗适应后1分钟与≥10或≥5分钟之间,最小瞳孔直径(mm)或收缩率(%)参数分别有显著差异。

结论

即使在没有任何特殊光照条件下,5分钟的明适应时间也可记录视锥驱动的ERG,而在完全黑暗中,10分钟或更长时间的暗适应可获得视杆驱动的ERG和瞳孔反应结果。

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