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[应用眼电生理学方法对弱视与球后视神经炎的鉴别诊断]

[Differential diagnosis of amblyopia and retrobulbar neuritis with electroophthalmologic methods].

作者信息

Wutz W, Bartl G, Rodler H, Gruber H

出版信息

Klin Monbl Augenheilkd. 1979 Mar;174(3):507-11.

PMID:480827
Abstract

The electroretinogram (ERG), the brightness visual evoked cortical potential (H-EP) and the pattern reversal visual evoked cortical potential (M-EP) were recorded from 7 patients with amblyopia and 5 patients with neuritis retrobulbaris. The ERGs and the H-EPs of the amblyopic eyes were normal whereas the amplitude of the M-EP was significant diminished. The parameters of the ERG recorded from the patients with neuritis retrobulbaris showed normal values, however the H-EPs were significantly decreased and the peaktimes were delayed. Also a decrease in the amplitudes of the M-EPs was noticed. This method is a usefull clinical contribution in the differential diagnosis between amblyopia and neuritis retrobulbaris.

摘要

对7例弱视患者和5例球后视神经炎患者记录了视网膜电图(ERG)、闪光视觉诱发电位(H-EP)和图形翻转视觉诱发电位(M-EP)。弱视眼的ERG和H-EP正常,而M-EP的波幅明显降低。球后视神经炎患者记录的ERG参数显示正常,但H-EP明显降低,峰时延迟。还注意到M-EP波幅降低。该方法对弱视和球后视神经炎的鉴别诊断有重要临床价值。

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