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[瞳孔及明暗适应下的光觉视野检查(作者译)]

[Pupil and light sense perimetry with light and dark adaptation (author's transl)].

作者信息

Hellner K A, Sautter H

出版信息

Klin Monbl Augenheilkd. 1978 Nov;173(5):653-7.

PMID:732181
Abstract

In comparison to light sense perimetry the use of pupillomotoric thresholds determination in the central region of the retina at various visual field illumination (10 asb, 0,1 asb, 0,001 asb, 45 degrees Meridian, 27' testpoint) has yielded the following results: 1. The maximum of the pupillomotoric sensitivity profile lies independant of the state of adaptation in the fovea. 2. Irrespective of adaptation state the course of the pupillographic profile curves are congruent. 3. Sensoric determinations show a slow flattening of the curves to the periphery whereas comparatively pupillographic determination yields a steep course (difference in areal summation). 4. In total the pupillomotoric sensitivity increases only about 10 db during the change of adaptation from light to dark. --As the phasic pupillo-light-reflex is elicited by rods and cones the differences between the sensoric and pupillomotoric threshold determinations must arise from intraretinal neuronal processes and not from the receptor reactions.

摘要

与光觉视野计相比,在不同视野照明条件下(10 阿熙提、0.1 阿熙提、0.001 阿熙提、45 度子午线、27'测试点)测定视网膜中央区域的瞳孔运动阈值,得到了以下结果:1. 瞳孔运动敏感性曲线的最大值位于中央凹,与适应状态无关。2. 无论适应状态如何,瞳孔图曲线的走势是一致的。3. 感觉测定显示曲线向周边缓慢变平,而相比之下,瞳孔图测定曲线走势陡峭(面积总和差异)。4. 从明适应到暗适应变化过程中,瞳孔运动敏感性总共仅增加约 10 分贝。——由于相位性瞳孔对光反射由视杆细胞和视锥细胞引发,感觉阈值测定与瞳孔运动阈值测定之间的差异必定源于视网膜内神经元过程,而非感受器反应。

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