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[玻璃体切除术治疗糖尿病视网膜病变患者眼的视网膜电图变化]

[Changes in the electroretinogram of eyes with diabetic retinopathy treated by vitrectomy].

作者信息

Arima M

机构信息

Department of Ophthalmology, Mie University School of Medicine, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 1997 Jul;101(7):575-83.

PMID:9256619
Abstract

Flash electroretinogram (ERG) and 30 Hz flicker ERG before and after operation were tested in 55 eyes of 46 patients with proliferative diabetic retinopathy who were treated by vitrectomy. The results were evaluated with preoperative ocular findings -the existence of retinal detachment, posterior vitreous detachment, panretinal photocoagulation (PRP) and vitreal hemorrhage and intraocular tamponade materials. In the group without retinal detachment, the amplitude of the ERG b-wave and a-wave after vitrectomy decreased significantly if PRP was not done before operation. In the group with retinal detachment, when retinal detachment was restricted to the posterior pole of the fundus, when posterior vitreous detachment had occurred in only a small area of the fundus, when there was vitreous hemorrhage or when silicone oil was injected in the operation, the amplitude of the ERG b-wave and a-wave decreased significantly after the operation. In both groups, the latency of 30 Hz flicker ERG was shortened significantly after vitrectomy.

摘要

对46例接受玻璃体切除术治疗的增殖性糖尿病视网膜病变患者的55只眼,分别在术前及术后检测闪光视网膜电图(ERG)和30Hz闪烁ERG。根据术前眼部检查结果——视网膜脱离、玻璃体后脱离、全视网膜光凝(PRP)、玻璃体积血及眼内填充材料的情况对结果进行评估。在无视网膜脱离组中,如果术前未进行PRP,玻璃体切除术后ERG的b波和a波振幅显著降低。在有视网膜脱离组中,当视网膜脱离局限于眼底后极部,仅眼底小面积区域发生玻璃体后脱离,存在玻璃体积血或术中注入硅油时,术后ERG的b波和a波振幅显著降低。在两组中,玻璃体切除术后30Hz闪烁ERG的潜伏期均显著缩短。

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