Lariukhina G M, Baiandin D L
Vestn Oftalmol. 1998 Sep-Oct;114(5):45-8.
Prognostic significance of the main electrophysiological parameters (electroretinogram, electrocoagulogram, visual evoked potentials), and electric sensitivity of the eye in diseases of the retina and optic nerve, and their informative value in patients with opaque optic media of the eye are discussed. The authors note that decrease of the total retinal biopotential and constant potential not always characterize the level of its viability (in retinitis pigmentosa, detachment, vitreous opacities, etc.). Insufficient informative value of visual evoked potentials in patients with opaque optic media is explained by impossibility of presenting pattern stimuli. Many-year clinical experience gained in study of electric sensitivity in more than 40,000 patients with diseases of the neuroreceptor system of the eye brought the authors to a conclusion that this method allows rapid assessment of the total area of visual field and optic nerve conductivity. Study of the threshold electric sensitivity in patients with opaque optic media is in fact the only method for assessing peripheral vision and viability of a detached retina.
讨论了主要电生理参数(视网膜电图、视网膜电图、视觉诱发电位)以及眼部电敏感性在视网膜和视神经疾病中的预后意义,及其在眼部屈光间质混浊患者中的信息价值。作者指出,视网膜总生物电位和恒定电位的降低并不总是能表征其存活水平(如在色素性视网膜炎、视网膜脱离、玻璃体混浊等情况中)。屈光间质混浊患者视觉诱发电位的信息价值不足是由于无法呈现图形刺激所致。在对4万多名眼部神经受体系统疾病患者进行电敏感性研究中积累的多年临床经验使作者得出结论,该方法能够快速评估视野总面积和视神经传导性。对屈光间质混浊患者的阈下电敏感性研究实际上是评估周边视力和视网膜脱离存活情况的唯一方法。