mf-ERG评价不同分期DR视功能损伤程度的分析
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承德市科学技术研究与发展计划项目(No.20132012)


mf-ERG effective evaluation of early and background diabetic retinopathy
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Science and Technology Research and Development Program of Chengde City,(No. 20132012)

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    摘要:

    目的:应用多焦视网膜电图(multifocal electroretinogram,mf-ERG)测定糖尿病视网膜病变(diabetic retinopathy,DR)患者视网膜电活动,评价不同分期DR患者的视功能损害的严重程度。

    方法:选取50~70岁的老年人,除外其他疾病,30例30眼作为正常组; 已确诊为2型糖尿病的患者99例99眼做为试验组。分别在标准状态下行mf-ERG检查,对其结果进行统计学分析。

    结果:对于DR早期及背景期的患者,mf-ERG的P1波随着病情的加重,其反应密度逐渐下降,在非增殖期就明显减低,而在背景期Ⅲ期时,下降更为明显,说明在黄斑区,视网膜尚未有视觉或形态的改变前,电活动已经减弱,随病情发展,电活动的下降更为明显。

    结论:mf-ERG可以评价DR的严重程度,尤其适合DR的早期及背景期。

    Abstract:

    AIM: To measure the retinal electrical activities in patients with diabetic retinopathy(DR)by applying multifocal electroretinogram(mf-ERG)and evaluate the degree of visual damage at different stages of DR

    METHODS: Thirty cases(30 eyes)aged 50~70 years old, excluding other diseases, were as normal group, and 99 cases(99 eyes )diagnosed with type 2 diabetes were as experiment group. The cases received mf-ERG examination in the standard state, respectively. The results were statistically analyzed

    RESULTS: For DR patients with early and background stage, the reaction density of mf-ERG P1 wave decreased as the disease worsened, significantly reduced in non-proliferating stage and decreased more significantly in the background of the stage Ⅲ. This showed that in the macula, electrical activity had weakened before the retina without visual or morphological changes, and with the development of the disease, the electrical activity decreased more obviously.

    CONCLUSION: mf-ERG can evaluate the severity of DR, especially suit in the early and background period of DR.

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裴存文,温力,冯雪梅,等. mf-ERG评价不同分期DR视功能损伤程度的分析.国际眼科杂志, 2014,14(12):2217-2219.

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  • 收稿日期:2014-09-10
  • 最后修改日期:2014-11-10
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  • 在线发布日期: 2014-12-02
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