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慢性甲醇中毒性视神经病变晚期视觉电生理改变

Optic electraphysiology in later stage of chronic optic neuropathy caused by slow poisoning of methanol

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【作者】 张铭连宁俊恩周忠友杨志锐闫素霞

【Author】 Zhang Minglian, Ning Junen, Zhou Zhongyou, et al. Eye Hospital of Xing Tai City, Hebei 054001,China

【机构】 邢台市眼科医院

【摘要】 目的:观察慢性甲醇中毒性视神经病变晚期视觉电生理改变。方法:对21例(42只眼)患者随访2年并进行视觉电生理检测。结果:图形视觉诱发电位表现为P100潜伏期延长和P100波幅值降低,与正常对照组之间的差异非常显著(P<001),闪光视网膜电图的a、b波潜伏期和波幅值与正常对照组比较差异无显著性(P>005)。结论:甲醇中毒的眼部损害部位主要在视神经,中毒早期和晚期的视觉电生理改变基本一致。

【Abstract】 OBJECTIVE: To observe changes of visual electraphysiology in the patients with chronic optic neuropathy caused by slow poisoning of methanol. METHODS: Of the 21 patients, 42 eyes had mean follow up of 2 years and visual evoked potential ( VEP ) and electroretinogram ( ERG ) were determined. RESULTS: Pattern VEP appeared a delay of incubation of P100 and reduction of amplitude of P100. There was statistic significant between the patients and control group ( P <0 01).The difference of incubation and amplitude of F ERG in a wave and b wave was not statistically significant ( P >0 05). CONCLUSIONS: Damage of optic nerve by methanol toxicity is most severe in the ocular tissues. The change of visual electro physionlogy in both early and later stage appeared obviously not difference.

【基金】 河北省1998年科学技术研究计划项目
  • 【文献出处】 中国中医眼科杂志 ,JOURNAL OF TRADITIONAL CHINESE OPHTHALMOLOGY , 编辑部邮箱 ,1999年03期
  • 【分类号】R774.6
  • 【被引频次】11
  • 【下载频次】111
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