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实验性暗区对多焦视觉诱发电位的影响

Effect of experimental scotoma on multifocal visual evoked potential

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【作者】 胡晓鹏黄时洲江福钿龙时先梁炯基吴德正吴乐正

【Author】 HU Xiao-peng1, HUANG Shi-zhou2, JIANG Fu-tian2, LONG Shi-xian2, LIANG Jiong-ji2, WU De-zheng2, WU Le-zheng2 (1 Department of Ophthalmology, The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010, 2 Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China)

【机构】 重庆医科大学附属第二医院眼科中山大学中山眼科中心中山大学中山眼科中心 重庆400010广州510060

【摘要】 目的探讨实验性暗区对多焦视觉诱发电位的影响。方法应用VERIS Science 4.0视觉诱发反应图像系统对10例(20只眼)正常人进行mf-VEP检测,每例受试者在同一测试时间共进行6次测试,左右眼各3次。右眼分别进行全视野测试和遮盖上半视野、遮盖下半视野测试;左眼分别进行全视野测试和遮盖中央3环视野、遮盖鼻下1/4视野测试。通过VERIS软件分析mf-VEP的二阶一次反应,并对不同视野区域遮盖前后的mf-VEP分区进行比较。结果所有受试者mf-VEP在遮盖的视野区域出现振幅反应密度或振幅总和反应明显降低,潜伏期延长不明显,部分波形呈平坦型;在未遮盖的大部分视野区域振幅反应密度无变化,仅局部区域下降,统计学检验有显著性差异(P<0.05)。结论mf-VEP可发现实验性暗区的影响,其改变与视野具有对应一致性,可以用于临床检测,但在分析时应根据不同的情况划分不同的区域进行比较。

【Abstract】 Objective To investigate the influence of experimental scotoma on multifocal visual evoked potential (mf-VEP). Methods The mf-VEP of 10 healthy individuals (20 eyes) was measured with VERIS Science 4.0. Every eye was measured for 3 times. The right eye was measured with full field stimulation and upper hemi-field or lower hemi-field masked. The left eye was measured with full field stimulation and central three-rings area or lower nasal field masked. The first slice responses of the second order in different field were analyzed and compared by VERIS software. Results The mf-VEP in masked area was undetectable or obviously decreased in all subjects. In most unmasked field, the amplitudes of mf-VEP were not changed, except that in some place decreased slightly with statistically significant difference in comparison to the full field stimulation mode. Conclusion mf-VEP is influenced with experimental scotoma. The mf-VEP changes are consistent with the visual field masked.

  • 【文献出处】 第三军医大学学报 ,Acta Academiae Medicinae Militaris Tertiae , 编辑部邮箱 ,2007年07期
  • 【分类号】R77
  • 【被引频次】2
  • 【下载频次】44
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