摘要
目的:观察眼挫伤后进行眼底荧光血管造影(fundus fluorescein angiography,FFA)联合视觉诱发电位(visual evoked potential,VEP)和视网膜电图(electroretinigram,ERG)的特点和临床意义。方法:对32例42眼眼挫伤患者进行FFA,ERG和VEP检查。结果:FFA检查,视网膜震荡伤16眼(38.0%),视网膜挫伤9眼(21.4%),视神经损伤22眼(52.3%)黄斑裂孔2眼(4.7%),脉络膜破裂7眼(9.7%)。视觉电生理检查:32眼(76.1%)挫伤引起闪光ERG的a,b波波幅下降,视力<0.1者26眼(61.9%)闪光VEP的P波潜伏期延迟,波幅下降趋势明显。结论:FFA联合视觉电生理检查对眼挫伤引起的视网膜视神经改变能进行客观、可靠的评价。
AIM： To observe the characteristics and clinical significance of fundus fluorescein angiography （FFA） with visual evoked potential （VEP） and electroretinogram （ERG） after ocular contusion. METHODS： Forty-two eyes were examined with the FFA,VEP and ERG methods. RESULTS： In FFA examination, retinal concussion was found in 16 eyes（38.0% ）, retinal contusion in 9 eyes（21.4% ）, optic nerve injury in 22 eyes（52.3%）, macular hole in 2 eyes （4.7%）, choroidal rupture in 7 eyes （9.7%）. In Visual electrophysiological examination, 32 eyes （76.1%） had contusion-caused a, b-wave amplitude decrease in flash ERG examination, the P wave latency delayed and amplitude decreased evidently in flash VEP examination of 26 eyes （61.9%） of the vision below 0.1. CONCLUSION ： FFA combined with electrophysiological analysis of visual eye can evaluate the optic nerve and whole retinal function reliably and objectively.
出处
《国际眼科杂志》
CAS
2010年第2期342-343,共2页
International Eye Science
关键词
眼挫伤
眼底荧光血管造影
视网膜电图
视觉诱发电位
ocular contusion
fundus fluorescein angiography
electroretinogram
visual evoked potential
