AIM：To compare the diagnostic performance of isolatedcheck visual evoked potential（ic VEP） and standard automated perimetry（SAP）,for evaluating the application values of ic VEP in the detection of early glaucoma....AIM：To compare the diagnostic performance of isolatedcheck visual evoked potential（ic VEP） and standard automated perimetry（SAP）,for evaluating the application values of ic VEP in the detection of early glaucoma.METHODS：Totally 144 subjects（288 eyes） were enrolled in this study.ic VEP testing was performed with the Neucodia visual electrophysiological diagnostic system.A 15% positive-contrast（bright） condition pattern was used in this device to differentiate between glaucoma patients and healthy control subjects.Signal-to-noise ratios（SNR） were derived based on a multivariate statistic.The eyes were judged as abnormal if the test yielded an SNR≤1.SAP testing was performed with the Humphrey Field Analyzer II.The visual fields were deemed as abnormality if the glaucoma hemifield test results outside normal limits;or the pattern standard deviation with P〈0.05;or the cluster of three or more non-edge points on the pattern deviation plot in a single hemifield with P〈0.05,one of which must have a P〈0.01.Disc photographs were graded as either glaucomatous optic neuropathy or normal by two experts who were masked to all other patient information.Moorfields regression analysis（MRA） used as a separate diagnostic classification was performed by Heidelberg retina tomograph（HRT）.RESULTS：When the disc photograph grader was used as diagnostic standard,the sensitivity for SAP and ic VEP was 32.3% and 38.5% respectively and specificity was 82.3% and 77.8% respectively.When the MRA Classifier was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 48.6% and 51.4% respectively and specificity was 84.1% and 78.0% respectively.When the combined structural assessment was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 59.2%and 53.1% respectively and specificity was 84.2% and 84.6% respectivlely.There was no statistical significance between the sensitivity or specificity of SAP and ic VEP,regardless of which diagnostic standard was based on.CONCLUSION：The diagnostic performance of ic VEP is not better than that of SAP in the detection of early glaucoma.展开更多
Objective To systemically explore the range of visual angles that affect visual acuity, and to establish the relationship between the P 1 component （peak latency -100 ms） of the pattern-reversal visual-evoked potent...Objective To systemically explore the range of visual angles that affect visual acuity, and to establish the relationship between the P 1 component （peak latency -100 ms） of the pattern-reversal visual-evoked potential （PRVEP） and the visual acuity at particular visual angles. Methods Two hundred and ten volunteers were divided into seven groups, according to visual acuity as assessed by the standard logarithmic visual acuity chart （SLD-II）. For each group, the PRVEP components were elicited in response to visual angle presentations at 8°, 4°, 2°, 1°/60＇, 30＇, 15＇, and 7.5＇, in the whiteblack chess-board reversal mode with a contrast level of 100% at a frequency of 2 Hz. Visual stimuli were presented monocularly, and 200 presentations were averaged for each block of trials. The early and stable component P1 was recorded at the mid-line of the occipital region （Oz） and analyzed with SPSS 13.00. Results （1） Oz had the maximum Pl amplitude; there was no significant difference between genders or for interocular comparison in normal controls and subjects with optic myopia. （2） The P1 latency decreased slowly below 30＇, then increased rapidly. The P1 amplitude initially increased with check size, and was maximal at -1° and -30＇. （3） The P1 latency in the group with visual acuity 〈0.2 was signifi- cantly different at 8°, 15＇ and 7.5＇, while the amplitude differed at all visual angles, compared with the group with normal vision. Differences in P1 for the groups with 0.5 and 0.6 acuity were only present at visual angles 〈1°. （4） Regression analysis showed that the P1 latency and amplitude were associated with visual acuity over the full range of visual angles. There was a moderate correlation at visual angles 〈30＇. Regression equations were calculated for the P1 components and visual acuity, based on visual angle. Conclusion （1） Visual angle should be taken into consideration when exploring the function of the visual pathway, especially visual acuity. A visual angle -60＇ might be appropriate when using PRVEP com- ponents to evaluate poor vision and to identify malingerers. （2） Increased P1 amplitude and decreased P1 latency were as- sociated with increasing visual acuity, and the P1 components displayed a linear correlation with visual acuity, especially in the range of optimal visual angles. Visual acuity can be deduced from P 1 based on visual angle.展开更多
AIM： To detect the relationship between infusion pressure and postoperative ganglion cells function.METHODS： This prospective observational cohort study included sixty-one eyes that underwent uncomplicated cataract ...AIM： To detect the relationship between infusion pressure and postoperative ganglion cells function.METHODS： This prospective observational cohort study included sixty-one eyes that underwent uncomplicated cataract surgery. Patients were divided into two groups according to infusion time（IT） recorded using surgery equipment [Group A： IT〉IT_（mean）（27 eyes）; Group B： IT展开更多
基金Supported by the Plan of Wenzhou Science and Technology(No.Y20160439)
文摘AIM：To compare the diagnostic performance of isolatedcheck visual evoked potential（ic VEP） and standard automated perimetry（SAP）,for evaluating the application values of ic VEP in the detection of early glaucoma.METHODS：Totally 144 subjects（288 eyes） were enrolled in this study.ic VEP testing was performed with the Neucodia visual electrophysiological diagnostic system.A 15% positive-contrast（bright） condition pattern was used in this device to differentiate between glaucoma patients and healthy control subjects.Signal-to-noise ratios（SNR） were derived based on a multivariate statistic.The eyes were judged as abnormal if the test yielded an SNR≤1.SAP testing was performed with the Humphrey Field Analyzer II.The visual fields were deemed as abnormality if the glaucoma hemifield test results outside normal limits;or the pattern standard deviation with P〈0.05;or the cluster of three or more non-edge points on the pattern deviation plot in a single hemifield with P〈0.05,one of which must have a P〈0.01.Disc photographs were graded as either glaucomatous optic neuropathy or normal by two experts who were masked to all other patient information.Moorfields regression analysis（MRA） used as a separate diagnostic classification was performed by Heidelberg retina tomograph（HRT）.RESULTS：When the disc photograph grader was used as diagnostic standard,the sensitivity for SAP and ic VEP was 32.3% and 38.5% respectively and specificity was 82.3% and 77.8% respectively.When the MRA Classifier was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 48.6% and 51.4% respectively and specificity was 84.1% and 78.0% respectively.When the combined structural assessment was used as the diagnostic standard,the sensitivity for SAP and ic VEP was 59.2%and 53.1% respectively and specificity was 84.2% and 84.6% respectivlely.There was no statistical significance between the sensitivity or specificity of SAP and ic VEP,regardless of which diagnostic standard was based on.CONCLUSION：The diagnostic performance of ic VEP is not better than that of SAP in the detection of early glaucoma.
基金supported by grants from the National Nature Science Foundation of China(30872666,81172911 and 81271379)Shanghai Key Lab of Forensic Medicine(KF1005)
文摘Objective To systemically explore the range of visual angles that affect visual acuity, and to establish the relationship between the P 1 component （peak latency -100 ms） of the pattern-reversal visual-evoked potential （PRVEP） and the visual acuity at particular visual angles. Methods Two hundred and ten volunteers were divided into seven groups, according to visual acuity as assessed by the standard logarithmic visual acuity chart （SLD-II）. For each group, the PRVEP components were elicited in response to visual angle presentations at 8°, 4°, 2°, 1°/60＇, 30＇, 15＇, and 7.5＇, in the whiteblack chess-board reversal mode with a contrast level of 100% at a frequency of 2 Hz. Visual stimuli were presented monocularly, and 200 presentations were averaged for each block of trials. The early and stable component P1 was recorded at the mid-line of the occipital region （Oz） and analyzed with SPSS 13.00. Results （1） Oz had the maximum Pl amplitude; there was no significant difference between genders or for interocular comparison in normal controls and subjects with optic myopia. （2） The P1 latency decreased slowly below 30＇, then increased rapidly. The P1 amplitude initially increased with check size, and was maximal at -1° and -30＇. （3） The P1 latency in the group with visual acuity 〈0.2 was signifi- cantly different at 8°, 15＇ and 7.5＇, while the amplitude differed at all visual angles, compared with the group with normal vision. Differences in P1 for the groups with 0.5 and 0.6 acuity were only present at visual angles 〈1°. （4） Regression analysis showed that the P1 latency and amplitude were associated with visual acuity over the full range of visual angles. There was a moderate correlation at visual angles 〈30＇. Regression equations were calculated for the P1 components and visual acuity, based on visual angle. Conclusion （1） Visual angle should be taken into consideration when exploring the function of the visual pathway, especially visual acuity. A visual angle -60＇ might be appropriate when using PRVEP com- ponents to evaluate poor vision and to identify malingerers. （2） Increased P1 amplitude and decreased P1 latency were as- sociated with increasing visual acuity, and the P1 components displayed a linear correlation with visual acuity, especially in the range of optimal visual angles. Visual acuity can be deduced from P 1 based on visual angle.
基金Supported by the Beijing Municipal Commission of Science and Technology(No.Z151100004015073)
文摘AIM： To detect the relationship between infusion pressure and postoperative ganglion cells function.METHODS： This prospective observational cohort study included sixty-one eyes that underwent uncomplicated cataract surgery. Patients were divided into two groups according to infusion time（IT） recorded using surgery equipment [Group A： IT〉IT_（mean）（27 eyes）; Group B： IT
