国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
4期
730-731
,共2页
白内障%图形视觉诱发电位%图形视网膜电流图
白內障%圖形視覺誘髮電位%圖形視網膜電流圖
백내장%도형시각유발전위%도형시망막전류도
cataract%preoperative visual electrophysiological testing%pattern electroretinogram
目的：探讨术前综合视觉电生理检测在评估老年性白内障患者术后视觉功能中的临床意义。<br> 方法：选取2013-01/2014-01期间在我院治疗的老年性白内障患者102例126眼,对术前图形视觉诱发电位( PVEP)、图形视网膜电流图( PERG)和PVEP联合PERG的检测结果与术后最佳矫正视力( BCVA)进行比较。<br> 结果：PVEP联合PERG检测一致率达到91.3%,PVEP检测为63.5%,差异有统计学意义(χ2=27.773,P=0.000)；Spearman秩相关分析发现, PVEP检查结果与术后BCVA无显著相关性( r=0.241, P>0.05),而PERG联合 PVEP的检测结果与术后BCVA呈正相关(r=0.773,P<0.05)。术前PVEP检测正常者占51.6%,而术后占65.1%,差异有统计学意义( P<0.05),而术前PVEP和PERG联合检测正常者占80.9%,术后占84.1%,差异无统计学意义( P>0.05),说明PVEP和PERG联合检测评估术后视功能的稳定性好。<br> 结论：老年性白内障患者术前PVEP联合PERG检查能有效、客观的评估患者术后患眼视功能恢复情况。
目的：探討術前綜閤視覺電生理檢測在評估老年性白內障患者術後視覺功能中的臨床意義。<br> 方法：選取2013-01/2014-01期間在我院治療的老年性白內障患者102例126眼,對術前圖形視覺誘髮電位( PVEP)、圖形視網膜電流圖( PERG)和PVEP聯閤PERG的檢測結果與術後最佳矯正視力( BCVA)進行比較。<br> 結果：PVEP聯閤PERG檢測一緻率達到91.3%,PVEP檢測為63.5%,差異有統計學意義(χ2=27.773,P=0.000)；Spearman秩相關分析髮現, PVEP檢查結果與術後BCVA無顯著相關性( r=0.241, P>0.05),而PERG聯閤 PVEP的檢測結果與術後BCVA呈正相關(r=0.773,P<0.05)。術前PVEP檢測正常者佔51.6%,而術後佔65.1%,差異有統計學意義( P<0.05),而術前PVEP和PERG聯閤檢測正常者佔80.9%,術後佔84.1%,差異無統計學意義( P>0.05),說明PVEP和PERG聯閤檢測評估術後視功能的穩定性好。<br> 結論：老年性白內障患者術前PVEP聯閤PERG檢查能有效、客觀的評估患者術後患眼視功能恢複情況。
목적：탐토술전종합시각전생리검측재평고노년성백내장환자술후시각공능중적림상의의。<br> 방법：선취2013-01/2014-01기간재아원치료적노년성백내장환자102례126안,대술전도형시각유발전위( PVEP)、도형시망막전류도( PERG)화PVEP연합PERG적검측결과여술후최가교정시력( BCVA)진행비교。<br> 결과：PVEP연합PERG검측일치솔체도91.3%,PVEP검측위63.5%,차이유통계학의의(χ2=27.773,P=0.000)；Spearman질상관분석발현, PVEP검사결과여술후BCVA무현저상관성( r=0.241, P>0.05),이PERG연합 PVEP적검측결과여술후BCVA정정상관(r=0.773,P<0.05)。술전PVEP검측정상자점51.6%,이술후점65.1%,차이유통계학의의( P<0.05),이술전PVEP화PERG연합검측정상자점80.9%,술후점84.1%,차이무통계학의의( P>0.05),설명PVEP화PERG연합검측평고술후시공능적은정성호。<br> 결론：노년성백내장환자술전PVEP연합PERG검사능유효、객관적평고환자술후환안시공능회복정황。
AIM:To discuss clinical significance of comprehensive preoperative pattern visual electrophysiological ( PVEP ) testing for assessing postoperative visual function in senile cataract patients. <br> METHODS: During the period of January 2013 to January 2014, 102 cases of senile cataract patients ( 126 eyes) were treated in our hospital. The detection result of the preoperative PVEP, electroretinogram (PERG), PVEP combined with PERG and postoperative best corrected visual acuity ( BCVA) were compared. <br> RESULTS:Consistent rate of PVEP combined with PERG detection was 91. 3%, that of PVEP was 63. 5%, the difference was statistically significant (χ2= 27. 773, P =0.000< 0. 05);Spearman rank correlation analysis showed that there was no significant correlation between PVEP findings and postoperative BCVA (r=0. 241, P>0. 05), and the detection results of PERG combined with PVEP and BCVA after operation were positively correlated (r=0. 773, P<0. 05 ); Preoperative PVEP examination was normal accounted for 51. 6%, and after operative accounted for 65. 1%, the difference was statistically significant ( P<0.05 ) , preoperative combined detection of PVEP and PERG was normal accounted for 80. 9%, after operation was accounted for 84. 1%, with no significant difference (P>0. 05). The combined method of PVEP and PERG to evaluate the postoperative visual function had good stability. <br> CONCLUSION:Preoperative PVEP joint PERG examination can effectively and objectively assess postoperative visual function recovery in senile cataract patients.
