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Macular dysfunction in patients with macula-on rhegmatogenous retinal detachments

机译:黄斑对rhegmatous视网膜脱离患者的黄斑功能障碍

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To assess macular function in patients with macula-on rhegmatogenous retinal detachments (RRDs) using focal macular electroretinography (FMERG). This is a prospective, observational case series of 27 patients diagnosed with a macula-on RRD. Foveal attachment was confirmed on spectral-domain optical coherence tomography. Eyes with any macular disorder, cataract, vitreous opacityor vitreous haemorrhage were excluded. FMERG was recorded in the affected and fellow eyes using a round stimulus 15° in diameter. The status of four retinal factors in the affected eyes was examined, that is, the number of involved quadrants, number of quadrants with retinal breaks, presence of an RRD invading the vascular arcade, and presence of a giant retinal tear. The implicit time and amplitude of the a-wave, b-wave and oscillatory potentials (OPs) were compared between the affected and fellow eyes using Wilcoxon signed-rank test. The influence of the four retinal factors on each FMERG component of the affected eyes was also evaluated using Mann-Whitney Significant reductions in the amplitudes of the a-waves (p=0.001), b-waves (p<0.001) and OPs (p=0.001) were observed in the affected eyes compared with the fellow eyes. There was no significant difference between the affected and fellow eyes in the implicit times of any components. None of the four retinal factors affected the parameters in the affected eyes. Altered FMERG responses suggested the presence of macular dysfunction in eyes with macula-on RRDs.
机译:利用局灶性黄斑电气图术(FMERG)评估黄斑对rhegmatous视网膜脱落(RRDS)患者的黄斑功能。这是一系列前瞻性的,观测的案例系列27名患者被诊断出患有黄斑的RRD。在光谱域光学相干断层扫描上确认了芯片附件。用任何黄斑障碍,白内障,玻璃体异形玻璃体异性玻璃体出血的眼睛被排除在外。使用圆形刺激直径为15°,在受影响和同胞的眼睛中记录FMERG。检查了受影响的眼睛的四个视网膜因子的状态,即涉及象限的数量,视网膜突破的象限数,侵袭血管拱廊的存在,以及巨大视网膜撕裂的存在。使用Wilcoxon签名 - 秩检验比较受影响和同伴的眼睛之间的隐式时间和幅度(A-Wave,B波和振荡电位(OPS)。还使用Mann-Whitney在A-波(P = 0.001),B波(P <0.001)和OPS(P <0.001)和OPS(P <0.001)和OPS(P <0.001)和OPS(P.与同胞相比,在受影响的眼睛中观察到= 0.001)。受影响和同伴在任何组件的隐含时间之间没有显着差异。四个视网膜因素中没有一个影响受影响的眼睛中的参数。改变的FMERG反应表明眼睛在眼睛中存在黄斑功能障碍的存在。

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