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目的观察缺血性眼病体外反搏前后视网膜振荡电位的变化。方法14例15只眼缺血性视网膜视神经病变患者,体外反搏前及后检测了视网膜振荡电位的变化。结果反持前视网膜振荡电位15只眼中6只眼(占40%)为熄灭型;4只眼(占26.7%)为低下型;3只眼(占20%)属正常范围,但低于对测健眼;2只眼(占13.3%)正常波形。体外反持后13只眼(占86刀%)视网膜振荡电位恢复正常,同时随视网膜振荡电位恢复好转,视力也有不同程度的增加,平均增加1~2行以上,少数增加4~5行以上。结论体外反搏对视网膜中央动脉栓塞、视网膜中央静脉阻塞、缺血性视神经萎缩等缺血性眼病是一种无创伤、安全而有效的治疗方法,视网膜振荡电位可作为该类眼病的疗效分析、预后判断等一种比较客观的视觉电生理学方面的检测手段。
Objective To observe the change of retinal oscillatory potential before and after counterpulsation of ischemic eye disease. Methods In 14 patients with ischemic retinal optic neuropathy (15 eyes), the changes of retinal oscillatory potentials were detected before and after EECP. RESULTS: Six eyes (40%) of 15 eyes with anti-retinal pre-retinal oscillatory potential were extinguished; four eyes (26.7%) were low-grade; three eyes (20%) were normal range but low On the measured eye health; 2 eyes (13.3%) normal waveform. Retinal oscillatory potentials returned to normal after 13 eyes (86%) in vitro. At the same time, the recovery of retinal oscillatory potentials improved with different degrees of visual acuity. The average increase of 1 ~ 2 lines and the slight increase of 4 ~ 5 lines. Conclusion Extracorporeal counterpulsation is a noninvasive, safe and effective treatment for ischemic eye disease such as central retinal artery occlusion, central retinal vein occlusion and ischemic optic nerve atrophy. Retinal oscillatory potential can be used as the therapeutic efficacy for this type of eye disease, Prognosis and other more objective visual electrophysiology detection means.