早产儿视网膜病变治疗后患儿早期视网膜功能的研究OACSTPCD
The study of early retinal function in retinopathy of prematurity infants after different treatments
目的 研究ROP治疗后(视网膜光凝、玻璃体腔内注药或自然消退),患儿早期视网膜功能的差异.方法 将40例(71眼)ROP患儿按不同的治疗方式分为3组:视网膜光凝组、玻璃体腔注药组和自然消退组.于矫正月龄6~7月时用手持式视觉电生理检测系统行全视野闪光视网膜电图检查,对比分析其各波段振幅和潜伏期的差异.结果 激光组、注药组和自然消退组患儿全视野闪光视网膜电图检查中明适应3.0ERGa波和b波振幅与潜伏期差异并无统计学意义,但暗适应0.01ERGb波振幅与潜伏期差异均有统计学意义(P<0.05);视网膜光凝组患儿暗适应0.01ERGb波的振幅小于注药组和自然消退组,潜伏期大于玻璃体腔注药组和自然消退组;而玻璃体腔注药组和自然消退组的暗适应0.01ERGb波的振幅与潜伏期振幅无明显差别.结论 经视网膜光凝、玻璃体腔内注药或自然消退的ROP患儿视网膜视锥细胞功能发育没有差别;玻璃体腔注药后ROP患儿视杆细胞功能类似于自然消退ROP患儿,而视网膜光凝对其视杆细胞功能的影响大于玻璃体腔注药和自然消退.
Objective To observe the early retinal function in retinopathy of prematurity(ROP)infants after three different treatments.Methods According to treatments,40 cases(71eyes)of ROP infants were divided into 3 groups:laser photocoagulation group,intravitreal injection of VEGF drugs group and natural regression group.Full-field flash elec-troretinogram was recorded in all the infants at corrected age of 6~7 months,then the differences of amplitude and latency of each band were compared and analyzed.Results The differences of light adaptation 3.0 ERG among three groups were not statistically significant,while the differences of dark adaptation 3.0ERG among three groups were statistically signifi-cant(P<0.05).Amplitude of dark adaptation 3.0ERG in laser photocoagulation group was lower than intravitreal injec-tion of VEGF drugs group and natural regression group,while the latent period was longer.There was no obvious difference in dark adaptation 3.0ERG between intravitreal injection of VEGF drugs group and natural regression group.Conclusions There was no significant difference in light adaptation 3.0ERG among three groups.The dark adaptation 3.0ERG of intravit-real injection of VEGF drugs group was similar with natural regression group.The effect of retinal photocoagulation on rod cell function was greater than that of vitreous cavity injection and natural regression.
尹雪;杨晖;傅征;魏熙翔;熊薇薇;方伟芳;李秀婷
361000 厦门市儿童医院眼科361000 厦门市儿童医院眼科361000 厦门市儿童医院眼科361000 厦门市儿童医院眼科361000 厦门市儿童医院眼科361000 厦门市儿童医院眼科361000 厦门市儿童医院眼科
早产儿视网膜病变视网膜光凝抗VEGF治疗全视野闪光视网膜电图视网膜功能
Retinopathy of prematurityRetinal laser photocoagulationAnti-VEGF treatmentFull-field flash electroretinogram(f-ERG)Retinal function
《中国斜视与小儿眼科杂志》 2024 (3)
29-32,后插14,5
福建省卫生健康科技计划项目(2021QNB024)厦门市医疗卫生指导项目(3502Z20209224/3502Z20214ZD1240)
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