视网膜电图在葡萄膜炎中的价值。

A C Martenet, G Niemeyer
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引用次数: 0

摘要

视网膜在炎症中的受累是严重葡萄膜炎的一个重要因素,作者在各种形式的葡萄膜炎中测试了“甘兹菲尔德”视网膜电图(ERG),特别是在介质不透明的情况下。在Fuchs综合征和慢性前葡萄膜炎中,ERG正常或仅轻微改变,而在中度葡萄膜炎中,即使视力良好,电位也会发生显著降低,可能提示伴有视网膜血管炎。在behaperet病中,ERG主要用于测试治疗效果。在特发性血管炎中,电位并不总是像预期的那样降低,ERG可能相当具有欺骗性。相反,这项检查似乎可以鉴别原田氏病和急性多灶性类胎盘色素上皮病。然而,必须记住,同时使用类固醇治疗可以提高电位的振幅,在解释ERG结果时必须考虑到这一现象。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The value of electroretinography in uveitis].

The involvement of the retina in the inflammation being one important factor in severe uveitis, the authors have tested the "ganzfeld" electroretinogram (ERG) in various forms of uveitis, especially in cases having opaque media. In Fuchs' syndrome and chronic anterior uveitis, the ERG is normal or only slightly altered, while important reduction of the potentials can occur even in case of good vision in intermediate uveitis, probably indicating concomitant retinal vasculitis. In Behçet's disease, ERG is mostly useful in testing the efficacy of therapy. ERG can be rather deceiving in idiopathic vasculitis, where the potentials are not always as reduced as expected. On the contrary, this test seems to allow differential diagnosis between Harada's disease and acute multifocal placoid pigment epitheliopathy. However, one must bear in mind that concurrent steroid treatment can elevate the amplitude of the potentials, a phenomenon which has to be taken into account when interpreting ERG results.

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