视神经炎相关检查对视功能评估及检出的有效性探索

Investigation of optic neuritis related examination for evaluating visual function and efficacy detection

目的:评价图形视觉诱发电位(P-VEP)、视野、眼底照相和光学相干断层扫描(OCT)对视神经炎患者检查的可靠性。方法:对75例103眼视神经炎患者应用眼科电生理仪、视野、眼底照相和OCT,根据P-VEP、眼底照相及OCT检查结果的阳性率进行相关性分析。结果:选取75例103眼中获取阳性VEP图像78眼(75.7%),VEP未见明显异常25眼(24.3%);眼底照相成功获取阳性图像89眼(86.4%),未见明显异常14眼(13.6%);视野成功获取阳性图像85眼(82.5%),未见明显异常18眼(17.5%);OCT获取阳性图像97眼(94.2%),未见明显异常6眼(5.8%)。结论:视觉诱发电位、视野、眼底照相和光学相干断层图像结果对视神经炎患者的视功能状况进行综合评估。

AIM： To study the reliability of visual electrophysiological examination（pattern visual evoked potentials, P-VEP）,visual field,fundus photography and optical coherence tomography（OCT）to patients with optic neuritis. METHODS： Visualelectrophysiological examination, visual field, fundus photography and OCT were used in 75 cases（103 eyes）. The results of the positive rate of P-VEP, visual field examination,fundus photography and OCT were used to analyze the correlation. RESULTS： In 75 cases（103 eyes）, the P-VEP successfully acquired positive case images in 78 eyes（75.7%）, no obvious abnormal in 25 eyes（24.3%）. Fundus photography successfully acquired positive case images in 89 eyes（86.4%）, no obvious abnormal in 14 eyes（13.6%）. Visual field examination successfully acquired positive case images in 85 eyes（82.5%）, no obvious abnormal in 18 eyes（17.5%）. OCT successfully acquired positive case images in 97 eyes（94.2%）, no obvious abnormal in 6 eyes（5.8%）. CONCLUSION： Visual electrophysiological detection, visual field examination, fundus photography and OCT can predict the visual acuity in patients with optic neuritis.