Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes

被引：32

作者：

Machida, Shigeki ^{[1
]}

Tamada, Kunifusa ^{[1
]}

Oikawa, Taku ^{[1
]}

Gotoh, Yasutaka ^{[1
]}

Nishimura, Tomoharu ^{[1
]}

Kaneko, Muneyoshi ^{[1
]}

Kurosaka, Daijiro ^{[1
]}

机构：

[1] Iwate Med Univ, Sch Med, Dept Ophthalmol, Morioka, Iwate 0208505, Japan

来源：

JOURNAL OF OPHTHALMOLOGY | 2011年 / 2011卷

关键词：

FLASH ELECTRORETINOGRAM; OSCILLATORY POTENTIALS; HUMAN ERG; PHNR; REDUCTION; BLOCKADE;

D O I：

10.1155/2011/564131

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose. To compare the photopic negative response (PhNR) of the full-field electroretinogram (ERG) to the PhNR of the focal ERGs in detecting glaucoma. Methods. One hundred and three eyes with glaucoma and 42 normal eyes were studied. Full-field ERGs were elicited by red stimuli on a blue background. The focal ERGs were elicited by a 15 degrees white stimulus spot centered on the macula, the superotemporal or the inferotemporal areas of the macula. Results. In early glaucoma, the areas under the receiver operating characteristic curves (AUCs) were significantly larger for the focal PhNR (0.863-0.924) than those for the full-field PhNR (0.666-0.748) (P<.05). The sensitivity was significantly higher for the focal PhNR than for the full-field PhNR in early (P<.01) and intermediate glaucoma (P<.05). In advanced glaucoma, there was no difference in the AUCs and sensitivities between the focal and full-field PhNRs. Conclusions. The focal ERG has the diagnostic ability with higher sensitivity in detecting early and intermediate glaucoma than the full-field ERG.

引用

页数：11

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