Electroretinography (ERG): Electrophysiological Examination of the Retina
Electroretinography (ERG): Electrophysiological Examination of the Retina
复制标题
视网膜电图检查 (ERG)：视网膜电生理检查
DOI：
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Á. Farkas
中科院分区：
文献类型：
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作者：
Á. Farkas
视网膜电生理检查是目前唯一客观、非侵入性的方法，可提供有关视网膜功能状态的信息。它适用于视杆细胞和视锥细胞系统功能的分化、视网膜的弥漫性和局部性、遗传性和获得性疾病以及伴随视网膜和视神经损伤的病症。它还为诊断不明原因的视力丧失提供了有用的信息。这组评估包括需要特殊设备的耗时检查，并且需要合格且经验丰富的人员来订购、执行和评估它们。一般原则是，电生理学不应该是第一诊断方法，它应该只根据心理物理测试的结果进行。该原则的例外情况是无法合作的患者和儿科患者。只有在按照统一的规程进行检测的情况下，才能对结果进行比较（机构之间、一国之内和国际上），但即使有这样的规程，也不能排除在每个检查点确定年龄特定参考范围的必要性。通过重现性确认结果的可靠性。国际视觉临床电生理学会（ISCEV）发布并定期更新总结每种方法标准检查条件的指南（www.iscev.org）。
Electrophysiological examination of the retina is, currently, the only objective, non-invasive method that provides information about the functional status of the retina. It is suitable for the differentiation of the functions of the rod and cone systems, the diffuse and local, hereditary and acquired diseases of the retina, and the conditions accompanied by damage to the retina and the optic nerve. It also provides useful information for the diagnosis of visual losses of unknown origin. This group of assessments includes time-consuming examinations with special equipment needs, and they require qualified and experienced personnel to order, perform and evaluate them. A general principle is that electrophysiology should not be the first diagnostic method, and it should be performed based on the results of psychophysical tests only. The exceptions for this principle are patients that are unable to cooperate and pediatric patients. Comparison of the results (between institutions, within a country and internationally) is feasible only if the tests are performed in accordance with a uniform protocol, but even such a protocol does not eliminate the need for the establishment of age-specific reference ranges at each examination site. The reliability of the results is confirmed by reproducibility. The International Society for Clinical Electrophysiology of Vision (ISCEV) issues and regularly updates guidelines summarizing standard examination conditions for each method (www.iscev.org).