■探讨临界闪烁融合频率(CFF)在脱髓鞘性视神经炎(DON)中的应用。
■一项横断面研究。2021年1月至2021年9月,眼科共纳入69名DON患者的127只眼和33名健康对照(HC)组的63只眼,解放军总医院.患者接受最佳矫正视力(BCVA),视野,光学相干断层扫描(OCT),闪光视觉诱发电位(F-VEP),CFF考试。患眼分为水通道蛋白4(AQP4-),髓鞘少突胶质细胞糖蛋白(MOG-),根据血清抗体,DON双阴性;轻度,中度,根据BCVA≥0.5,0.1-0.5,<0.1,重度视力障碍;根据发病至CFF检查的时间间隔,4组:<1、1〜<3、3〜<6和>6个月。采用单因素方差分析进行上述亚组分析。CFF和F-VEP峰值时间之间的相关性,峰值,通过Pearson相关分析,依次分析BCVA和平均视野缺陷(MD)。
■红色的三色值,绿色,DON受累眼的黄色分别为21.83±9.03、23.66±10.21、24.09±10.77Hz,分别,与HC组相比显著降低(t=-14.82,-14.22,-14.00;P<0.001)。亚组分析显示不同抗体亚型之间无显著差异(P=0.914<0.848<0.604),然而,重度视力障碍组的CFF三色值显着降低(P<0.001)。不同时间点CFF-三色值差异有统计学意义(P<0.001),具体而言,CFF在发病后3个月内波动在20Hz以下,并在24-28Hz附近趋于稳定。相关分析表明,F-VEP峰值时间(r=-0.486,-0.515,-0.526;P<0.001),BVCA(r=-0.640,-0.659,-0.642;P<0.001),与CFF三色值呈负相关,MD与CFF呈正相关(r=0.486、0.453、0.476;P=0.003、0.006、0.004)。
■在受DON影响的眼睛中发现CFF值的显着降低,它与BCVA有很好的相关性,MD和F-VEP的延迟,能更好地反映视功能的损害。
UNASSIGNED: To investigate the application of critical flicker fusion frequency (CFF) in demyelinating optic neuritis (DON).
UNASSIGNED: A cross-sectional study. A total of 127 eyes in 69 DON patients and 63 eyes in 33 healthy control (HC) groups were included between January 2021 to September 2021 from Department of Ophthalmology, PLA General Hospital. Patients underwent best-corrected visual acuity (BCVA), visual field, optical coherence tomography (OCT), flash visual evoked potential (F-VEP), and CFF examinations. The affected eyes were divided into aquaporins 4 (AQP4-), myelin oligodendrocyte glycoprotein (MOG-), and double negative DON according to serum antibody; mild, moderate, severe degree visual impairment according to BCVA ≥ 0.5, 0.1-0.5, < 0.1; and 4 groups: < 1, 1 ∼< 3, 3 ∼ < 6 and > 6 months according to time interval from onset to CFF examination. One-way ANOVA was used to perform above subgroup analysis. The correlations between CFF and F-VEP peak time, peak value, BCVA and mean visual filed defect (MD) were analyzed in order via Pearson correlation analysis.
UNASSIGNED: he trichromatic values of red, green, and yellow in DON affected eyes were 21.83 ± 9.03, 23.66 ± 10.21, 24.09 ± 10.77 Hz, respectively, which was significantly reduced compared with the HC group (t = -14.82, -14.22, -14.00; P < 0.001). The subgroup analysis showed no significant difference between different antibody subtypes (P = 0.914 <0.848 <0.604), whereas, a significant decrease of CFF trichromatic value was found in severe visual acuity impairment group (P < 0.001). There was a significant difference in CFF- trichromatic values at different time points (P < 0.001), to be specific, CFF fluctuated under 20Hz within 3 months after onset and tended to be stable around 24-28Hz. Correlation analysis showed that the peak time of F-VEP (r = -0.486, -0.515, -0.526; P < 0.001), BVCA (r = -0.640, -0.659, -0.642; P < 0.001), were negatively correlated with CFF trichromatic values, MD and CFF were positively correlated (r = 0.486, 0.453, 0.476; P = 0.003, 0.006, 0.004).
UNASSIGNED: A significant decrease of CFF value was found in DON-affected eyes, and it has a good correlation with BCVA, MD and latency of F-VEP, and can better reflect the impairment of visual function.