早产儿视网膜病变的神经视网膜发育研究
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Development of neural retina in retinopathy of prematurity
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    摘要:

    早产儿视网膜病变(retinopathy of prematurity,ROP)被视为引起视觉受损的重要疾病之一,它的主要临床特点是视网膜周边血管异常,包括大片无血管灌注区及异常新生血管形成。大量研究证明ROP会影响视网膜光感受器细胞的分化和成熟,且对视杆细胞影响较视锥细胞显著,后期还大多引起屈光不正、斜视、弱视等一系列的视功能异常表现,具体机制尚不明确。经治疗后即使视网膜本身血管增殖病变消失,但ROP光感受器细胞的异常发育及由此导致的视功能障碍会持续存在。目前临床上对视网膜功能的最佳评估手段主要是视觉电生理,尤其是闪光视网膜电流图(f-ERG)可反映神经节细胞以前整个视网膜的功能状态,对评估视网膜的感光细胞功能具有独特的意义。本文主要针对ROP对神经视网膜发育(主要是光感受器细胞)的影响及其相关机制、ROP后期视功能改变及相关机制进行综述,从而指导我们寻求更佳的治疗方法。

    Abstract:

    Retinopathy of prematurity(ROP)is an important cause of infant blindness and visual impairment in the world, of which main clinical characteristics are peripheral retinal vascular abnormalities, including large non-perfusion area and abnormal neovascularization. Numerous researches have demonstrated that ROP affects the differentiation and maturity of retinal photoreceptor cells, with more significantly effect on rods than cones, and later mostly caused ametropia, strabismus, amblyopia and a series of abnormal visual functions, the specific mechanism remains unclear. After treatments, even the retinal vascular proliferation lesions disappear itself, but the abnormal development of photoreceptor cells and the resulting visual dysfunction will persist. Currently the best evaluation mean of clinical assessment about retinal function is mainly visual electrophysiology, especially flash electroretinogram(f-ERG), which can reflect the whole retinal functional status before ganglion cells, has a unique significance for the evaluation of retinal photoreceptor cells function. In this review, we aims at the development of neural retina(mainly photoreceptor cells)and its related mechanisms, also the visual function changes appeared in the late period about ROP and its mechanisms, guiding us to pursuit better methods for treatment.

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罗毅,王平.早产儿视网膜病变的神经视网膜发育研究.国际眼科杂志, 2015,15(10):1741-1744.

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  • 收稿日期:2015-03-10
  • 最后修改日期:2015-09-07
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  • 在线发布日期: 2015-09-25
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