Role of Electrophysiologal Studies for Detection of Simulation and Aggravation in Ophthalmology

Q4 Medicine Acta Medica Bulgarica Pub Date : 2023-12-01 DOI:10.2478/amb-2023-0043
E. Mermeklieva
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Abstract

Abstract Objective To present the importance of the electrophysiological studies for detection of malingering and aggravation in ophthalmology. Materials and methods Six eyes of three patients underwent a complete clinical examination, fundus-autofluorescence (FAF), fluorescein angiography (FA), optical coherence tomography (OCT), visual field testing, electrophysiological (EF) studies – full-field, multifocal and pattern electroretinography (ffERG, mfERG and PERG) and visual evoked potentials (VEPs), for detection of simulation or aggravation. Results After the electrophysiological studies’ results, which are objective and non-manipulable, we purposefully reviewed and repeated some of the tests already done, which allowed a comprehensive interpretation of the results. It turned out that discrete changes in targeted search can be detected in several of the studies performed, which greatly facilitates the correct diagnosis. Conclusion EF studies are objective methods for studying the visual analyzer’s function, that can not be manipulated, which makes them indispensable for detecting simulation and aggravation in ophthalmology. A detailed extensive study of the degree of simulation and aggravation among the ophthalmological patients is needed, which will enrich our knowledge and make us more precise in our expertise.
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电生理研究在眼科模拟和恶化检测中的作用
摘要 目的 介绍电生理学研究对检测眼科弊病和病情加重的重要性。材料和方法 对三名患者的六只眼睛进行了全面的临床检查、眼底自动荧光(FAF)、荧光素血管造影(FA)、光学相干断层扫描(OCT)、视野测试、电生理(EF)研究--全视野、多焦点和模式视网膜电图(ffERG、mfERG 和 PERG)以及视觉诱发电位(VEPs),以检测是否存在弊病或病情加重。结果 电生理研究的结果是客观的、不可操纵的,在电生理研究结果之后,我们有目的地回顾并重复了一些已经做过的测试,从而对结果进行了全面的解释。结果发现,在所做的几项研究中,都能检测到目标搜索的离散变化,这大大有助于正确诊断。结论 EF 研究是研究视觉分析器功能的客观方法,它无法被操纵,因此在眼科检测模拟和加重时不可或缺。我们需要对眼科患者的模拟和加重程度进行详细而广泛的研究,这将丰富我们的知识,使我们的专业知识更加精确。
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来源期刊
Acta Medica Bulgarica
Acta Medica Bulgarica Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
33
审稿时长
25 weeks
期刊介绍: About 30 years ago - in 1973, on the initiative of the Publishing House „Medicine and Physical Culture", namely its former director Mr. Traian Ivanov, the Ministry of Health set up and accepted to subsidize a new medical magazine that was to be published only in the English language and had to reflect the status and the achievements of the Bulgarian medical science. Thus the language barrier was overcome and stable relations were established with the international medical society, large libraries, and university centers. The famous internationally known scientist professor Assen A. Hadjiolov was elected edition-in-chief by the first editorial staff and the magazine was named Acta Medica Bulgarica.
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