Current usage of electrophysiological tests in a secondary referral hospital in Korea.

IF 2.6 4区医学 Q2 OPHTHALMOLOGY Documenta Ophthalmologica Pub Date : 2022-10-01 Epub Date: 2022-08-25 DOI:10.1007/s10633-022-09894-8

Mi Yeon Song, Ungsoo Samuel Kim

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Abstract

Purpose: To investigate the current status of electrophysiological test use in ophthalmology.

Methods: We analyzed 1057 electrophysiological tests conducted at Kim's Eye Hospital from January 1 to December 31, 2018. The included tests were electroretinogram (full-field, multifocal, and pattern ERG), electrooculogram (EOG), and visual evoked potential (pattern and flash VEP). To investigate the distribution of use of subspecialties, it was divided by subspecialties (retina, glaucoma, oculoplastic surgery, pediatric ophthalmology, neuro-ophthalmology, cornea, and external diseases).

Results: The patients were aged 50.6 years on average and included 624 men and 433 women. Among the electrophysiological tests, VEP was the most common, with 567 cases (53.6%), followed by ERG with 311 cases (29.4%) and EOG with 98 cases (9.3%). Regarding the purpose of use, the objective of visual function evaluation was the highest at 56.3%, followed by the differential diagnosis of unknown causes (33.0%) and the confirmation of diagnoses (10.7%). Both VEP and ERG were used the most for visual function evaluation, and mfERG was most used for differential diagnosis of unknown etiology. Electrophysiological tests were most often used in the retina department, but VEPs were used in various fields such as neuro-ophthalmology, glaucoma, and oculoplastics.

Conclusion: Electrophysiological tests are used to objectively evaluate visual function or discriminate diseases of unknown causes and are used in various departments. Electrophysiology testing is expected to be an additional test to assess visual function.

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韩国一家二级转诊医院电生理测试的现状。

目的:了解电生理试验在眼科中的应用现状。方法:对2018年1月1日至12月31日在金氏眼科医院进行的1057例电生理测试进行分析。包括视网膜电图(全视野、多焦点和模式ERG)、眼电图(EOG)和视觉诱发电位(模式和闪烁VEP)。为了调查亚专科的使用分布，按亚专科(视网膜、青光眼、眼整形外科、儿童眼科、神经眼科、角膜和外部疾病)进行了划分。结果:患者平均年龄50.6岁，男性624例，女性433例。电生理检查中以VEP检查最多，567例(53.6%)，其次为ERG检查311例(29.4%)，EOG检查98例(9.3%)。从使用目的来看，视功能评价目的最高，占56.3%，其次是不明原因的鉴别诊断(33.0%)和诊断的确认(10.7%)。VEP和ERG用于视觉功能评价最多，mfERG用于病因不明的鉴别诊断最多。电生理测试最常用于视网膜科，但vep也用于神经眼科、青光眼和眼整形等其他领域。结论:电生理检查可用于客观评价视觉功能或鉴别原因不明的疾病，在各科室均有应用。电生理测试有望成为评估视觉功能的附加测试。

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来源期刊

Documenta Ophthalmologica 医学-眼科学

CiteScore

3.50

自引率

21.40%

发文量

审稿时长

>12 weeks

期刊介绍： Documenta Ophthalmologica is an official publication of the International Society for Clinical Electrophysiology of Vision. The purpose of the journal is to promote the understanding and application of clinical electrophysiology of vision. Documenta Ophthalmologica will publish reviews, research articles, technical notes, brief reports and case studies which inform the readers about basic and clinical sciences related to visual electrodiagnosis and means to improve diagnosis and clinical management of patients using visual electrophysiology. Studies may involve animals or humans. In either case appropriate care must be taken to follow the Declaration of Helsinki for human subject or appropriate humane standards of animal care (e.g., the ARVO standards on Animal Care and Use).