Role of pattern electroretinogram in assessment of retinal dysfunction in hypertensive patients.


Journal

The International journal of neuroscience
ISSN: 1563-5279
Titre abrégé: Int J Neurosci
Pays: England
ID NLM: 0270707

Informations de publication

Date de publication:
Jul 2023
Historique:
medline: 26 6 2023
pubmed: 28 9 2021
entrez: 27 9 2021
Statut: ppublish

Résumé

Hypertension is a major health problem in both developing and developed countries. Hypertension causes retinal structural and functional impairment within the ganglion cell layer. Pattern electroretinogram (PERG) offers an objective simple tool for assessment of retinal ganglion cell function. This is a case control study, including ninety-eight eyes. Twenty-eight eyes of healthy subjects served as a control group (group I) and seventy eyes of patients with systemic hypertension, who were further subdivided into group II including 39 eyes of hypertensive patients with normal fundus and group III including 31 eyes of patients with signs of hypertensive retinopathy. All subjects were subjected to ophthalmological examination and electrophysiological assessment using PERG. PERG implicit times were significantly prolonged and amplitudes were significantly reduced in patients with established hypertensive retinopathy. PERG abnormalities were detected in 96.8% of hypertensive retinopathy patients and 79.5% of hypertensive patients with normal fundus. PERG can objectively assess retinal dysfunction in hypertensive patients and may be considered a promising tool for early detection of hypertensive retinopathy.

Sections du résumé

BACKGROUND UNASSIGNED
Hypertension is a major health problem in both developing and developed countries. Hypertension causes retinal structural and functional impairment within the ganglion cell layer. Pattern electroretinogram (PERG) offers an objective simple tool for assessment of retinal ganglion cell function.
MATERIALS AND METHODS UNASSIGNED
This is a case control study, including ninety-eight eyes. Twenty-eight eyes of healthy subjects served as a control group (group I) and seventy eyes of patients with systemic hypertension, who were further subdivided into group II including 39 eyes of hypertensive patients with normal fundus and group III including 31 eyes of patients with signs of hypertensive retinopathy. All subjects were subjected to ophthalmological examination and electrophysiological assessment using PERG.
RESULTS UNASSIGNED
PERG implicit times were significantly prolonged and amplitudes were significantly reduced in patients with established hypertensive retinopathy. PERG abnormalities were detected in 96.8% of hypertensive retinopathy patients and 79.5% of hypertensive patients with normal fundus.
CONCLUSIONS UNASSIGNED
PERG can objectively assess retinal dysfunction in hypertensive patients and may be considered a promising tool for early detection of hypertensive retinopathy.

Identifiants

pubmed: 34570992
doi: 10.1080/00207454.2021.1984237
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

791-796

Auteurs

Rasha Zedan (R)

Department of Opthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Ayat Allah Farouk (AA)

Clinical Neurophysioloy Unit, Faculty of Medicine, Cairo University, Cairo, Egypt.

Radwa Azmy (R)

Department of Opthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Reem Elhadidy (R)

Department of Opthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Eman Attya (E)

Department of Opthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.

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Classifications MeSH