临界闪烁融合频率在视网膜和视神经疾病中的应用  

The application of critical flicker fusion frequency in retinal and optic nerve diseases

作　　者：付俊霞 王永平[1] 程康鹏[1] 魏世辉(综述)[1] 宋宏鲁(审校) FU Junxia;WANG Yongping;CHENG Kangpeng;WEI Shihui;SONG Honglu(The First Medical Center,The Chinese People’s Liberation Army General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心,北京100853

出　　处：《眼科学报》2023年第3期239-244,F0003,共7页Eye Science

基　　金：国家重点研发专项(2018YFE0113900);国家自然科学基金(81870662)。

摘　　要：作为一种新型无创且操作简单的主观检查手段,临界闪烁融合频率(critical flicker fusion frequency,CFF)可动态反映人眼视功能变化情况。作为早期识别脱髓鞘病变和评估视功能恢复情况的敏感指标,上个世纪已被国外学者用于视网膜和视神经疾病研究中,包括氯喹中毒性视网膜病变、糖尿病视网膜病变、中心性浆液性视网膜病变、年龄相关的黄斑病变、乙胺丁醇中毒性视神经病变、视神经炎和非动脉炎性前部缺血性视神经病变。在视网膜和视神经疾病中,CFF均有不同程度下降,依据CFF改善程度以及主要损害的色光可能有助于视网膜和视神经疾病的鉴别,且CFF与其他视功能,视力、视野、视觉诱发电位的潜时具有较好的相关性。目前国内相关研究尚处于起步阶段,本文就CFF在视网膜和视神经疾病的应用情况做一总结。As a new non-invasive and simple subjective examination method,critical flicker fusion frequency(CFF)can dynamically reflect the changes of visual function of human eyes.As a sensitive indicator for early identification of demyelinating diseases and assessment of visual function recovery,it has been used by foreign scholars in the last century in the field of retinal and optic nerve diseases,including chloroquine toxic retinopathy,diabetic retinopathy,central serous retinopathy,age-related macular degeneration,ethambutol-induced optic neuropathy,optic neuritis and non-arteritic anterior ischemic optic neuropathy.Though there was a different decrease of CFF in retina and optic nerve diseases,it may be helpful for the differentiation of retinal and optic nerve diseases according to the degree of CFF improvement and the main damaged color light.Moreover,CFF has a good correlation with other visual functions,visual acuity,visual field,and peak time of visual evoked potential.At present,and relevant domestic studies is still in its infancy.This article summarizes the application of CFF in retinal and optic nerve diseases.

关 键 词：临界闪烁融合频率 视网膜疾病 视神经疾病 

分 类 号：R774[医药卫生—眼科]