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Visual Functions and Trace Element Metabolism in Tobacco-toxic Optic Neuropathy

摘要Visual functions and nutrition metabolic characteristics were studied in 8 subjects (16 eyes) with tobacco-toxic optic neuropathy (TTON).Their visual functions tested by psychophysical and electrophysiologic methods showed that:1.central vision diminished in 16 eyes,2.dyschromatopsias were found in 14 tested eyes,3.bilateral symmetrical central or cecocentral scotomas were the visual field characteristics in all cases,4.PVEP were severe abnormal in 3 spatial frequencies in all cases and 56.3% of 15'checkboard PVEP showed flat responses,which indicated the im-pairment of optic nerve dominated by the central field.However,the preserved visual responses could be obtained by FVEP test in 14 tested eyes even though their visual acuity were between the range of 0.02-0.2 and flat PVEP responses.The Ⅱ and Ⅲ wave latencies of primary stage were more prolonged than those of control group (P<0.01),which further indicated the preferential demyelination corresponding to the papillomacular bundles,5.ERG showed slightly attenuated amplitudes in 5 of 8 tested eyes,which indicated the secon-dary and mild retinal lesion.On the other hand,TTON occurred on a back-ground of long-term,heavy smoking,drinking,emaciation and malnutrition bodies with low serum zinc level.

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作者 Yu Wang [1] Lezheng Wu [1] De-Zheng Wu [1] Futian Jiang [1] Taiqing Luo [1] Shaoyu Sheng [2] Zengxi Li [2] Yechen Liang [2] 学术成果认领
作者单位 National Ophthalmological Laboratories,Ministry of Public Heallth,China Zhongshan Ophthalmic Center,Sun Yat-sen University of Medical Sciences,Guangzhou 510060,China [1] Guangdong Institute of Analysis,100 Xianlie Road,Guangzhou 510070,China [2]
发布时间 2022-03-23(万方平台首次上网日期,不代表论文的发表时间)
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