眼电图(EOG)
眼科项目
≈ ¥20-50
(≈ $3-7)
大约15-30分钟
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项目介绍
眼电图(EOG)在一般公立医院参考费用约¥15-40,三甲医院参考费用约¥20-50,常用于相关诊断评估与就医安排,费用随医院及地区有所差异。
主要用途
EOG is primarily used to assess retinal pigment epithelium (RPE) and photoreceptor outer segment function; it is a key diagnostic test for Best disease and other RPE-related dystrophies; aids in differentiating retinal from optic nerve disorders; evaluates generalized retinal dysfunction in inherited retinal diseases; monitors disease progression in chronic retinal conditions; and supports electrophysiological diagnosis when combined with ERG and VEP.
正常值范围
The normal EOG Arden ratio (light peak/dark trough amplitude) is ≥1.8 (180%); values between 1.6–1.79 are considered borderline; <1.6 indicates abnormality. Absolute amplitude values vary by equipment and age but typically: dark trough = 50–150 μV, light peak = 100–300 μV. Interocular asymmetry should be <20%.
偏低可能原因
Retinitis pigmentosa, Best vitelliform macular dystrophy, advanced age-related macular degeneration (geographic atrophy), chronic retinal detachment, severe vitamin A deficiency, long-standing diabetes with retinal pigment epithelium dysfunction.
偏高可能原因
Rare; may occur in early-stage retinal dystrophies with transient hyperactivity (e.g., some cases of congenital stationary night blindness), acute central serous chorioretinopathy (transient elevation), artifact due to excessive eye movement or poor electrode contact, hyperthyroidism (theoretical association, not well-established), pharmacologic stimulation (e.g., recent caffeine or sympathomimetic use).