Objective To observe the changes of photopic negative response (PhNR) of electroretinography (ERG) in patients with retinal vein occlusion (RVO). Methods A total of 30 patients (30 eyes) with retinal vein occlusion (RVO) diagnosed by indirect ophthalmoscopy and fundus fluorescein angiography (FFA) were selected; the unaffected fellow eyes of the patients and another 25 healthy agematched individuals (50 eyes) were cllected as the normal control. All of the patients underwent the examination of visual acuity, visual field, and flashERG (FERG); the normal control ones underwent FERG. In the 30 patients with RVO, there were 14 with central RVO (CRVO) and 16 with branch RVO (BRVO). According to the disease history and results of FFA, the patients were divided into 3 time groups: lt;1 month, 1-3 months, and gt;3 months; according to the types of RVO, the patients were divided into ischemic and nonischemic group. The amplitude of PhNR and other parameters were analysed. The relationship among the amplitude of PhNR and RVO types and time course were analyzed.Results The amplitude of PhNR in the CRVO and BRVO eyes was (28.20plusmn;5.8) and (36.96plusmn;4.71) mu;V, respectively; those in the unaffected fellow and control eyes was (61.25plusmn;3.93) and (59.33plusmn;16.92) mu;V, respectively; the amplitude of PhNR was significantly smaller in the CRVO and BRVO eyes than those in the unaffected fellow or control eyes (F=10.69 and 9.80，P＜0.001; F=9.69 and 9.75，P＜0.001). The amplitude of PhNR in ischemic and nonischemic group in CRVO eyes was (22.77plusmn;15.73) and (36.63plusmn;12.91) mu;V, respectively; the difference between the two groups was significant（t=6.54, Plt;0.01）. The amplitude of PhNR in ischemic and nonischemic group in BRVO eyes was (32.39plusmn;13.22) and (46.73plusmn;10.43) mu;V, respectively; there was no significant difference between the two groups（t=2.12, Plt;0.05）. The amplitude of PhNR was (24.58plusmn;14.60) and (27.94plusmn;15.73) mu;V, respectively, in CRVO and BRVO eyes with lt; 1 month disease course; was (50.39plusmn;13.80) and (58.69plusmn;12.43) mu;V in those with 1-3 months disease course; and was (25.40plusmn;19.94) and (34.48plusmn;16.72) mu;V in those with ＞3 months diseases course. Significant difference was found between the 1-3 months group and ＞3 months group in CRVO eyes（F=4.30，Plt;0.01）. Conclusions The amplitude of PhNRs was significantly smaller in RVO eyes than those in the unaffected fellow or control eyes.The amplitude of PhNR amplitude of ischemic type was smaller than that of nonischemic type. The amplitude of PhNR has descending，ascending，and descending tendency during the disease courses.
Objective To investigate the experimental condition and mechanism of differentiation of human umbilical cord blood derived mesenchymal stem cells（hUCB-MSC）into neuron-like cells induced by recombined human epidermal growth factor （rhEGF） and taurine in vitro.Methods hUCB-MSC were primary cultured in Dulbeccoprime;s modified Eagle's medium/F12 （DMEM/F-12）which supplemented with 105U/L penicillin G, 100 mg/L streptomycin sulfate, 10% fetal bovine serum (FBS),5% autologous plasma,4 mmol Lglutamine, 30 ng/ml rhEGF.The DMEM/F-12 medium was replaced by taurine medium after 3 passages.The expression of surface antigen CD90,CD29,CD34,CD44 and CD45 were detected by flow cytometry；the expression of neuron specific enolase,rhodopsin and nestin were investigated by immunocytochemistry. The statistical method was chi square test.Results Morphologically similar to bonemarrow MSC,hUCB-MSC became attached cells after the first 5 to 7 days in culture，and reached 80% to 90% confluent after 3 to 4 weeks. Growth accelerated after passage. hUCB-MSC were positive for CD29,CD44 and CD90 but negative for CD34 and CD45. After taurine induction, 2515/3120 cells expressed NSE, 1168/3175 cells expressed rhodopsin and 903/3050 cells expressed nestin while only 234/2965 cells expressed NSE in the control group(P＜0.01).Conclusion rhEGF and taurine can induce hUCB-MSC differentiating into neuronlike or rhodopsin positive cells.