PT  - JOURNAL ARTICLE
AU  - D Papakostopoulos
AU  - P A Bloom
AU  - R H Grey
AU  - J C Dean Hart
TI  - The electro-oculogram in central retinal vein occlusion.
AID  - 10.1136/bjo.76.9.515
DP  - 1992 Sep 01
TA  - British Journal of Ophthalmology
PG  - 515--519
VI  - 76
IP  - 9
4099  - http://bjo.bmj.com/content/76/9/515.short
4100  - http://bjo.bmj.com/content/76/9/515.full
SO  - Br J Ophthalmol1992 Sep 01; 76
AB  - As part of a prospective masked study, the electro-oculogram (EOG) was recorded from 28 patients within 48 days of developing central retinal vein occlusion (CRVO). The EOG light peak/dark trough ratio (Lp/Dt) x 100 was significantly lower in the affected than in the unaffected eyes of patients (p < 0.001), and abnormally low in absolute terms in 20 patients (71%). All unaffected fellow eyes had a normal EOG ratio. The mean Lp amplitude of affected eyes was significantly smaller than that of unaffected eyes (p < 0.001), whereas the differences in mean Dt amplitudes between affected and unaffected eyes were not statistically significant. The Lp amplitude in the affected eye was 48% or less of that in the unaffected eye in the eight patients (29%) who developed rubeosis iridis during the 9 month follow-up, and in six others. No patient whose Lp amplitude in the affected eye was greater than 48% of that in the unaffected eye, developed rubeosis. It is concluded that the Lp amplitude is abnormal in patients with acute CRVO. The degree of this abnormality bears a relation to the development of rubeosis, which might prove a useful indicator of whether to institute or withhold panretinal photocoagulation.