Skip to main content
Log in

Electrophysiological discrimination between retinal and optic nerve disorders

  • Published:
Documenta Ophthalmologica Aims and scope Submit manuscript

Abstract

In this study we show how the Pattern ERG (PERG) can be used to distinguish between optic nerve and retinal disease. Records from eyes with RBN and delayed visual evoked responses are compared with those recorded from the normal fellow eyes. In optic nerve disease there is a selective reduction of the later negative component of the PERG. PERGs were also recorded from patients with mild diabetic retinopathy. These were divided into three groups on the basis of the delay in their Visual Evoked Potential (VEP). The amplitude of both positive and negative components of the PERG fall with increasing severity of the disease thus showing that the abnormally long delay in VEP found in some cases is due to retinal disease rather than optic nerve disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Regan D (1972) Evoked potentials in psychology, sensory physiology and medicine. Chapman and Hall: London.

    Google Scholar 

  2. Arden GB (1973) The visual evoked response in ophthalmology. Proc Roy Soc Med 66: 1037–1043.

    Google Scholar 

  3. Carr RE, Siegel IM (1982) Clinical electrophysiological techniques: a practical guide for the clinician. Williams and Wilkins: Baltimore

    Google Scholar 

  4. Halliday AM (1982) Evoked Potentials in Clinical testing. Churchill-Livingstone: Edinburgh.

    Google Scholar 

  5. Arden GB, Carter RM, Hogg C, Siegel IM, Margolis S (1979) A Gold Foil electrode: extending the horizons for clinical electroretinography. Invest Ophthalmol and Vis Sci 18: 421–426.

    Google Scholar 

  6. Spekreijse H, Estevez O, van der Tweel LH (1973) Luminance responses to pattern reversal. Doc Ophthalmol Proc series, 10th ISCERG Symposium 2: 205–211.

    Google Scholar 

  7. May JG, Ralston JV, van Dyk HJL (1982) Loss in pattern elicited electroretinograms in optic nerve dysfunction. Am J Ophthalmol 93: 418–422.

    Google Scholar 

  8. Dawson W, Maida R, Rubin M (1972) Human pattern evoked retinal responses are altered by optic atrophy. Invest Ophthalmol Vis Sci 22: 796–803.

    Google Scholar 

  9. Ohta H, Tamura T, Kawasaki K, Yonemura D (1986) Negative wave in human pattern ERG and its suppression in Glaucoma. Acta Soc Ophthalmol Jpn 882–886.

  10. Florentini A, Maffei L, Pirchio M et al. (1981) The ERG in response to alternating gratings in patients with diseases of the peripheral visual pathways. Invest Ophthalmol Vis Sci 21: 490–493.

    Google Scholar 

  11. Arden GB, Vaegan, Hogg CR (1982) Clinical and experimental evidence that the pattern electrotretinogram (PERG) is generated in more proximal retinal layers than the Focal electroretinogram (FERG). Ann NY Acad Sci 388: 580–601.

    Google Scholar 

  12. Korth H (1983) Pattern-evoked responses and luminance-evoked responses in the human electroretinogram. J Physiol (London) 337: 451–469.

    Google Scholar 

  13. Maffei L, Fiorentini A, Bisti S, Hollander H (1985) Pattern ERG in the monkey after section of the optic nerve. Exp Brain Res 59: 423–425.

    Google Scholar 

  14. Fiorentini A, Maffei L, Pirchio M, Spinelli D, Porciatti V (1982) Pattern ERG in patients with unilateral alteration of retinal ganglion cells. Doc Ophthalmol 31: 131–133.

    Google Scholar 

  15. Berninger T, Schuurmans RP (1985) Spatial tuning of the pattern ERG across temporal frequency. Doc Opthalmol 61: 17–25.

    Google Scholar 

  16. Schuurmans RP, Berninger T (1985) Luminance and contrast responses in man and cat. Doc Opthalmol 59: 187–197.

    Google Scholar 

  17. Holder GE (1987) Significance of abnormal pattern electroretinography in anterior visual pathway dysfunction. Brit J Ophthalmol 71: 166–171.

    Google Scholar 

  18. Arden GB (1986) (Letter) Uniocular recording of pattern ERG. Vis Res 26: 281–286.

    Google Scholar 

  19. Arden GB et al. (1976) Pattern electroretinograms become abnormal when background diabetic retinopathy deteriorates to a pre-proliferative stage: Possible use as a screening test. Brit J Ophthalmol 70: 330–335.

    Google Scholar 

  20. Bresnick GH, Groo A, Palta M (1984) Electroretinographic oscillatory potentials predict progression of diabetic retinopathy. Arch Ophthalmol 102: 1307–1311.

    Google Scholar 

  21. Weinstein GW, Arden GB, Hitchings RA, Ryan S (l 988) The PERG in Ocular Hypertension and Glaucoma. Arch Ophthalmol (in press)

  22. Yanko L, Ticho U, Ivry M (1972) Optic nerve involvement in diabetics. Acta Ophthal 50: 556–664.

    Google Scholar 

  23. Editorial (1987) Clinical electrophysiology can pinpoint pathology in the visual pathway. Lancet 961–2.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ryan, S., Arden, G.B. Electrophysiological discrimination between retinal and optic nerve disorders. Doc Ophthalmol 68, 247–255 (1988). https://doi.org/10.1007/BF00156431

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00156431

Key words

Navigation