Professional Documents
Culture Documents
Clinical Ocular
Electrophysiology
Interactive Session
1. Light intensity
2. Spectral sensitivity
Factors affecting ERG
d-
3. Duration wave
4. Temporal frequency
Factors affecting ERG
6. Area
7. Perimetric location
Recording Electrodes
Electrophysiology Apparatus
EPIC 2000
(LKC Technologies)
Primus (Tomey)
Bright Flash ERG
Standard Protocol ERG
Rod Response
Scotopic
24 dB filter
Standard Protocol ERG
Maximal Response
Scotopic
0 dB filter
Bandpass filters:
0.3 – 500 Hz
Standard Protocol ERG
Oscillatory Potentials
Scotopic
0 dB filter
Bandpass filters:
75 – 500 Hz
Standard Protocol ERG
Cone Response
Photopic
0 dB filter
Standard Protocol ERG
30 Hz Flicker
Response
Photopic
0 dB filter
Standard Protocol ERG
A.D RP
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Hypovitaminosis A
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
CSNB (Complete)
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Gyrate Atrophy
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Choroideremia
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Cone Dystrophy
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Achromatopsia
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
CRVO
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Retinal Detachment
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Siderosis
Early Late Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Quinine Toxicity
Normal
Rod Response
Maximal
Response
OPs
Cone Response
30 Hz Flicker
Response
Pattern ERG
Focal ERG
Focal ERG
Normal Response
Macular Pathology
Multifocal ERG
Multifocal ERG
Multifocal ERG
Electrooculography
( EOG )
EOG
Electrodes
Visual Evoked Potential (
VEP )
VEP
Electrodes
VEP
&
Age
VEP
&
Refraction
Sweep
VEP
Optic Neuropathies
Normal
Optic Neuritis
Amblyopia
Rt
Before Occlusion Lt
Rt
After Occlusion Lt
Electrophysiological Testing
1. Confirmation of Neurological or Ophthalmological Disease:
Inherited retinal degenerations - Glaucoma - D.S - Vascular
retinal diseases - Inflammatory retinal diseases.
2. Unexplained Visual Loss: Diminished V.A - Post traumatic -
Night blindness - Abnormal field - Difficult subjective testing -
Hysteria and malingering - Medico-legal claims.
3. Pediatric Neurology: Metabolic, hereditary or neurological
diseases - Non seeing child - Monitoring visual development -
Family history of poor vision.
4. Media Opacities: Cornea - Lens - Vitreous.
Electrophysiological Testing
5. Monitoring Health - Toxicity: Chloroquine - Ethambutol,
Phenothiazines, Tobacco-Alcohol - Vitamin A deficiency -
Desferroxamine, Tamoxifen - Siderosis.
6. Detection of the Diseases or the Carrier States of Inherited
Disorders: R.P - CSNB.
7. Quantitative Assessment of Visual Disease: Uveitis -
Thyrotoxicosis - Preoperative monitoring - Toxicity - Inherited
retinal degenerations - Retinal vascular diseases.
8. Assessment of Retinal and Visual Pathway Function after
Trauma.
9. Research.
Thank you