The electroretinogram (ERG) is a diagnostic test that measures the . The multifocal ERG (mfERG) simultaneously measures local retinal. Multifocal electroretinography (mfERG) is an objective, noninvasive examination for the assessment of visual function. It enables the stimulation. Abstract. AIMS To describe the topography of multifocal electroretinograms ( ERGs) and to explore its diagnostic value in patients with Stargardt’s macular.

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The patient views a monitor displaying a rapidly changing sequence of hexagons. This page was last edited on 15 Mayat The produces multiple ERG recordings reflecting the retinal response of each of the corresponding stimulated area.

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Retrieved 3 February electrorretinogramq The leading edge of the a-wave is produced by the photoreceptors, while the remainder of the wave is produced by a mixture of cells including photoreceptors, bipolaramacrineand Muller cells or Muller glia.

If using reusable electrodes follow the manufacturer’s recommendations for sterilization. We have found mfERG most useful in the diagnosis of: For single-flash ERGs, in cases of Xenon flash tube, the duration of flash is less than a milisecond.

We recommend downloading the newest version of Flash here, but we support all versions 10 and above. An unexpected error occurred. This test helps us discriminate between optic-nerve and retinal disease, detect early hydroxychloroquine toxicity, diagnose and distinguish between the various white dot syndromes and follow patients with inherited retinal diseases who have extinguished Ganzfeld ERGs.


Multifocal Electroretinograms

This page was last modified on July 18,at In late stages of the disease, full-field ERG may be nonrecordable even in the presence of a demonstrable field by kinetic perimetry. After introducing yourself and the procedure, dilate the subject’s eyes.

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Retrieved from ” http: Ramkumar, MDK. Please recommend JoVE to your librarian. If your mfERG system displays stimulus on video monitor place all subjects same electrorrdtinograma from stimulus monitor.

Always place subjects in the same position and use the same room lighting for every subject. Components of mfERG systems vary between manufacturers. Make testing situation the same for every subject. Representative Results An example of an mfERG measurement taken from a patient with significant upper left visual field loss is shown in figure 1 superimposed onto the Humphrey visual field.

In this subgroup, we repeat mfERG testing yearly and consider changes in dosage only in subjects who show a worsening of retinal response. Our main focus is to investigate the normal age-related changes in multifocal ERG responses and to find out and quantify the underlying optical and neural factors contributing to those age-related changes see recent publications. However, most subjects demonstrate a normal mfERG allowing them to continue hydroxychloroquine treatment despite an abnormal visual field test result.


In healthy eyes, this peak is generated by the cells in the fovea. In Erich Sutter developed a new method, combining the advantages of the focal and pattern stimulation into one procedure called multifocal ERG.

They all follow the same pseudorandom sequence, with each hexagon starting at a slightly different position in this sequence.

The Multifocal Electroretinogram | Vision Science and Advanced Retinal Imaging Laboratory

If using a monopolar recording electrode choose a location on head for electrorrtinograma negative pole such as forehead, mastoid or earlobe. Due to the massed retinal electrical response, small retinal lesions may not be revealed in ffERG recordings.

In demyelinating optic neuropathy, the PERG is relatively normal, while it may be abnormal in ischemic optic neuropathies. Residents and Fellows contest rules International Ophthalmologists contest rules.

Page Discussion View form View source History. Journal of Diabetes and its Complications. Figure 5 Branch Retinal Artery Occlusion.

The focal ERG fERG; also known as the foveal ERG is used primarily to measure the functional integrity of the fovea and is therefore useful in providing information in diseases limited to the macula.

Verbally coach patients during testing to maintain fixation and stay relaxed. During the stimulation, the display appears to flicker because each hexagon goes through a pseudo-random sequence of black and white presentations.

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