Abstract
We retrospectively studied the correlation between the initial electroretinogram (ERG) recordings and the final visual acuities (VA) of 47 patients with central retinal vein obstruction (CRVO) after follow-up of more than 1 year. The a- and b-wave amplitudes and the b/a ratio with white flash were significantly larger in patients with good vision (VA > 20/200) than in those with poor vision (VA < 20/200). The b/a ratio and b-wave amplitude with white flash showed sensitivity and specificity of more than 78% for visual prognosis. The latest VA was <- 20/200 in all 20 patients with a subnormal b-wave amplitude and in all 15 with b/a ratio < 1.05. These results suggest that the ERG recorded soon after (CRVO) onset correlates strongly with visual prognosis.
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References
Breton ME, Quinn GE, Keene SS, Dahmen JC, Brucker AJ (1989) Electroretinogram parameters at presentation as predictors of rubeosis in central retinal vein occlusion patients. Ophthalmology 96:1343–1352.
Brunette JR, Olivier P, Galeabo C, Lafond G (1983) Hyperresponse and delay in the electroretinogram in acute ischemia. Can J Ophthalmol 18:188–193.
Hayreh SS (1983) Classification of central retinal vein occlusion. Ophthalmology 90:458–474.
Hayreh SS, Klugman MR, Podhajsky P, Kolder HE (1989) Electroretinography in central retinal vein occlusion. Correlation of electroretinographic changes with pupillary abnormalities. Graefes Arch Clin Exp Ophthalmol 227:549–561.
Hayreh SS, Klugman MR, Beri M, Kimura AE, Podhajsky P (1990) Differentiation of ischemic from non-ischemic central retinal vein occlusion during the early acute phase. Graefes Arch Clin Exp Ophthalmol 228:201–217.
Henkes HE (1953) Electroretinography in circulatory disturbances of the retina. Arch Ophthalmol 49:190–201.
Hirose T, Wolf E, Hara A (1977) Electrophysiological and psychological studies in congenital retinoschisis of X-linked recessive inheritance. In: Lawwill T (ed) ERG, VER and psychophysics. (Documenta Ophthalmologica Proceedings Series, vol 13) Junk, The Hague, pp 173–184.
Johnson MA, Marcus S, Elman MJ, McPhee TJ (1988) Neovascularization in central retinal vein occlusion. Electroretinographic findings. Arch Ophthalmol 106:348–352.
Karpe G, Germanis M (1962) The prognostic value of the electroretinogram in thrombosis of the retinal veins. Acta Ophthalmol [Suppl] 70:202–229.
Karpe G, Uchermann A (1955) The clinical electroretinogram. VII. The electroretinogram in circulatory disturbances of the retina. Acta Ophthalmol 33:493–516.
Kaye SB, Harding SP (1988) Early electroretinography in unilateral central retinal vein occlusion as a predictor of rubeosis iridis. Arch Ophthalmol 106:353–356.
Sabates R, Hirose T,McMeel JW (1983) Electroretinography in the prognosis and classification of central retinal vein occlusion. Arch Ophthalmol 101:232–235.
Sakaue H, Katsumi O, Hirose T (1989) Electroretinographic findings in fellow eyes of patients with central retinal vein occlusion. Arch Ophthalmol 107:1459–1462.
Usami E (1967) Studies on ERG of occlusion of the retinal Artery and rein especially on that prognostic value. Acta Soc Ophthalmol Jpn 71:39–45.
Vannas S (1960) Electroretinographic observations in centr3al vein occlusion. Acta Ophthalmol 8:312–321.
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Matsui, Y., Katsumi, O., McMeel, J.W. et al. Prognostic value of initial electroretinogram in central retinal vein obstruction. Graefe's Arch Clin Exp Ophthalmol 232, 75–81 (1994). https://doi.org/10.1007/BF00171667
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DOI: https://doi.org/10.1007/BF00171667