Skip to main content
Erschienen in: Documenta Ophthalmologica 3/2014

01.12.2014 | Original Research Article

Multifocal electroretinography in subjects with age-related macular degeneration

verfasst von: Güliz Fatma Yavas, Tuncay Küsbeci, Ümit Übeyt Inan

Erschienen in: Documenta Ophthalmologica | Ausgabe 3/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate retinal function objectively in subjects with different stages of age-related macular degeneration (AMD) using multifocal electroretinography (mfERG) and compare it with age-matched control group.

Methods

A total of 42 subjects with AMD and 37 age-matched healthy control group aged over 55 years were included in this prospective study. mfERG test was performed to all subjects. Average values in concentric ring analysis in four rings (ring 1, from 0° to 5° of eccentricity relative to fixation; ring 2, from 5° to 10°; ring 3, from 10° to 15°; ring 4, over 15°) and in quadrant analysis (superior nasal quadrant, superior temporal quadrant, inferior nasal quadrant and inferior temporal quadrant) were recorded. Test results were evaluated by one-way ANOVA test and independent samples t test.

Results

In mfERG concentric ring analysis, N1 amplitude, P1 amplitude and N2 amplitude were found to be lower and N1 implicit time, P1 implicit time and N2 implicit time were found to be delayed in subjects with AMD compared to control group. In quadrant analysis, N1, P1 and N2 amplitude was lower in all quadrants, whereas N1 implicit time was normal and P1 and N2 implicit times were prolonged in subjects with AMD.

Conclusion

mfERG is a useful test in evaluating retinal function in subjects with AMD. AMD affects both photoreceptors and inner retinal function at late stages.
Literatur
1.
Zurück zum Zitat The Foundation of the American Academy of Ophthalmology (2002) Basic and clinical science course 4. Ophthalmic pathology and intraocular tumors. pp 141–144 The Foundation of the American Academy of Ophthalmology (2002) Basic and clinical science course 4. Ophthalmic pathology and intraocular tumors. pp 141–144
2.
Zurück zum Zitat Zarbin MA (2012) Pathogenesis of age-related macular degeneration. In: Bandello F, Querques G (eds) Medical retina, ESASO course series, vol 1. Karger, Basel, pp 125–133 Zarbin MA (2012) Pathogenesis of age-related macular degeneration. In: Bandello F, Querques G (eds) Medical retina, ESASO course series, vol 1. Karger, Basel, pp 125–133
3.
Zurück zum Zitat Ferris FL III, Wilkinson CP, Bird A, Chakravarthy U, Chew E, Csaky K, Sadda SR, Beckman Initiative for Macular Research Classification Committee (2013) Clinical classification of age-related macular degeneration. Ophthalmology 120:844–851PubMedCrossRef Ferris FL III, Wilkinson CP, Bird A, Chakravarthy U, Chew E, Csaky K, Sadda SR, Beckman Initiative for Macular Research Classification Committee (2013) Clinical classification of age-related macular degeneration. Ophthalmology 120:844–851PubMedCrossRef
4.
Zurück zum Zitat Aoyagi R, Hayashi T, Gekka T, Kozaki K, Tsuneoka H (2013) Multifocal electroretinographic evaluation of macular function in acute posterior multifocal placoid pigment epitheliopathy. Doc Ophthalmol 126:253–258PubMedCrossRef Aoyagi R, Hayashi T, Gekka T, Kozaki K, Tsuneoka H (2013) Multifocal electroretinographic evaluation of macular function in acute posterior multifocal placoid pigment epitheliopathy. Doc Ophthalmol 126:253–258PubMedCrossRef
5.
Zurück zum Zitat Park S, Kim SH, Park TK, Ohn YH (2013) Evaluation of structural and functional changes in non-pathologic myopic fundus using multifocal electroretinogram and optical coherence tomography. Doc Ophthalmol 126:199–210PubMedCrossRef Park S, Kim SH, Park TK, Ohn YH (2013) Evaluation of structural and functional changes in non-pathologic myopic fundus using multifocal electroretinogram and optical coherence tomography. Doc Ophthalmol 126:199–210PubMedCrossRef
6.
Zurück zum Zitat Gin TJ, Luu CD, Guymer RH (2011) Central retinal function as measured by the multifocal electroretinogram and flicker perimetry in early age-related macular degeneration. Investig Ophthalmol Vis Sci 52:9267–9274CrossRef Gin TJ, Luu CD, Guymer RH (2011) Central retinal function as measured by the multifocal electroretinogram and flicker perimetry in early age-related macular degeneration. Investig Ophthalmol Vis Sci 52:9267–9274CrossRef
7.
Zurück zum Zitat Hwang JU, Sohn J, Moon BG, Joe SG, Lee JY, Kim JG, Yoon YH (2012) Assessment of macular function for idiopathic epiretinal membranes classified by spectral-domain optical coherence tomography. Investig Ophthalmol Vis Sci 53:3562–3569CrossRef Hwang JU, Sohn J, Moon BG, Joe SG, Lee JY, Kim JG, Yoon YH (2012) Assessment of macular function for idiopathic epiretinal membranes classified by spectral-domain optical coherence tomography. Investig Ophthalmol Vis Sci 53:3562–3569CrossRef
8.
Zurück zum Zitat Hood DC, Bach M, Brigell M, Keating D, Kondo M, Lyons JS, Marmor MF, McCulloch DL, Palmowski-Wolfe AM (2012) ISCEV standard for clinical mul-tifocal electroretinography (mfERG) (2011 edition). Doc Ophthalmol 124:1–13PubMedCrossRef Hood DC, Bach M, Brigell M, Keating D, Kondo M, Lyons JS, Marmor MF, McCulloch DL, Palmowski-Wolfe AM (2012) ISCEV standard for clinical mul-tifocal electroretinography (mfERG) (2011 edition). Doc Ophthalmol 124:1–13PubMedCrossRef
9.
Zurück zum Zitat Klein R, Klein BE, Linton KL (1992) Prevalence of age-related maculopathy. Beaver Dam Eye Study. Ophthalmol 99:933–943 Klein R, Klein BE, Linton KL (1992) Prevalence of age-related maculopathy. Beaver Dam Eye Study. Ophthalmol 99:933–943
10.
Zurück zum Zitat Coleman AL, Yu F (2008) Eye-related medicare costs for patients with age-related macular degeneration from 1995 to 1999. Ophthalmology 115:18–25PubMedCrossRef Coleman AL, Yu F (2008) Eye-related medicare costs for patients with age-related macular degeneration from 1995 to 1999. Ophthalmology 115:18–25PubMedCrossRef
11.
Zurück zum Zitat Frank RN, Amin RH, Puklin JE (1999) Antioxidant enzymes in the macular retinal pigment epithelium of eyes with neovascular age-related macular degeneration. Am J Ophthalmol 127:694–709PubMedCrossRef Frank RN, Amin RH, Puklin JE (1999) Antioxidant enzymes in the macular retinal pigment epithelium of eyes with neovascular age-related macular degeneration. Am J Ophthalmol 127:694–709PubMedCrossRef
12.
Zurück zum Zitat Kennedy CJ, Rakoczy PE, Constable IJ (1995) Lipofuscin of the retinal pigment epithelium: a review. Eye 9:763–771PubMedCrossRef Kennedy CJ, Rakoczy PE, Constable IJ (1995) Lipofuscin of the retinal pigment epithelium: a review. Eye 9:763–771PubMedCrossRef
13.
Zurück zum Zitat Holz FG, Bindewald-Wittich A, Fleckenstein M, Dreyhaupt J, Scholl HP, Schmitz-Valckenberg S (2007) Progression of geographic atrophy and impact of fundus autofluorescence patterns in age-related macular degeneration. Am J Ophthalmol 143:463–472PubMedCrossRef Holz FG, Bindewald-Wittich A, Fleckenstein M, Dreyhaupt J, Scholl HP, Schmitz-Valckenberg S (2007) Progression of geographic atrophy and impact of fundus autofluorescence patterns in age-related macular degeneration. Am J Ophthalmol 143:463–472PubMedCrossRef
14.
Zurück zum Zitat Bok D (1985) Retinal photoreceptor-pigment epithelium interactions: friedenwald lecture. Investig Ophthalmol Vis Sci 26:1659–1694 Bok D (1985) Retinal photoreceptor-pigment epithelium interactions: friedenwald lecture. Investig Ophthalmol Vis Sci 26:1659–1694
15.
Zurück zum Zitat Green WR, Enger C (1993) Age-related macular degeneration histopathologic studies: the 1992 Lorenz E. Zimmermann Lect Ophthalmol 100:1519–1535 Green WR, Enger C (1993) Age-related macular degeneration histopathologic studies: the 1992 Lorenz E. Zimmermann Lect Ophthalmol 100:1519–1535
16.
Zurück zum Zitat Langrova H, Zrenner E, Kurtenbach A, Seeliger MW (2008) Age-related changes in retinal functional topography. Investig Ophthalmol Vis Sci 49:5024–5032CrossRef Langrova H, Zrenner E, Kurtenbach A, Seeliger MW (2008) Age-related changes in retinal functional topography. Investig Ophthalmol Vis Sci 49:5024–5032CrossRef
17.
Zurück zum Zitat Birch DG, Anderson JL (1992) Standardized full-field electroretinography. Normal values and their variation with age. Arch Ophthalmol 110:1571–1576PubMedCrossRef Birch DG, Anderson JL (1992) Standardized full-field electroretinography. Normal values and their variation with age. Arch Ophthalmol 110:1571–1576PubMedCrossRef
18.
Zurück zum Zitat Wright CE, Williams DE, Drasdo N, Harding GFA (1985) The influence of age on the electroretinogram and visual evoked potential. Doc Ophthalmol 59:365–384PubMedCrossRef Wright CE, Williams DE, Drasdo N, Harding GFA (1985) The influence of age on the electroretinogram and visual evoked potential. Doc Ophthalmol 59:365–384PubMedCrossRef
19.
Zurück zum Zitat Creel DJ (2011) Multifocal electroretinograms. J Vis Exp 58:3176PubMed Creel DJ (2011) Multifocal electroretinograms. J Vis Exp 58:3176PubMed
20.
Zurück zum Zitat Takiura K, Yuzawa M, Miyasaka S (2001) Multifocal electroretinogram in patients with soft drusen in macula. Investig Ophthalmol Vis Sci 42(Suppl):s73 Takiura K, Yuzawa M, Miyasaka S (2001) Multifocal electroretinogram in patients with soft drusen in macula. Investig Ophthalmol Vis Sci 42(Suppl):s73
21.
Zurück zum Zitat Parisi V, Perillo L, Tedeschi M, Scassa C, Gallinaro G, Capaldo N, Varano M (2007) Macular function in eyes with early age-related macular degeneration with or without contralateral late age-related macular degeneration. Retina 27:879–890PubMedCrossRef Parisi V, Perillo L, Tedeschi M, Scassa C, Gallinaro G, Capaldo N, Varano M (2007) Macular function in eyes with early age-related macular degeneration with or without contralateral late age-related macular degeneration. Retina 27:879–890PubMedCrossRef
22.
Zurück zum Zitat Zol’nikova IV, Karlova IZ, Ponomavera EV, Zhamshinova AM (2009) Macular and multifocal electroretinography in the evaluation of the retinal macular region function in age-related macular degeneration. Vestn Oftalmol 125:27–32PubMed Zol’nikova IV, Karlova IZ, Ponomavera EV, Zhamshinova AM (2009) Macular and multifocal electroretinography in the evaluation of the retinal macular region function in age-related macular degeneration. Vestn Oftalmol 125:27–32PubMed
23.
Zurück zum Zitat Huang S, Wu D, Jiang F, Ma J, Wu L, Liang J, Luo G (2000) The multifocal electroretinogram in age-related maculopathies. Doc Ophthalmol 101:115–124PubMedCrossRef Huang S, Wu D, Jiang F, Ma J, Wu L, Liang J, Luo G (2000) The multifocal electroretinogram in age-related maculopathies. Doc Ophthalmol 101:115–124PubMedCrossRef
24.
Zurück zum Zitat Garcia-Garcia JG, Ruiz-Moreno JM, Holm K, Andreasson S, Lövestam-Adrian M (2013) Macular dysfunction in drusen maculopathy assessed with multifocal electroretinogram and optical coherence tomography. Clin Ophthalmol 7:1303–1309PubMedCentralPubMedCrossRef Garcia-Garcia JG, Ruiz-Moreno JM, Holm K, Andreasson S, Lövestam-Adrian M (2013) Macular dysfunction in drusen maculopathy assessed with multifocal electroretinogram and optical coherence tomography. Clin Ophthalmol 7:1303–1309PubMedCentralPubMedCrossRef
25.
Zurück zum Zitat Gerth C, Hauser D, Delahunt PB, Morse LS, Werner JS (2003) Assessment of multifocal electroretinogram abnormalities and their relation to morphologic characteristics in patients with large drusen. Arch Ophthalmol 121:1404–1414PubMedCentralPubMedCrossRef Gerth C, Hauser D, Delahunt PB, Morse LS, Werner JS (2003) Assessment of multifocal electroretinogram abnormalities and their relation to morphologic characteristics in patients with large drusen. Arch Ophthalmol 121:1404–1414PubMedCentralPubMedCrossRef
26.
Zurück zum Zitat Chen C, Wu L, Wu D, Huang S, Wen F, Luo G, Long S (2004) The local cone and rod system function in early age-related macular degeneration. Doc Ophthalmol 109:1–8PubMed Chen C, Wu L, Wu D, Huang S, Wen F, Luo G, Long S (2004) The local cone and rod system function in early age-related macular degeneration. Doc Ophthalmol 109:1–8PubMed
Metadaten
Titel
Multifocal electroretinography in subjects with age-related macular degeneration
verfasst von
Güliz Fatma Yavas
Tuncay Küsbeci
Ümit Übeyt Inan
Publikationsdatum
01.12.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Documenta Ophthalmologica / Ausgabe 3/2014
Print ISSN: 0012-4486
Elektronische ISSN: 1573-2622
DOI
https://doi.org/10.1007/s10633-014-9460-z

Weitere Artikel der Ausgabe 3/2014

Documenta Ophthalmologica 3/2014 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.