[Electroretinogram before and after panretinal photocoagulation in diabetic retinopathy]. 1995

I Hoshino
Department of Ophthalmology, Chiba University School of Medicine, Japan.

Visual acuity and visual fields with the Goldmann perimeter were measured, and electroretinograms (ERGs) were recorded in 25 eyes of 16 patients with pre-proliferative diabetic retinopathy who underwent panretinal photocoagulation (PRP) before PRP and one, three, and six months after PRP. ERGs were recorded with the use of a corneal contact lens electrode. With Ganzfeld stimulation, stimulating flashes were given from the dimmest flash to the maximum 2.0 J white flash, using neutral density filters. Visual acuity was significantly decreased more than two lines and visual field defects by isopter I/4 were found one month after PRP. ERGs showed a significant prolongation of a-and b-wave peak latency and a significant reduction of wave amplitude in both waves. From the analysis of the b-wave amplitude-stimulus intensity function, using the Naka-Rushton equation, the sensitivity parameter (K) was increased one month after PRP in comparison to before PRP. Namely, threshold sensitivity was attenuated. The sensitivity recovered three months after PRP. By examining two factors (i.e., the maximum amplitude of the b-wave and the sensitivity parameter (K)), within the range of the Naka-Rushton equation, this result showed that PRP reduced the sensitivity of the retina quantitatively.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003930 Diabetic Retinopathy Disease of the RETINA as a complication of DIABETES MELLITUS. It is characterized by the progressive microvascular complications, such as ANEURYSM, interretinal EDEMA, and intraocular PATHOLOGIC NEOVASCULARIZATION. Diabetic Retinopathies,Retinopathies, Diabetic,Retinopathy, Diabetic
D004596 Electroretinography Recording of electric potentials in the retina after stimulation by light. Electroretinographies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014792 Visual Acuity Clarity or sharpness of OCULAR VISION or the ability of the eye to see fine details. Visual acuity depends on the functions of RETINA, neuronal transmission, and the interpretative ability of the brain. Normal visual acuity is expressed as 20/20 indicating that one can see at 20 feet what should normally be seen at that distance. Visual acuity can also be influenced by brightness, color, and contrast. Acuities, Visual,Acuity, Visual,Visual Acuities
D014794 Visual Fields The total area or space visible in a person's peripheral vision with the eye looking straightforward. Field, Visual,Fields, Visual,Visual Field
D017075 Laser Coagulation The use of green light-producing LASERS to stop bleeding. The green light is selectively absorbed by HEMOGLOBIN, thus triggering BLOOD COAGULATION. Laser Thermocoagulation,Thermocoagulation, Laser,Coagulation, Laser,Coagulations, Laser,Laser Coagulations,Laser Thermocoagulations,Thermocoagulations, Laser

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