Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes

Purpose. To compare the photopic negative response (PhNR) of the full-field electroretinogram (ERG) to the PhNR of the focal ERGs in detecting glaucoma. Methods. One hundred and three eyes with glaucoma and 42 normal eyes were studied. Full-field ERGs were elicited by red stimuli on a blue backgroun...

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Main Authors: Shigeki Machida, Kunifusa Tamada, Taku Oikawa, Yasutaka Gotoh, Tomoharu Nishimura, Muneyoshi Kaneko, Daijiro Kurosaka
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2011/564131
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author Shigeki Machida
Kunifusa Tamada
Taku Oikawa
Yasutaka Gotoh
Tomoharu Nishimura
Muneyoshi Kaneko
Daijiro Kurosaka
author_facet Shigeki Machida
Kunifusa Tamada
Taku Oikawa
Yasutaka Gotoh
Tomoharu Nishimura
Muneyoshi Kaneko
Daijiro Kurosaka
author_sort Shigeki Machida
collection DOAJ
description Purpose. To compare the photopic negative response (PhNR) of the full-field electroretinogram (ERG) to the PhNR of the focal ERGs in detecting glaucoma. Methods. One hundred and three eyes with glaucoma and 42 normal eyes were studied. Full-field ERGs were elicited by red stimuli on a blue background. The focal ERGs were elicited by a 15∘ white stimulus spot centered on the macula, the superotemporal or the inferotemporal areas of the macula. Results. In early glaucoma, the areas under the receiver operating characteristic curves (AUCs) were significantly larger for the focal PhNR (0.863–0.924) than those for the full-field PhNR (0.666–0.748) (P<.05). The sensitivity was significantly higher for the focal PhNR than for the full-field PhNR in early (P<.01) and intermediate glaucoma (P<.05). In advanced glaucoma, there was no difference in the AUCs and sensitivities between the focal and full-field PhNRs. Conclusions. The focal ERG has the diagnostic ability with higher sensitivity in detecting early and intermediate glaucoma than the full-field ERG.
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publishDate 2011-01-01
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spelling doaj-art-16b2068d19c5438bb07c462cda8c6ba72025-02-03T01:01:18ZengWileyJournal of Ophthalmology2090-004X2090-00582011-01-01201110.1155/2011/564131564131Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous EyesShigeki Machida0Kunifusa Tamada1Taku Oikawa2Yasutaka Gotoh3Tomoharu Nishimura4Muneyoshi Kaneko5Daijiro Kurosaka6Department of Ophthalmology, School of Medicine, Iwate Medical University, 19-1 Uchimaru Morioka, Iwate 020-8505, JapanDepartment of Ophthalmology, School of Medicine, Iwate Medical University, 19-1 Uchimaru Morioka, Iwate 020-8505, JapanDepartment of Ophthalmology, School of Medicine, Iwate Medical University, 19-1 Uchimaru Morioka, Iwate 020-8505, JapanDepartment of Ophthalmology, School of Medicine, Iwate Medical University, 19-1 Uchimaru Morioka, Iwate 020-8505, JapanDepartment of Ophthalmology, School of Medicine, Iwate Medical University, 19-1 Uchimaru Morioka, Iwate 020-8505, JapanDepartment of Ophthalmology, School of Medicine, Iwate Medical University, 19-1 Uchimaru Morioka, Iwate 020-8505, JapanDepartment of Ophthalmology, School of Medicine, Iwate Medical University, 19-1 Uchimaru Morioka, Iwate 020-8505, JapanPurpose. To compare the photopic negative response (PhNR) of the full-field electroretinogram (ERG) to the PhNR of the focal ERGs in detecting glaucoma. Methods. One hundred and three eyes with glaucoma and 42 normal eyes were studied. Full-field ERGs were elicited by red stimuli on a blue background. The focal ERGs were elicited by a 15∘ white stimulus spot centered on the macula, the superotemporal or the inferotemporal areas of the macula. Results. In early glaucoma, the areas under the receiver operating characteristic curves (AUCs) were significantly larger for the focal PhNR (0.863–0.924) than those for the full-field PhNR (0.666–0.748) (P<.05). The sensitivity was significantly higher for the focal PhNR than for the full-field PhNR in early (P<.01) and intermediate glaucoma (P<.05). In advanced glaucoma, there was no difference in the AUCs and sensitivities between the focal and full-field PhNRs. Conclusions. The focal ERG has the diagnostic ability with higher sensitivity in detecting early and intermediate glaucoma than the full-field ERG.http://dx.doi.org/10.1155/2011/564131
spellingShingle Shigeki Machida
Kunifusa Tamada
Taku Oikawa
Yasutaka Gotoh
Tomoharu Nishimura
Muneyoshi Kaneko
Daijiro Kurosaka
Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes
Journal of Ophthalmology
title Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes
title_full Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes
title_fullStr Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes
title_full_unstemmed Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes
title_short Comparison of Photopic Negative Response of Full-Field and Focal Electroretinograms in Detecting Glaucomatous Eyes
title_sort comparison of photopic negative response of full field and focal electroretinograms in detecting glaucomatous eyes
url http://dx.doi.org/10.1155/2011/564131
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