Electroretinographic Changes in Multiple Sclerosis Patients with Abnormal Visual Evoked Potentials
Journal of Ophthalmic and Optometric Sciences,
Vol. 1 No. 3 (2017),
29 November 2017
,
Page 34-38
https://doi.org/10.22037/joos.v1i3.22729
Abstract
Purpose: Multiple Sclerosis (MS) is a disease of nervous system which is accompanied by degeneration of visual pathway in certain cases. Magnetic Resonance Imaging (MRI) and Visual Evoked Potentials (VEP) are among the diagnostic techniques in detecting this disease. The aim of the present study was to evaluate the possible electroretinography (ERG) changes among these patients.
Patients and Methods: Thirty eyes of the patients with definite diagnosis of multiple sclerosis and delay in latency of visual evoked potential P100 peak entered the present prospective case control study as the case group. Latency and amplitude of ERG b-wave peak were measured in each eye. The result was compared with normal eyes thirty from age and sex marched individuals to evaluate the possible differences between the two groups.
Results: There was no statistically significant difference regarding the demographic data (age, UCVA) between the case and control groups. The b-wave latency did show a statistically significant difference between patients with MS and normal controls (P < 0.001). The ERG b-wave amplitude did not show statistically significant difference between patients with MS and the control group.
Conclusion: From the result of the present study it seems that the latency of b-wave in flash ERG might be used as an indicator to evaluate the retinal dysfunction in MS patients with abnormal VEP pattern.
Keywords: Multiple sclerosis; retinal changes; flash electroretinography
How to Cite
References
- Mitsikostas DD. Methodology of clinical trials in multiple sclerosis. Neurol Sci. 2006;27 Suppl 5:S362-4.
- Shushtarian SM, Yahyavi SH. Study of visual evoked potentials during normal monthly cycle in normal female subjects. Biomed Sci Instrum. 1999;35:165-7.
- Di Stadio A, Dipietro L, Ralli M, Meneghello F, Minni A, Greco A, et al. Sudden hearing loss as an early detector of multiple sclerosis: a systematic review. Eur Rev Med Pharmacol Sci. 2018;22(14):4611-24.
- Arpin DJ, Gehringer JE, Wilson TW, Kurz MJ. A reduced somatosensory gating response in individuals with multiple sclerosis is related to walking impairment. J Neurophysiol. 2017;118(4):2052-58.
- Coupland SG, Kirkham TH. Flash electroretinogram abnormalities in patients with clinically definite multiple sclerosis. Can J Neurol Sci. 1982;9(3):325-30.
- Persson HE, Wanger P. Pattern-reversal electroretinograms and visual evoked cortical potentials in multiple sclerosis. Br J Ophthalmol. 1984;68(10):760-4.
- Pierelli F, Pozzessere G, Stefano E, Martelli M, Rizzo PA, Morocutti C. Pattern visual evoked potentials and flash electroretinogram in clinically definite multiple sclerosis. Eur Neurol. 1985;24(5):324-9.
- Hanson JVM, Hediger M, Manogaran P, Landau K, Hagenbuch N, Schippling S, et al. Outer Retinal Dysfunction in the Absence of Structural Abnormalities in Multiple Sclerosis. nvest Ophthalmol Vis Sci. 2018;59(1):549-60.
- Weinstein GW, Odom JV, Cavender S. Visually evoked potentials and electroretinography in neurologic evaluation. Neurol Clin. 1991;9(1):225-42.
- Meigen T. Electrophysiology in ophthalmology. Ophthalmologe. 2015;112(6):533-44; quiz 545-6. (Article in German)
- Abstract Viewed: 309 times
- PDF Downloaded: 221 times