Flash Visual Evoked Potential Recording in Patients with Orbital Fracture
Journal of Ophthalmic and Optometric Sciences,
Vol. 6 No. 2 (2022),
8 November 2023
,
Page 23-29
https://doi.org/10.22037/joos.v6i2.43314
Abstract
Background: This study aims to record and analyze visual evoked potentials in patients with orbital fractures in order to improve understanding and treatment of this condition.
Materials and Methods: In order to assess their visual function, visual evoked potentials (VEP) were recorded using flash stimulation. The latency (in milliseconds) and amplitude (in microvolts) of the P100 component of the VEP were measured in the patient group and compared to a control group of 11 individuals matched for age and sex who had a healthy visual system.
Results: TThe study included two groups with an equal number of males and females. There, no statistically significant difference in terms of age and sex between the two groups. The best corrected visual acuity (BCVA) showed a large difference between the two groups, with the patients having only light perception ability while the control group had full vision (10/10). The mean latency for VEP100 peak was 130.36 ± 8 in the case group and 99.63 ± 2.33 in the control group. The mean amplitude was 1.27 ± 0.46 in the case group and 4.27 ± 0.78 in the control group. Both the latency and amplitude of VEP100 peak showed significant differences between the case and control groups (P < 0.001).
Conclusion: Head trauma can result in eye dysfunction, primarily affecting the visual pathway. One way to diagnose this condition is by measuring the latency and amplitude of the VEP p1000 peak.
- Orbital Fracture
- Visual Disturbances
- Flash Visual Evoked Potential
- 2022-04-03 (3)
- 2023-11-14 (2)
- 2023-11-14 (1)
How to Cite
References
Abdolalizadeh S, Karami S, Saleh NT, Shushtarian SMM, Mazar RP, Shojaei A. Retinal Pigment Epithelium Screening of Patients Treated with Anti-Epileptic Medications using Electrooculography. Journal of Ophthalmology and Research. 2023;6:08-11.
Sarzaeim F, Ojani F, Hojati TS, Shojaei A, Shushtarian SMM. Effect of Hand-Arm Vibration on Retina of Road Drilling Machine Laborers Measured by Electroretinography. Journal of Ophthalmology and Research. 2022;5(2):81-5.
Ameli S. Flash Visual Evoked Potential Recording in Patients with Brain Stroke. Journal of Ophthalmology and Research. 2023;6(3):40-4.
Shushtarian S, Adhami-Moghadam F, Naser M, Khazaii R, Sobhani S, Shabani S. Electroretinographic Changes in Multiple Sclerosis Patients with Abnormal Visual Evoked Potentials. Journal of Ophthalmic and Optometric Sciences. 2017;1.
Naser M, Shushtarian SMM. Need for Visual Pathway Examination of the Patient Prior to Bone Marrow Transplantation. Journal of Ophthalmology and Research. 2020;3(4):75-8.
Tajik F, Shushtarian SMM. Electrooculographic and Electroretinographic Changes among Patients Undergoing Treatment with Amiodarone. Journal of Ophthalmic and Optometric Sciences Volume. 2018;2(4).
Shushtarian SMM, Mohammad-Rabei H, Raki STB. Effect of Occupational Vibration on Human Retina Measured by Electroretinography. Journal of Ophthalmic and Optometric Sciences. 2018;2(3):14-7.
Naser M, Shushtarian SMM. Amplitude and Latency of Electroretinographical Peaks as a tool to predict the Extent of Retinal Degeneration in Retinitis Pigmentosa Patients. Journal of Ophthalmology and Research. 2020;3(3):71-4.
Shushtarian S, Kalantari AS, Tajik F, Adhami-Moghadam F. Effect of occupational vibration on visual pathway measured by visual evoked potentials. Journal of Ophthalmic and Optometric Sciences. 2017;1(5):7-11.
Keramti S, Ojani F, Shushtarian SMM, Shojaei A, Mohammad-Rabei H. Early Diagnosis of Pathological Changes in Visual System of Prolactinoma Patients Using Visual Evoked Potential. Journal of Ophthalmology and Research. 2021;4(3):289-93.
Sarzaeim F, Hashemzehi M, Shushtarian SMM, Shojaei A. Visual Evoked Potential Findings in Road Drilling Machine laborers. Journal of Ophthalmology and Research. 2022;5(1):43-7.
Allahdady F, Amiri MA, Shushtarian SMM, Tabatabaee SM, Sahraei F, Shojaei A, et al. Comparison of visual evoked potential and electro-oculogram tests in early detection of hydroxychloroquine retinal toxicity. Journal of Ophthalmic and Optometric Sciences. 2016;1(1):19-26.
Naser M, Shushtarian SMM, Shojaei A, Adlami-Moghdam F. Visual Disturbance in a Patient with Amiodarone Treatment Following Refractive Surgery. Journal of Ophthalmic and Optometric Sciences. 2017;1(3):39-42.
Shushtarian SMM, Shojaei A, Adhami-Moghadam F. Visual Evoked Potentials Changes among Patients with Chronic Mustard Gas Exposure. Journal of Ophthalmic and Optometric Sciences. 2018;2(2018):6-9.
Shushtarian SM, Mirdehghan M, Valiollahi P. Retinal damages in turner workers of a factory exposed to intraocular foreign bodies. Indian Journal of Occupational and Environmental Medicine. 2008;12(3):136.
Keramti S, Javanshir S, Tajik F, Shushtarian SMM, Shojaei A, Abolhasani A. Retinal Screening of Prolactinoma Patients using Flash Electroretinography. Journal of Ophthalmology and Research. 2021;4(4):321-6.
Shushtarian SMM, Adhami-Moghadam F, Naser M, Shojaei A. Severe Headache Initiated by Flash Stimulation during Visual Evoked Potential Recording in a Patient with Monocular Optic Neuritis and History of Migraine Headache. Journal of Ophthalmic and Optometric Sciences Volume. 2017;1(4).
Shushtarian SM, editor Role of Myelin in Synchronization and Rhythmicity of Visual Impulses. 4th European Conference of the International Federation for Medical and Biological Engineering: ECIFMBE 2008 23–27 November 2008 Antwerp, Belgium; 2009: Springer.
Shushtarian SMM. Suitable Stimulation Technique to Record Visual Evoked Potential in Migraine Patients. Journal of Ophthalmic and Optometric Sciences Volume. 2020;4(2).
Shushtarian SMM, Hayti Z. Probable Toxic Effect of Sodium Valproate on Retine Using Electroretinogram. Journal of Ophthalmic and Optometric Sciences. 2019;3(4).
Hajibeygi R, Shushtarian SMM, Abolghasemi S. Visual Evoked Potential Findings of Sjogren's Syndrome. Journal of Ophthalmic and Optometric Sciences. 2020;4(1):13-7.
Shushtarian SMM, Tajik F, Abdolhoseinpour H. Measurement of Visual Evoked Potentials in Patients with Spastic Cerebral Palsy. J Ophthalmic Optom Sci. 2018;2:10-3.
Shushtarian SMM, Adhami-Moghadam F, Adhami-Moghadam P, Abdolhoseinpour H. Electrophysiological Eye Examination Changes in a Patient with Sjogren's Syndrome. Journal of Ophthalmic and Optometric Sciences. 2018;2(1):40-3.
Shushtarian SMM, Mazar RP, Fadaeifard S. Visual Evoked Potential Recording in a Fatigued and Drowsy Patient under Anti-Seizure Medicine Treatment. Journal of Ophthalmic and Optometric Sciences. 2021;5(1).
Adhami-Moghadam F, Talebi-Bidhendi S, Shushtarian SMM. Retinal Screening of Workers Exposed to Mercury Vapor Using Electroretinography. Journal of Ophthalmic and Optometric Sciences. 2020;4(4):34-8.
Shushtarian SMM, Dastjerdi MV. Total Blindness Following Anaphylactic Shock due to Co-Amoxiclav Treatment. Journal of Ophthalmic and Optometric Sciences. 2020;4(4).
Shushtarian SMM, Naghitehrani KH, Aflaki F. Diplopia and Flashes of Light Sensation in a Patient with Fragrance Allergy. Journal of Ophthalmic and Optometric Sciences Volume. 2020;4(3).
Shushtarian SMM. Flash and Pattern Reversal Checkerboard Visual Evoked Potential Recording in Albinism Patients. Journal of Ophthalmic and Optometric Sciences. 2020;4(3):42-6.
Shushtarian SMM, Naghib SJ, Adhami-Moghadam F, Shojaei A. Diplopia and Blurry Vision Following Refractive Eye Surgery: a Comorbidity Case Report. Journal of Ophthalmic and Optometric Sciences Volume. 2020;4(1).
Shushtarian SMM, Fatemian N. Large Difference in Latency of Visual Evoked Potential P100 Peak in Case of Pattern and Flash Stimulation in a Multiple Sclerosis Patient. Journal of Ophthalmic and Optometric Sciences. 2021;5(2):73-6.
Fatemian N, Adhami-Moghadam F, Shushtarian SMM. Study of Visual Evoked Potentials in Patients Suffering from Exotropia. Journal of Ophthalmic and Optometric Sciences. 2021;5(2).
Shushtarian SMM, Mazar RP. Far Distance Blurry Vision Following Rhinoplasty. Journal of Ophthalmic and Optometric Sciences. 2021;5(1):71-4.
Sanaie S, Nematian J, Shoushtarian SMM. Study of electrooculogram (EOG) abnormalities in patient with ocular toxoplasmosis. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2014;24(1):33-6.
Abdolalizadeh S, Ghasemi M, Mohammadzadeh P, Shushtarian SMM, Shojaei A. Retinal Screening of Patients Treated with Antiseizure Medications Using Electroretinography. Journal of Ophthalmology and Research. 2022;5(4):165-7.
Shushtarian SMM, Shojaei A, Tajik F. Visual Pathway Disturbances in Rosai-Dorfman Diusese: a Case Report. Journal of Ophthalmic and Optometric Sciences. 2018;2(4):24-6.
Shushtarian SMM, Adhami-Moghadam F. Low Vision in a Patient Due to Retinal Dystrophy upon Refractive Surgery. Journal of Ophthalmic and Optometric Sciences. 2021;5(4):53-6.
Shushtarian SMM, Dermani FS, Mazar RP. Blurred Vision in a Patient Suffering from Endometriosis and Epilepsy. Journal of Ophthalmic and Optometric Sciences. 2021;5(4):57-60.
Sarzaeim F, Hashemzehi M, Shushtarian SMM, Shojaei A, Naghib J. Flash Visual Evoked Potential as a Suitable Technique to Evaluate the Extent of Injury to Visual Pathway Following Head Trauma. Journal of Ophthalmology and Research. 2022;5(1):0-.
Sarzaeim F, Abdolalizadeh S, Shushtarian SMM, Shojaei A. Visual Evoked Potential Findings in Patients using Anti-Seizure Medicine. Journal of Ophthalmology and Research. 2022;5(3):123-6.
Ojani F, Shushtarian SMM, Shojaei A, Naghib J. Visual Evoked Potential Findings of Bardet-Biedl Syndrome. Journal of Ophthalmology and Research. 2021;4(3):254-7.
Tian Y, Wang Y, Liu Z, Li X. Isolated-check visual evoked potential: a more sensitive tool to detect traumatic optic neuropathy after orbital fracture. Graefe's Archive for Clinical and Experimental Ophthalmology. 2021;259:547-55.
Cornelius C-P, Altenmüller E, Ehrenfeld M. The use of flash visual evoked potentials in the early diagnosis of suspected optic nerve lesions due to craniofacial trauma. Journal of Cranio-Maxillofacial Surgery. 1996;24(1):1-11.
Liu S-R, Li M, He F-L, Li Z-K, Fan X-Q. Comprehensive evaluation of visual function in patients with orbital fracture by visual electrophysiology and visual field examination. Journal of Craniofacial Surgery. 2018;29(1):188-92.
Tabatabaei SA, Soleimani M, Alizadeh M, Movasat M, Mansoori MR, Alami Z, et al. Predictive value of visual evoked potentials, relative afferent pupillary defect, and orbital fractures in patients with traumatic optic neuropathy. Clinical Ophthalmology. 2011:1021-6.
- Abstract Viewed: 104 times
- pdf Downloaded: 26 times