A comparison of photopic and scotopic electroretinographic changes in early diabetic retinopathy.

K Holopigian, W Seiple, M Lorenzo… - … ophthalmology & visual …, 1992 - iovs.arvojournals.org
K Holopigian, W Seiple, M Lorenzo, R Carr
Investigative ophthalmology & visual science, 1992iovs.arvojournals.org
Previous studies of early diabetic retinopathy have shown that oscillatory potential (OP)
amplitudes are reduced in many diabetic patients. OP amplitude is believed to be a more
sensitive indicator of the development of future retinopathy than b-wave amplitude of the
scotopic electroretinogram (ERG). Because OPs measured to a bright white flash reflect both
rod and cone system activity, it is important to compare OP amplitudes to photopic ERG
measures as well as scotopic measures in early diabetic retinopathy. In this study, OPs and …
Abstract
Previous studies of early diabetic retinopathy have shown that oscillatory potential (OP) amplitudes are reduced in many diabetic patients. OP amplitude is believed to be a more sensitive indicator of the development of future retinopathy than b-wave amplitude of the scotopic electroretinogram (ERG). Because OPs measured to a bright white flash reflect both rod and cone system activity, it is important to compare OP amplitudes to photopic ERG measures as well as scotopic measures in early diabetic retinopathy. In this study, OPs and ERG responses were measured under photopic and scotopic conditions in a group of diabetic patients. Although OPs were reduced in amplitude in the diabetic group, several other parameters of the scotopic and photopic b-waves were impaired. The results indicate that b-wave activity may indicate retinal changes in early diabetic retinopathy in the same manner as the OPs.
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