|
1
|
Barbano L, Ziccardi L, Antonelli G, Nicoletti CG, Landi D, Mataluni G, Falsini B, Marfia GA, Centonze D, Parisi V. Multifocal Electroretinogram Photopic Negative Response: A Reliable Paradigm to Detect Localized Retinal Ganglion Cells' Impairment in Retrobulbar Optic Neuritis Due to Multiple Sclerosis as a Model of Retinal Neurodegeneration. Diagnostics (Basel) 2022; 12:diagnostics12051156. [PMID: 35626311 PMCID: PMC9139610 DOI: 10.3390/diagnostics12051156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 04/28/2022] [Accepted: 05/05/2022] [Indexed: 11/28/2022] Open
Abstract
The measure of the full-field photopic negative response (ff-PhNR) of light-adapted full-field electroretinogram (ff-ERG) allows to evaluate the function of the innermost retinal layers (IRL) containing primarily retinal ganglion cells (RGCs) and other non-neuronal elements of the entire retina. The aim of this study was to acquire functional information of localized IRL by measuring the PhNR in response to multifocal stimuli (mfPhNR). In this case-control observational and retrospective study, we assessed mfPhNR responses from 25 healthy controls and from 20 patients with multiple sclerosis with previous history of optic neuritis (MS-ON), with full recovery of visual acuity, IRL morphological impairment, and absence of morpho-functional involvement of outer retinal layers (ORL). MfPhNR response amplitude densities (RADs) were measured from concentric rings (R) with increasing foveal eccentricity: 0−5° (R1), 5−10° (R2), 10−15° (R3), 15−20° (R4), and 20−25° (R5) from retinal sectors (superior-temporal (ST), superior-nasal (SN), inferior-nasal (IN), and inferior-temporal (IT)); between 5° and 20° and from retinal sectors (superior (S), temporal (T), inferior (I), and nasal (N)); and within 5° to 10° and within 10° and 20° from the fovea. The mfPhNR RAD values observed in all rings or sectors in MS-ON eyes were significantly reduced (p < 0.01) with respect to control ones. Our results suggest that mfPhNR recordings may detect localized IRL dysfunction in the pathologic condition of selective RGCs neurodegeneration.
Collapse
Affiliation(s)
- Lucilla Barbano
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
| | - Lucia Ziccardi
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
- Correspondence: ; Tel.: +39-06-85356727; Fax: +39-06-84242333
| | - Giulio Antonelli
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
| | - Carolina Gabri Nicoletti
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Doriana Landi
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Giorgia Mataluni
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Benedetto Falsini
- Ophthalmology Department, IRCCS—Fondazione Policlinico Universitario A. Gemelli, Catholic University, Largo F. Vito 1, 00168 Rome, Italy;
| | - Girolama Alessandra Marfia
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Diego Centonze
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
- Unit of Neurology and Neurorehabilitation, IRCCS—Neuromed, Via Atinense 18, 86077 Pozzilli, Italy
| | - Vincenzo Parisi
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
| |
Collapse
|
|
2
|
Dale EA, Hood DC, Greenstein VC, Odel JG. A comparison of multifocal ERG and frequency domain OCT changes in patients with abnormalities of the retina. Doc Ophthalmol 2009; 120:175-86. [PMID: 20043188 DOI: 10.1007/s10633-009-9210-9] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2009] [Accepted: 12/12/2009] [Indexed: 11/25/2022]
Abstract
To compare the ability of the multifocal electroretinogram (mfERG) and frequency domain optical coherence tomography (fdOCT) to detect retinal abnormalities. A total of 198 eyes (100 patients) were referred by neuro-ophthalmologists to rule out a retinal etiology of visual impairment. All patients were evaluated with static automated perimetry (SAP) (Humphrey Visual Field Analyzer; Zeiss Meditec), mfERG (Veris, EDI) and fdOCT (3D-OCT 1000, Topcon). The mfERG was performed with 103 scaled hexagons and procedures conforming to ISCEV standards (Hood DC et al. (2008) Doc Ophthalmol 116(1):1-11). The fdOCT imaging included horizontal and vertical line scans through the fovea. Local mfERG and fdOCT abnormalities were compared to local regions of visual field sensitivity loss measured with SAP and categorized as normal/inconclusive or abnormal. 146 eyes were categorized as normal retina on both fdOCT and mfERG. The retina of 52 eyes (36 patients) was categorized as abnormal based upon mfERG and/or fdOCT. Of this group, 25 eyes (20 patients) were abnormal on both tests. However, 20 eyes (13 patients) were abnormal on mfERG, while the fdOCT was normal/inconclusive; and 7 eyes (7 patients) had normal or inconclusive mfERG, but abnormal fdOCT. Considerable disagreement exists between these two methods for detection of retinal abnormalities. The mfERG tends to miss small local abnormalities that are detectable on the fdOCT. On the other hand, the fdOCT can appear normal in the face of clearly abnormal mfERG and SAP results. While improved imaging and analysis may show fdOCT abnormalities in some cases, in others early damage may not appear on structural tests.
Collapse
Affiliation(s)
- Elizabeth A Dale
- Department of Psychology, Columbia University, 405 Schermerhorn, New York, NY 10027, USA
| | | | | | | |
Collapse
|
|
6
|
Riemslag FC, Brinkman CJ, Verduyn Lunel HF, Spekreijse H, Kijlstra A. Analysis of the electroretinogram in toxoplasma retinochorioiditis. Doc Ophthalmol 1992; 82:57-63. [PMID: 1305028 DOI: 10.1007/bf00156994] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The decision to use therapy in toxoplasma retinochorioiditis depends on the location of the active lesion and the presence of vitreous activity. In eyes with dense vitreous clouding it can be difficult to see whether the macular region is involved or not. In theory the localisation of a lesion can be estimated on the basis of the flash ERG. The standard flash electroretinogram was recorded in 23 patients with inactive toxoplasma retinochorioiditis lesions in the retina. In 17 cases a lesion was present within the central 12 degrees of the visual field, 8 of these had a reduced photopic ERG. In 15 patients lesions were found outside the central 12 degrees, in 8 of whom the scotopic ERG was reduced. We conclude that the ERG can be of use in indicating the scar location in patients with dense vitreous clouding.
Collapse
Affiliation(s)
- F C Riemslag
- Department of Ophthalmology, University of Amsterdam, The Netherlands
| | | | | | | | | |
Collapse
|
|
7
|
Bennett PJ, Banks MS. The effects of contrast, spatial scale, and orientation on foveal and peripheral phase discrimination. Vision Res 1991; 31:1759-86. [PMID: 1767496 DOI: 10.1016/0042-6989(91)90025-z] [Citation(s) in RCA: 48] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
We examined the effects of contrast, spatial scale, and orientation, on phase discrimination thresholds. In expt I, the ratio of thresholds for 180 deg shifts in F + 2F gratings remained invariant across a wide range of fundamental contrasts. Experiment II demonstrated that random fluctuations in overall pattern contrast did not affect discrimination. Experiment III found that foveal, but not peripheral, thresholds were roughly independent of spatial scale; foveal-peripheral differences in phase sensitivity could not be eliminated by scaling stimulus size. Finally, expt IV found that thresholds for some phase shifts varied significantly with orientation in the periphery; in general, peripheral sensitivity was greatest for radially-oriented gratings. The implications of these findings for models of phase discrimination are discussed.
Collapse
Affiliation(s)
- P J Bennett
- Department of Psychology, University of Toronto, Ontario, Canada
| | | |
Collapse
|
|
8
|
Wachtmeister L, Hahn I. Spatial properties of the oscillatory potentials of the frog electroretinogram in relation to state of adaptation. Acta Ophthalmol 1987; 65:724-30. [PMID: 3501666 DOI: 10.1111/j.1755-3768.1987.tb07071.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The spatial characteristics of the oscillatory potentials (OPs) and the a- and b-waves of the frog electroretinogram (ERG) were studied during different states of adaptation induced by repetitive light stimulus given at 1 min or 15 sec interval. The spatial integration area of the OPs was found to be reduced during relatively more light-adapted conditions compared to relatively more dark-adapted ones. No major adaptive effect on the spatial summation area of the a- and b-waves observed. The results indicate that the spatial changes of the OPs observed may be signalled by the amacrine cells which would thus be indirectly involved in the generation of the OPs. The spatial properties of the OPs differed from that of the a- and b-waves suggesting that the OPs have a different origin to that of the a- and b-waves. Finally, the present data indicate a clear and sensitive spatial organization in the frog ERG.
Collapse
Affiliation(s)
- L Wachtmeister
- Department of Ophthalmology, Karolinska Institute/Huddinge University Hospital, Sweden
| | | |
Collapse
|
|
9
|
Schneider T, Zrenner E. The variable interdependence of amplitude and implicit-time in PIII, b-wave and optic-nerve responses of the cat. Exp Eye Res 1987; 45:655-64. [PMID: 3428391 DOI: 10.1016/s0014-4835(87)80114-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Amplitude and implicit-times of responses representing different retinal layers (PIII, b-wave and optic-nerve response) were measured in electrophysiological recordings from isolated, arterially perfused cat eyes. The amplitude of these potentials was found to saturate at lower stimulus irradiances than the implicit-time in dark-adapted eyes. Light adaptation had a strong effect on the amplitudes, whereas the implicit-times were altered only slightly. Similar results were obtained in double-flash experiments. The injection of phosphodiesterase inhibiting drugs had different effects on amplitude, latency and implicit-time.
Collapse
Affiliation(s)
- T Schneider
- Laboratories of the Max Planck Institute for Physiological and Clinical Research (Bad Nauheim), University Eye Hospital, Munich, West Germany
| | | |
Collapse
|
|
10
|
Abstract
The spatial properties of the trans- and intra-retinal oscillatory potentials (OPs), a- and b-waves of the mudpuppy electroretinogram (ERG) were analyzed. A comparison of the intra-retinal potentials was made with the proximal negative response (PNR), an extracellular response, predominantly from amacrine cells. The spatial characteristics of the OPs differed from the a- and b-waves and the PNR. The OPs integrated spatially up to full field illumination. They seem to represent summated neuronal activity over broader areas than that of the PNR and the a- and b-waves. The results indicate that the OPs reflect activity of second order neurons to which visual information converge from the whole retina. These neurons may be the bipolar cells. No evidence that the OPs orginate in the laterally extending amacrines was obtained. The b-wave data further suggested a centre-surround organization for the neurons indirectly involved in the b-wave generation.
Collapse
|