Effects of stimulus location and pattern upon the visually evoked cortical potential and the electroretinogram

Effects of check size on pattern reversal visual evoked magnetic field and potential

The effects of different check sizes on the 100m component of pattern reversal visual evoked magnetic fields (VEF) and the P100 component of visual evoked potentials (VEP) in terms of latency, amplitude and source localization were analyzed. Half field stimuli with or without central occlusion with check sizes of 15', 30', 60', 90' and 180' of visual arc were given to 7 healthy subjects. VEF and VEP were recorded simultaneously. The effect of the check size on the peak latency of both 100m and P100 was significant (P<0.01, ANOVA). The latencies for the smaller checks were significantly longer than those for the larger checks. The effect of the check size on the amplitude of the 100m to the stimulation with central occlusion was significant (P<0.05, ANOVA), but was not to the stimulation without central occlusion. That is, the amplitudes for the smaller checks were significantly smaller than those for the larger checks when using the stimulation with central occlusion, but not the stimulation without central occlusion. The effect of the check size on the P100 amplitude was not significant to the stimulation with and without central occlusion. The equivalent current dipoles were located around the calcarine fissure and did not differ significantly in location with check size. In conclusion, check size significantly affects the latency and amplitude of the 100m and/or P100, but not the receptive areas for the stimulation.

The effect of stimulus size on human cortical potentials evoked by chromatic patterns

The effect of stimulus size on the pattern onset-offset visual evoked potential elicited with stimuli of two different wavelengths is studied under intensive yellow adaptation: (1) The onset response obtained with a 460 nm pattern is of negative polarity (N1) and saturates in amplitude with a stimulus radius of 7 deg. The onset response obtained with a 550 nm pattern is of positive polarity and continues to increase up to the maximum size (32.2 deg). (2) The peak time of N1 (460 nm) decreases with increasing stimulus size, that of P1 (550 nm) remains constant. These results are discussed as reflecting either varying retinal and brain anatomy, or cone activity, color-opponent activity, or luminance contrast activity.

Use of pattern electroretinography to differentiate acute optic neuritis from acute anterior ischemic optic neuropathy

The transient pattern electroretinogram (PERG) was recorded from 16 patients with acute optic neuritis and from 13 patients with acute non-arteritic anterior ischemic optic neuropathy (AION). All patients were tested within 35 days from the the onset of visual symptoms and all had significant central visual field abnormalities in their affected eyes as quantified by automated perimetry. Analysis of the PERGs showed that the amplitude of the N95 peak was abnormally reduced for each eye affected with AION while it remained normal in optic neuritis. No significant alteration in P50 amplitude was observed in either condition. The loss of N95 amplitude in AION was highly correlated with the average depth of visual field loss (in decibels) within a radius of 10 degrees of fixation. These results suggest that PERG could be used early in the course of optic neuropathy to distinguish optic neuritis from AION in those cases for which the diagnosis is still uncertain after the clinical examination.

The pattern visual evoked potential. A multicenter study using standardized techniques

The peak latency of the pattern-reversal visual evoked potential is a sensitive measure of conduction delay in the optic nerve caused by demyelination. Despite its clinical utility, the pattern-reversal visual evoked potential has not previously been used in multicenter clinical trials, presumably because of difficulty in standardizing conditions between centers. To establish whether the pattern-reversal visual evoked potential could be adequately standardized for use as a measure in multicenter therapeutic trials for optic neuropathy or multiple sclerosis, stimulus and recording variables were equated at four centers and pattern-reversal visual evoked potentials were recorded from 64 normal subjects and 15 patients with resolved optic neuritis. Results showed equivalent latency and amplitude data from all centers, suggesting that stimulus and recording variables can be satisfactorily standardized for multicenter clinical trials. N70 and P100 peak latencies and N70-P100 interocular amplitude difference were sensitive measures of resolved optic neuritis.

Electroretinograms (ERGs) and visual-evoked potentials (VEPs) elicited by pattern displacement

The relation between the amplitude of visual responses to a checkerboard stimulus and the degree of lateral displacement of the checks was examined across different check sizes with simultaneously recorded electroretinograms (ERGs) and visual-evoked potentials (VEPs). The amplitudes of both the b-wave and the after-potential of the ERG increase linearly with pattern displacement. However, the major components of the VEP (N70 and P100) were smaller than expected from linearity for both small checks with small displacements (thresholding) and for large checks with large displacements (saturation). These results suggest that the ERG is proportional to the number of receptors stimulated, but the VEP reflects neural processes influenced by the spatial structure of the stimulus.

Effect of spatial frequency on simultaneous recorded steady-state pattern electroretinograms and visual evoked potentials

Pattern electroretinograms (P-ERGs) and visual evoked potentials (VEPs) to 4 Hz alternating square-wave gratings were simultaneously recorded in 23 subjects. Responses were Fourier analyzed and amplitude and phase of the 2nd and 4th temporal harmonics were measured. The spatial frequency-amplitude function of the P-ERG 2nd harmonic component displayed either a bandpass tuning behavior, or a low-pass behavior. The peak amplitude for subjects with bandpass tuning was at 1.5 c/deg. The phase of the P-ERG 2nd harmonic decreased monotonically as spatial frequency increased. The VEP 2nd harmonic had a bimodal spatial frequency function with a peak at 3 c/deg and a second increase at spatial frequencies below 1 c/deg, regardless of the P-ERG characteristics. The phase of VEP 2nd and 4th harmonic had an inverted U-shaped function with peak at 3 c/deg and 1.5 c/deg respectively. Comparison of simultaneously recorded P-ERG and VEP spatial frequency functions demonstrated different tuning behavior for cortical and retinal responses. It is concluded that the proposed technique permits the separate analysis of retinal and cortical processing of visual information. The 2nd and 4th harmonic components of bEP behave independently of each other suggesting they may be generated by different subsystems.

Electroretinograms to checkerboard pattern reversal in cats: physiological characteristics and effect of retrograde degeneration of ganglion cells

Pattern electroretinograms (P-ERGs) evoked by alternating checks were studied in cats. Spatial frequency functions for transient and steady-state P-ERG waves showed a bimodal distribution with a preferred frequency at 0.6-0.75 c/deg and a second amplitude increase at frequencies lower than 0.5 c/deg. Decreasing the pattern luminance by 0.5 log units produced a shift of the spatial tuning curve toward lower spatial frequencies. No temporal tuning was noted in the temporal frequency functions. The bimodal distribution suggests that at spatial frequencies higher than 0.5 c/deg, the tuning reflects a 'contrast response' originating in cells with center surround organization. At spatial frequencies below 0.5 c/deg, the 'luminance response' becomes predominant and is generated in cells sensitive to mean luminance changes. Transient and steady-state P-ERGs to medium and high spatial frequencies were abolished by section of the optic nerve, while low spatial frequency stimuli at or below 0.3 c/deg continued to evoke P-ERGs at 1, 5 and 10 months after surgery. Quantitative whole mount retina microscopic examination confirmed the retrograde degeneration of the ganglion cells. It is concluded that both transient and steady-state P-ERGs to small and medium spatial frequencies checks are predominantly related to ganglion cell activity, while P-ERGs to low spatial frequencies reflect preganglionic cell activity.

Distortion of spatial selectivity by pattern onset stimulation

Spatial selectivity of pattern evoked potentials has been thought to provide evidence of lateral inhibition. However, spatial tuning functions may be distorted by pattern onset stimulation that is applied repeatedly to the same area of retina so an after-image is formed. This only applies at low spatial frequencies because of the randomizing effects of eye movements. Low-frequency attenuation may therefore be exaggerated. Pattern reversal stimulation has the opposite effect and this is reflected in the literature by fewer reports of bandpass functions. A new method has therefore been devised to provide the true spatial response function. The spatial phase is reversed after every two consecutive presentations. By combining this paradigm with a correction for the optical transfer function of the eye, the true neural response function is obtained. Ten subjects participated in this study to evaluate the distortion of spatial selectivity in the pattern electroretinogram. The new stimulus paradigm reduced the low spatial frequency attenuation to a barely significant level giving an almost flat amplitude response for the + ve and - ve transients of the pattern electroretinogram for check sizes from 222' to 7' angular subtense. However, correction for optical degradation produces bandpass curves, which closely correspond to those predicted from recent data on receptive fields of primate retinal ganglion cells.

A review of the clinical applications of the pattern electroretinogram

The pattern electroretinogram (PERG) has recently been introduced as a clinical procedure. It has been thought by many to represent activity of the retinal ganglion cells, although this is still a matter of contention. The exciting prospect of a selective test of ganglion cell function led to the application of the PERG in a variety of ophthalmological conditions. In the course of these investigations the PERG was found to be diminished in cases of maculopathy, optic atrophy, optic neuritis, toxic optic neuropathy, neurotransmitter disorders, glaucoma and ocular hypertension and in retinal vascular disorders such as diabetes. It was also affected in some cases of amblyopia. This paper briefly describes the techniques used to record the PERG and reviews current literature pertaining to its clinical application.

Variability of the pattern electroretinogram

Conflicting results have been obtained concerning the parametric properties of the pattern electroretinogram. These discrepancies may be due to the large amount of variability inherent in recording amplitudes. We have found the variability within a single stimulus condition to be so large (ranging from 30% to 67% of the mean value) that it could mask any underlying spatial frequency tuning. Changing the stimulus conditions failed to significantly reduce the observed variability, although changing recording conditions produced some reduction. The use of a narrower rejection band, a greater number of sweeps, and placement of the reference electrode on the ipsilateral ear (as opposed to the ipsilateral temple) combined to decrease variability of the pattern electroretinogram within a single recording session; however, intersession variability remained high. Therefore one must be careful in evaluating data from this technique, and caution is advised in its clinical use.

Effects of age and sex on pattern electroretinograms and visual evoked potentials

Pattern-electroretinograms (P-ERGs) and visual evoked potentials (VEPs) were simultaneously recorded in 112 normal individuals aged 20-75. Two-sized checks subtending 15' and 31' were used as stimuli. A weighted regression analysis was used to determine which of the variables, sex or age, was significant. The latency of the a and b wave of the P-ERGs showed a progressive increase with age but no difference between sexes. The effect was statistically significant for both 15' and 31' checks. There was no statistically significant aging effect for VEPs elicited by 31' checks. Aging, however, affected N70, P100, and the interpeak interval between b wave to N70 and b wave to P100 for responses to 15' checks. Shorter VEP latencies were noted in females for both 15' and 31' checks. The simultaneous recording of P-ERGs and VEPs has demonstrated that aging is a major variable at the retinal level. The effects on the a and b waves are mostly due to optic changes with aging and only partially to aging changes in the neuronal retinal circuitry. The effect of aging on VEPs is different for different size stimuli. The cause is a random neuronal cell loss in the visual pathways from the optic nerve to the visual cortex as the individual ages. The difference in VEP data between sexes may be related to anatomical size and hormonal influences.

The spatial organization of retinal receptive fields in light and darkness as revealed by the pattern electroretinogram

The spatial selectivity of the electroretinogram in response to pattern onset-offset stimuli was studied in man at several levels of adaptation ranging from scotopic to photopic levels. Under conditions of rod function the peak of the spatial selectivity based on amplitude measurements of the pattern-onset response occurs at a low spatial frequency. With increasing light adaptation a gradual shift of the selectivity to higher spatial frequencies occurs. This change in the character of the response can be explained by the assumption that antagonistic center-surround retinal receptive fields contribute to the response, which are larger under scotopic than under photopic levels of stimulation.

The luminance origin of the pattern electroretinogram in man

Electroretinograms (e.r.g.s) and visually evoked potentials (v.e.p.s) to pattern stimuli were recorded simultaneously from healthy subjects. The stimuli were produced by a configuration in which the luminance of two sets of spatial elements (checks) could be modulated independently. Experiments were designed to distinguish between contrast responses and non-linear luminance responses. In the first of two basic experiments, the luminance of only one set of checks was modulated, at a constant level in every trial. The other set was not modulated, but its luminance was set at various levels. Under these conditions the local luminance stimulation was kept equal for every trial whereas the contrast stimulation varied. Therefore, local luminance responses in these experiments were expected to be constant and contrast responses were expected to vary. The e.r.g.s were identical for all luminance settings of the unmodulated checks, suggesting that luminance rather than contrast determines the response. The v.e.p.s showed, on the contrary, the behaviour expected for contrast responses. In the second basic experiment the local luminance stimulation was also kept constant, but the phase difference between the modulations of the two sets of checks was varied between 0 deg (pure luminance stimulation) and 180 deg (pattern reversal). In this type of experiment the second harmonic responses to local luminance modulation are expected to decrease to a minimum as phase difference goes from 0 to 90 deg and increase again as phase difference goes to 180 deg. Contrast responses are expected to increase monotonically from zero to maximal at phase difference shifts from 0 deg (no contrast stimulation) to 180 deg (contrast reversal). The e.r.g.s decreased to a minimum at 90 deg phase difference and increase again with phase difference going to 180 deg. At 0 and 180 deg the same value was recorded. Consequently, the e.r.g. behaviour suggests a luminance origin of the responses. The v.e.p.s monotonically increased as phase difference went from 0 to 180 deg, thus suggesting a contrast origin of the responses. Two additional control experiments were performed. The first experiment compared the responses to homogeneous field red/green exchange and pattern red/green exchange, with the luminances of the red and green sources matched by heterochromatic flicker photometry. The exchange of luminance-matched red and green checks (pattern reversal) did not produce different e.r.g. responses from those recorded in response to homogeneous field red/green exchange. The v.e.p. showed a significant increase for the pattern stimulus.(ABSTRACT TRUNCATED AT 400 WORDS)

Changes in spatial selectivity of pattern-ERG components with stimulus contrast

Electrical mass responses of the visual system to stripe patterns of varying fineness (spatial frequency) can show either an amplitude maximum at a medium spatial frequency, a behavior termed "spatial selectivity," or a monotonic decrease in amplitude with increasing spatial frequency. The former behavior is probably mediated by neurons having a center-surround receptive field structure and the latter by neurons lacking this antagonism. The pattern-evoked human electroretinogram was studied in this report using different spatial frequencies and pattern contrasts. The positive component of the response showed a spatial selectivity only at low contrast but was not spatially selective at the highest contrast. The negative component showed a spatial selectivity at all contrast levels. The data indicate that if pattern-related responses activated by antagonistic receptive fields are to be studied, low contrast values should be employed and attention should be paid to the negative component of the response.