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Correlation of electroretinography components with visual function and prognosis of central retinal artery occlusion

We investigated the full-field electroretinographic (ERG) parameters with visual function and prognosis in central retinal artery occlusion (CRAO), according to its severity. 110 affected eyes of CRAO patients were enrolled and compared with fellow uninvolved eyes (N = 110) and normal control eyes (...

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Published in:Scientific reports 2020-07, Vol.10 (1), p.12146, Article 12146
Main Authors: Kim, Hyeong Min, Park, Kyu Hyung, Woo, Se Joon
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description We investigated the full-field electroretinographic (ERG) parameters with visual function and prognosis in central retinal artery occlusion (CRAO), according to its severity. 110 affected eyes of CRAO patients were enrolled and compared with fellow uninvolved eyes (N = 110) and normal control eyes (N = 30). B/A ratio and photopic negative response amplitude (PhNR) resulted in statistically significant differences among the CRAO subgroups according to the severity of retinal ischemia. Amplitudes of PhNR indicating ganglion cell function showed a more marked decline in mild to severe ischemia than those of the B-wave. In terms of visual function and outcome, baseline visual acuity and visual field defects were correlated with B/A ratio only (both, P  
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B/A ratio and photopic negative response amplitude (PhNR) resulted in statistically significant differences among the CRAO subgroups according to the severity of retinal ischemia. Amplitudes of PhNR indicating ganglion cell function showed a more marked decline in mild to severe ischemia than those of the B-wave. In terms of visual function and outcome, baseline visual acuity and visual field defects were correlated with B/A ratio only (both, P  &lt; .001), whereas improvements in visual acuity and visual field were correlated with B-wave amplitude in dark-adapted 3.0 ( P  = .004 and .006), B/A ratio ( P  = .023 and .008), and PhNR amplitude ( P  &lt; .001 and .004). These three ERG parameters were found to be credible predictive factors of visual prognosis. 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B/A ratio and photopic negative response amplitude (PhNR) resulted in statistically significant differences among the CRAO subgroups according to the severity of retinal ischemia. Amplitudes of PhNR indicating ganglion cell function showed a more marked decline in mild to severe ischemia than those of the B-wave. In terms of visual function and outcome, baseline visual acuity and visual field defects were correlated with B/A ratio only (both, P  &lt; .001), whereas improvements in visual acuity and visual field were correlated with B-wave amplitude in dark-adapted 3.0 ( P  = .004 and .006), B/A ratio ( P  = .023 and .008), and PhNR amplitude ( P  &lt; .001 and .004). These three ERG parameters were found to be credible predictive factors of visual prognosis. 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subjects 692/699/3161/3175
692/699/3161/3178
Acuity
Adult
Aged
Area Under Curve
Electroretinograms
Electroretinography
Eye
Eye - diagnostic imaging
Female
Fluorescein Angiography
Humanities and Social Sciences
Humans
Ischemia
Male
Middle Aged
multidisciplinary
Occlusion
Prognosis
Retina
Retinal Artery Occlusion - diagnosis
Retinal Artery Occlusion - pathology
ROC Curve
Science
Science (multidisciplinary)
Severity of Illness Index
Statistical analysis
Tomography, Optical Coherence
Visual field
Visual Fields - physiology
Visual perception
title Correlation of electroretinography components with visual function and prognosis of central retinal artery occlusion
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