Screening electro-oculography protocol as a part of full-field electroretinography.

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY Documenta Ophthalmologica Pub Date : 2024-11-15 DOI:10.1007/s10633-024-09994-7
Paula Djukanovic, Martina Jarc Vidmar, Maja Sustar Habjan
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Abstract

Purpose: To simplify the electro-oculography (EOG) method and integrate it into the full-field electroretinogram (ffERG) protocol for screening purposes.

Methods: 20 control subjects and 5 patients with Best vitelliform macular dystrophy (BVMD) underwent EOG recording according to both the standard protocol and screening EOG protocol that was integrated as part of ffERG testing. Mean values of light peak-to-dark trough ratio (LP:DT ratio) were compared between both protocols using the Student's t-test, sensitivity and specificity for the detection of RPE dysfunction were evaluated with ROC analysis and a survey on the difficulty of each protocol was completed by each subject.

Results: With the standard EOG mean LP:DT ratio was 2.67 ± 0.61 in controls and 1.12 ± 0.16 in BVMD patients (p < 0.001). With the screening protocol mean LP:DT ratio was 1.98 ± 0.33 in controls and 1.02 ± 0.14 in BVMD (p < 0.001). A comparison of LP:DT ratios showed significant difference between the standard and the screening protocol (p < 0.01 in controls; p = 0.02 in BVMD), however both protocols showed 100% sensitivity and 100% specificity for detection of BVMD. Patients stated that participation in the screening protocol was easier and less uncomfortable.

Conclusions: Screening EOG performed as part of ffERG gives comparable results to standard EOG, examination is patient-friendly, time saving and can be used as a preliminary test for the assessment of RPE function.

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作为全场视网膜电图一部分的筛查眼电图方案。
目的:简化眼电图(EOG)方法,并将其整合到全场视网膜电图(ffERG)方案中,用于筛查。方法:20 名对照组受试者和 5 名贝斯特玻璃体黄斑营养不良症(BVMD)患者按照标准方案和整合为ffERG测试一部分的筛查眼电图方案进行眼电图记录。使用学生 t 检验比较了两种方案的光峰-暗谷比(LP:DT 比)的平均值,使用 ROC 分析评估了检测 RPE 功能障碍的灵敏度和特异性,每个受试者都完成了对每种方案难度的调查:对照组的标准 EOG 平均 LP:DT 比值为 2.67 ± 0.61,BVMD 患者为 1.12 ± 0.16(p 结论:BVMD 患者的标准 EOG 平均 LP:DT 比值为 2.67 ± 0.61,BVMD 患者为 1.12 ± 0.16:作为 ffERG 的一部分进行的筛查性 EOG 与标准 EOG 的结果相当,检查对患者友好,节省时间,可用作评估 RPE 功能的初步测试。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Documenta Ophthalmologica
Documenta Ophthalmologica 医学-眼科学
CiteScore
3.50
自引率
21.40%
发文量
46
审稿时长
>12 weeks
期刊介绍: Documenta Ophthalmologica is an official publication of the International Society for Clinical Electrophysiology of Vision. The purpose of the journal is to promote the understanding and application of clinical electrophysiology of vision. Documenta Ophthalmologica will publish reviews, research articles, technical notes, brief reports and case studies which inform the readers about basic and clinical sciences related to visual electrodiagnosis and means to improve diagnosis and clinical management of patients using visual electrophysiology. Studies may involve animals or humans. In either case appropriate care must be taken to follow the Declaration of Helsinki for human subject or appropriate humane standards of animal care (e.g., the ARVO standards on Animal Care and Use).
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