Skip to main content
Log in

Evoked responses in patients with macular holes

  • Published:
Documenta Ophthalmologica Aims and scope Submit manuscript

Abstract

Thirty-two eyes with idiopathic macular holes and one eye with a traumatic macular hole were assessed by pattern-reversal electroretinography, ganzfeld electroretinography and pattern-reversal visual evoked potentials. Results were inspected for qualitative abnormalities and then measured in comparison with fellow eyes and 41 control eyes of similar age. Qualitative abnormalities occurred in some eyes with macular holes, most commonly a reduction in pattern-reversal electroretinogram or pattern-reversal visual evoked potential amplitude; 15′ check amplitudes were significantly lower in eyes with macular holes than in control eyes, but no significant difference in latency was found. Control pattern-reversal electroretinogram and pattern-reversal visual evoked potential amplitudes were noted to decline with age, and paired t-tests on an age-matched subgroup of eyes with macular holes and control eyes showed appreciable differences only in the pattern-reversal electroretinogram q-r (N95) amplitude.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Biersdorf WR, Diller DA. Local electroretinogram in macular degeneration. Am J Ophthalmol 1969; 68: 296–303.

    Google Scholar 

  2. Vaegan, Billson FA. Macular electroretinograms and contrast sensitivity as sensitive detectors of early maculopathy. Doc Ophthalmol 1986; 63: 399–406.

    Google Scholar 

  3. Fish GE, Birch DG. The focal electroretinogram in the clinical assessment of macular disease. Ophthalmology 1989; 96: 109–14.

    Google Scholar 

  4. Vaegan, Billson FA. Macular electroretinograms. Their accuracy, specificity and implementation for clinical use. Aust J Ophthalmol 1984; 12: 359–72.

    Google Scholar 

  5. Bankes JL. The foveal electroretinogram. Trans Ophthalmol Soc UK 1967; 87: 249–69.

    Google Scholar 

  6. Miyake Y, Shiroyama N, Ota I, Horiguchi M. Local macular electroretinographic responses in idiopathic central serous chorioretinopathy. Am J Ophthalmol 1988; 106: 546–50.

    Google Scholar 

  7. Sherman J. Simultaneous pattern reversal electroretinograms and visual evoked potentials in diseases of the macula and optic nerve. Ann NY Acad Sci 1982; 388: 214–26.

    Google Scholar 

  8. Arden GB, Carter RM, MacFarlan A. Pattern and ganzfeld electroretinograms in macular disease. Br J Ophthalmol 1984; 68: 878–84.

    Google Scholar 

  9. Holder GE. Significance of abnormal pattern electroretinography in anterior visual pathway dysfunction. Br J Ophthalmol 1987; 71: 166–71.

    Google Scholar 

  10. Kaufman D, Celesia GG. Simultaneous recording of pattern electroretinogram and visual evoked responses in neuroophthalmologic disorders. Neurology 1985; 35: 644–51.

    Google Scholar 

  11. Kirkham TH, Coupland SG. Abnormal pattern electroretinograms with macular cherryred spots: Evidence for selective ganglion cell damage. Curr Eye Res 1981; 1: 367–72.

    Google Scholar 

  12. Kornzweig AL, Feldstein M. Studies of the macula in old age. Am J Ophthalmol 1950, 33: 243–53.

    Google Scholar 

  13. Frangieh GT, Green WR, Engel HM. A histopathologic study of macular cysts and holes. Retina 1981; 1: 311–36.

    Google Scholar 

  14. Gass JDM. Idiopathic macular hole: Its early stages and pathogenesis. Arch Ophthalmol 1988; 106: 629–39.

    Google Scholar 

  15. Gass JDM. A stereoscopic atlas of macular diseases: Diagnosis and treatment. 3rd ed. St. Louis: CV Mosby; 1987; 671–93.

    Google Scholar 

  16. Trempe CL, Weiter JJ, Furukawa H. Fellow eyes in cases of macular hole: Biomicroscopic study of the vitreous. Arch Ophthalmol 1986; 104: 93–95.

    Google Scholar 

  17. Morgan CM, Schatz H. Idiopathic macular holes. Am J Ophthalmol 1985; 99: 437–44.

    Google Scholar 

  18. McDonnell PJ, Fine SL, Hillis AI. Clinical features of idiopathic macular cysts and holes. Am J Ophthalmol 1982; 93: 777–86.

    Google Scholar 

  19. Aaberg TM, Blair CJ, Gass JDM. Macular holes. Am J Ophthalmol 1970; 69: 555–62.

    Google Scholar 

  20. Avila MP, Jalkh AE, Murukami K, Trempe CL, Schepens CL. Biomicroscopic study of the vitreous in macular breaks. Ophthalmology 1983; 90: 1277–83.

    Google Scholar 

  21. Rees AB, Jones IS, Cooper WC. Macular changes secondary to vitreous traction. Am J Ophthalmol 1967; 64: 544–69.

    Google Scholar 

  22. Margherio RR, Schepens CL. Macular breaks: Diagnosis, etiology and observations. Am J Ophthalmol 1972; 74: 219–32.

    Google Scholar 

  23. Smiddy WE, Michels RG, Glaser BM, de Bustros S. Vitrectomy for impending macular holes. Am J Ophthalmol 1988; 105: 371–76.

    Google Scholar 

  24. Brown GC. Macular hole following rhegmatogenous retinal detachment repair. Arch Ophthalmol 1988; 106: 765–66.

    Google Scholar 

  25. Bass SJ, Sherman J, Bodis-Wollner I, Nath S. Visual evoked potentials in macular disease. Invest Ophthalmol Vis Sci 1985; 26: 1071–74.

    Google Scholar 

  26. Johnson LN, Yee RD, Hepler RS, Martin DA. Alteration of the visual evoked potential by macular holes: Comparison with optic neuritis. Graefes Arch Clin Exp Ophthalmol 1987; 225: 123–8.

    Google Scholar 

  27. Straatsma BR, Foos RY, Spencer LM. The retina. Topography and clinical correlations. (Symposium on retina and retinal surgery.) Trans New Orleans Acad Ophthalmol St. Louis: CV Mosby; 1969; 1–26.

    Google Scholar 

  28. Birch DG, Jost BF, Fish FE. The focal electroretinogram in fellow eyes of patients with idiopathic macular holes. Arch Ophthalmol 1988; 106: 1558–63.

    Google Scholar 

  29. Trick GL, Trick LR, Haywood KM. Altered human pattern evoked retinal and cortical potentials associated with human senescence. Curr Eye Res 1986; 5: 717–24.

    Google Scholar 

  30. Mitchell KW, Howe JW, Spencer SR. Visual evoked potentials in the older population: Age and gender effects. Clin Phys. Physiol Meas 1987; 8: 317–24.

    Google Scholar 

  31. Bobak P, Bodis-Wollner I, Guillory S, Anderson R. Aging differentially delays visual evoked potentials to checks and gratings. Clin Vis Sci 1989; 4: 269–74.

    Google Scholar 

  32. Maffei L, Fiorentini A, Bisti S, Hollander H. Pattern ERG in the monkey after section of the optic nerve. Exp Brain Res 1985; 59: 423–25.

    Google Scholar 

  33. Hollander H, Bisti S, Maffei L, Hebel R. Electroretinographic responses and retrograde changes of retinal morphology after intracranial optic nerve section: A quantitative analysis in the cat. Exp Brain Res 1984; 55: 483–93.

    Google Scholar 

  34. Vaegan, Arden GB, Hogg CR. Properties of normal electroretinograms evoked by patterned stimuli in man: Abnormalities in optic nerve disease and amblyopia. Doc Ophthalmol Proc Ser 1982; 31: 111–29.

    Google Scholar 

  35. Arden GB, Vaegan, Hogg CR. Clinical and experimental evidence that the pattern electroretinogram is generated in more proximal retinal layers than the focal electroretinogram. Ann NY Acad Sci 1982; 388: 580–601.

    Google Scholar 

  36. Dodt E. The electrical response of the human eye to patterned stimuli: Clinical observations. Doc Ophthalmol 1987; 65: 271–86.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Smith, R.G., Brimlow, G.M., Hardman Lea, S.J. et al. Evoked responses in patients with macular holes. Doc Ophthalmol 75, 135–144 (1990). https://doi.org/10.1007/BF00146549

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00146549

Key words

Navigation