Abstract
Purpose
To evaluate rod-isolated, cone-isolated, and combined rod and cone flicker electroretinograms (ERGs) as a possible means to identify electrophysiological abnormalities in carriers of X-linked retinoschisis (XLRS).
Methods
Full-field ERGs were recorded from six carriers of XLRS (aged 34–66 years) and eight normally sighted subjects (aged 27–59 years) under rod-isolated (ERGR), cone-isolated (ERGC), and combined rod and cone (ERGR+C) conditions. ERGs were obtained using a four-primary LED-based ganzfeld photostimulator and standard recording techniques. The four primaries were modulated sinusoidally in phase to achieve combined rod and cone activation (ERGR+C) or in different phases to achieve ERGR and ERGC by means of triple silent substitution. After 30 min of dark adaptation, 8- and 15-Hz ERGR, ERGC, and ERGR+C responses were obtained at a mean luminance level of 24 scot. cd/m2. Standard ISCEV ERGs were also obtained from each subject.
Results
The ISCEV and 15-Hz flicker ERGs were generally within the normal range for the carriers. The 8-Hz ERGR, ERGC, and ERGR+C amplitudes were also generally normal. In contrast, the carriers had ERGR, ERGC, and ERGR+C timing abnormalities, with phase advances beyond the range of normal for the ERGR (four carriers), ERGC (four carriers), and ERGR+C (three carriers). Only one carrier had normal 8-Hz responses under all conditions.
Conclusions
The 8-Hz ERG timing abnormalities in five of six carriers indicate that retinal function is not necessarily normal in carriers of XLRS. The 8-Hz flicker ERG may be useful for studying retinal function in these individuals.
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Acknowledgments
This research was supported by National Institutes of Health Research Grants R00EY019510 (JM), P30EY001792 (UIC core Grant), an unrestricted departmental Grant from Research to Prevent Blindness, the Pangere Family Foundation, and the Grousbeck Family Foundation (GAF and EMS).
Funding
The National Institutes of Health, Research to Prevent Blindness, the Pangere Family Foundation, and the Grousbeck Family Foundation provided financial support in the form of funding. The sponsors had no role in the design or conduct of this research.
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McAnany, J.J., Park, J.C., Collison, F.T. et al. Abnormal 8-Hz flicker electroretinograms in carriers of X-linked retinoschisis. Doc Ophthalmol 133, 61–70 (2016). https://doi.org/10.1007/s10633-016-9551-0
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DOI: https://doi.org/10.1007/s10633-016-9551-0