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Effect of Pupil Size on Fixed-Luminance Flicker Full-Field Electroretinogram Magnitude

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dc.creator Matsumiya, Wataru
dc.creator Nguyen, Quan Dong
dc.creator Ghoraba, Hashem
dc.creator Do, Diana
dc.creator Uludag, Gunay
dc.creator Than, Ngoc Tuong Trong
dc.creator Yasar, Cigdem
dc.creator Yavari, Negin
dc.creator Jafari, Hassan Khojasteh
dc.creator Karaca, Irmak
dc.creator Akhavanrezayat, Amir
dc.creator Regenold, Jonathan
dc.creator Hwang, Jaclyn Joyce
dc.creator Halim, Sohail
dc.creator Zaidi, Moosa
dc.creator Mobasserian, Azadeh
dc.date 2022-01-01T00:00:00Z
dc.date.accessioned 2023-01-09T12:08:19Z
dc.date.available 2023-01-09T12:08:19Z
dc.identifier d12160d3-1d59-48ff-aca6-5faf2a2a6e5a
dc.identifier 10.2147/opth.s382207
dc.identifier https://avesis.sdu.edu.tr/publication/details/d12160d3-1d59-48ff-aca6-5faf2a2a6e5a/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/98395
dc.description © 2022 Mobasserian et al.Purpose: Diopsys® NOVA fixed-luminance flicker full-field electroretinogram (ffERG) device is a potential adjunct to conventional flicker ffERG testing for assessing cone cell function. Magnitude of measured electrical response is known to vary with pupil size in conventional ffERG testing. The index study characterizes the relationship between magnitude of measured electrical activity and pupil size, both pupil diameter and pupil area, for this device. Methods: Seventeen patients (34 eyes) with no known ocular diseases were enrolled in the study. Electrophysiologic function of cone cells was evaluated using fixed-luminance flicker ffERG before and after dilation. Linear regression models, with inter-eye correlations controlled as fixed-effects, were used to characterize the effect of pupil dilation on the magnitude of the measured responses. Results: Mean age of study patients was 33.5 (standard deviation 7.4 years), and 35.3% of the subjects were female. Mean value of electrical response magnitude was 10.07±2.79µV before dilation and 15.30±4.08µV after dilation. The correlations of ERG magnitude with pupil diameter and with pupil area were not significant for either dilated or undilated eyes considered separately but were highly significant (p<0.001) for dilated and undilated eyes considered in aggregate. ERG magnitude tended to increase by 1.08 µV for every 1 mm increase in pupillary diameter. Conclusion: An increase in pupil size, both pupil diameter and pupil area, is significantly associated with an increase in flicker ffERG magnitude recorded by the Diopsys device, suggesting that pupil size should be measured and considered when making clinical judgments based on the flicker ffERGs recorded by the device, and that pupil size-specific reference ranges could improve the clinical utility of the device.
dc.language eng
dc.rights info:eu-repo/semantics/openAccess
dc.title Effect of Pupil Size on Fixed-Luminance Flicker Full-Field Electroretinogram Magnitude
dc.type info:eu-repo/semantics/article


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