Assessing abnormal rod photoreceptor activity with the a-wave of the electroretinogram: applications and methods

Doc Ophthalmol. 1996;92(4):253-67. doi: 10.1007/BF02584080.

Abstract

The impact of a disease on phototransduction can be assessed by fitting the leading edge of the rod a-wave to high-energy flashes with a quantitative expression. Two parameters of rod receptor activity are obtained, S (sensitivity) and Rm (maximum response). In this study, the meaning of these parameters and examples of conditions that change them were examined. In addition, a new protocol was developed for obtaining these parameters. A set of three to five white flashes were first presented in the dark and then on an adapting field (30 cd/m2). Subtracting the light-adapted responses from the dark-adapted responses yielded isolated rod a-wave responses. A clinical protocol was developed based on a single white flash energy. It is possible to determine whether a disease is producing a change in S and/or Rm with this single flash energy without the use of any equations.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Electroretinography / methods*
  • Humans
  • Models, Biological
  • Photic Stimulation / methods
  • Retinal Rod Photoreceptor Cells / physiology*