ISCEV guide to visual electrodiagnostic procedures

Anthony G Robson; Josefin Nilsson; Shiying Li; Subhadra Jalali; Anne B Fulton; Alma Patrizia Tormene; Graham E Holder; Scott E Brodie

doi:10.1007/s10633-017-9621-y

ISCEV guide to visual electrodiagnostic procedures

Doc Ophthalmol. 2018 Feb;136(1):1-26. doi: 10.1007/s10633-017-9621-y. Epub 2018 Feb 3.

Authors

Anthony G Robson^{1

2}, Josefin Nilsson³, Shiying Li⁴, Subhadra Jalali⁵, Anne B Fulton⁶, Alma Patrizia Tormene⁷, Graham E Holder^{8

9

10}, Scott E Brodie¹¹

Affiliations

¹ Department of Electrophysiology, Moorfields Eye Hospital, 162 City Road, London, UK. anthony.robson@moorfields.nhs.uk.
² Institute of Ophthalmology, University College London, London, UK. anthony.robson@moorfields.nhs.uk.
³ Department of Clinical Neurophysiology, Sahlgrenska University Hospital, Göteborg, Sweden.
⁴ Southwest Hospital, Southwest Eye Hospital, Third Military Medical University, Chongqing Institute of Retina, Chongqing, China.
⁵ Srimati Kanuri Santhamma Centre for Vitreoretinal Diseases, Jasti V. Ramanamma Childrens' Eye Care Centre, L V Prasad Eye Institute, Hyderabad, India.
⁶ Department of Ophthalmology, Boston Children's Hospital, Boston, USA.
⁷ Department of Neurosciences, Ophthalmic Clinic, Padova University, Padova, Italy.
⁸ Department of Electrophysiology, Moorfields Eye Hospital, 162 City Road, London, UK.
⁹ Institute of Ophthalmology, University College London, London, UK.
¹⁰ National University of Singapore, National University Hospital, Singapore City, Singapore.
¹¹ The Mount Sinai Hospital, New York Eye and Ear Infirmary of Mount Sinai, New York, USA.

Abstract

Clinical electrophysiological testing of the visual system incorporates a range of noninvasive tests and provides an objective indication of function relating to different locations and cell types within the visual system. This document developed by the International Society for Clinical Electrophysiology of Vision provides an introduction to standard visual electrodiagnostic procedures in widespread use including the full-field electroretinogram (ERG), the pattern electroretinogram (pattern ERG or PERG), the multifocal electroretinogram (multifocal ERG or mfERG), the electrooculogram (EOG) and the cortical-derived visual evoked potential (VEP). The guideline outlines the basic principles of testing. Common clinical presentations and symptoms are described with illustrative examples and suggested investigation strategies.

Keywords: Clinical electrophysiology; Electrooculogram (EOG); Electroretinogram (ERG); ISCEV standards; Maculopathy; Multifocal ERG (mfERG); Optic neuropathy; Pattern ERG; Retinopathy; Visual evoked potential (VEP).

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Electrodiagnosis / standards*
Electrooculography*
Electrophysiology / organization & administration*
Electroretinography / methods*
Evoked Potentials, Visual*
Humans
International Agencies
Optic Nerve Diseases / diagnosis
Practice Guidelines as Topic*
Retinal Diseases / diagnosis
Societies, Medical