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Published in: Documenta Ophthalmologica 2/2013

01-04-2013 | Original Research Article

The influence of age on the recovery of the ERG photostress test

Authors: D. Messenio, G. Marano, S. Gerosa, F. Iannelli, E. M. Biganzoli

Published in: Documenta Ophthalmologica | Issue 2/2013

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Abstract

Introduction

Focal ERG associated with photostress test could be a useful diagnostic method for evaluating macular visual function. The main aim of this study was to evaluate the effect of age on the recovery time constant of the ERG photostress test. The second aim was to assess the sources of variability which affect the measurements.

Methods

Fifty-four healthy subjects (108 eyes), aged between 21 and 77, with corrected VA of 20/20 or more and absence of any ocular or systemic disease, were recruited. For each eye ERG response to focal (20° in diameter) 42-Hz stimulation was recorded: three series of 200 summations in base conditions and a six series of 42-Hz ERGs (100 summations each) at 10, 40, 80, 180, 300 and 420 s after bleaching by a white spot of light (20° in diameter) from a direct ophthalmoscope (800 cd/m²) pointed at macular region for 30 s. Fourier analysis was performed and amplitude of the first harmonica calculated. The relationship of basal amplitudes with subject age and gender, and the kinetics of macular function recovery were assessed through mixed-effects models.

Results

Mean basal amplitude decreases by 0.046 μV for year of life. The recovery after bleaching is proportional to age with an increase of 4.31 s for decade. Restoration of amplitude is slower in older subjects.

Discussion

There is a significant decrease in macular ERG amplitude with age. The macular recovery after photostress shows exponential kinetics that are less efficient in older subjects: this could be related to lower effectiveness of photopigment restoration in advanced age.
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Metadata
Title
The influence of age on the recovery of the ERG photostress test
Authors
D. Messenio
G. Marano
S. Gerosa
F. Iannelli
E. M. Biganzoli
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Documenta Ophthalmologica / Issue 2/2013
Print ISSN: 0012-4486
Electronic ISSN: 1573-2622
DOI
https://doi.org/10.1007/s10633-012-9361-y

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