ISCEV Standard for full-field clinical electroretinography (2008 update)

ISCEV Standard for full-field clinical electroretinography (2008 update)

2008 | M. F. Marmor · A. B. Fulton · G. E. Holder · Y. Miyake · M. Brigell · M. Bach (for the International Society for Clinical Electrophysiology of Vision)
The ISCEV Standard for full-field clinical electroretinography (ERG) provides updated guidelines for ERG testing. This standard specifies five standard ERG responses: (1) Dark-adapted 0.01 ERG (rod response); (2) Dark-adapted 3.0 ERG (combined rod–cone response); (3) Dark-adapted 3.0 oscillatory potentials; (4) Light-adapted 3.0 ERG (cone response); (5) Light-adapted 3.0 flicker ERG (30 Hz flicker). An additional dark-adapted 10.0 or 30.0 ERG is also recommended. The standard defines stimulus flash levels as single values to improve consistency. It also specifies the use of full-field (Ganzfeld) stimulation and recommends a white background of 30 cd·m⁻² for light adaptation. Stimulus strength is quantified in cd·s·m⁻², with specific values for each response. The standard emphasizes the importance of accurate calibration and the use of appropriate electrodes, including contact lens electrodes for high amplitude and stable recordings. It also outlines the need for proper patient preparation, including dark and light adaptation, and the importance of consistent stimulus and background conditions. The standard aims to ensure reproducible and comparable ERG results worldwide, with clear reporting of ERG waveforms, amplitude, and time calibrations. It also addresses the special considerations for pediatric ERG recordings, including the need for multiple repetitions and the use of appropriate electrodes. The standard is intended to be used widely but not to the exclusion of other tests or protocols not covered by this standard. It also includes guidelines for calibration of electrophysiologic equipment and other related tests.The ISCEV Standard for full-field clinical electroretinography (ERG) provides updated guidelines for ERG testing. This standard specifies five standard ERG responses: (1) Dark-adapted 0.01 ERG (rod response); (2) Dark-adapted 3.0 ERG (combined rod–cone response); (3) Dark-adapted 3.0 oscillatory potentials; (4) Light-adapted 3.0 ERG (cone response); (5) Light-adapted 3.0 flicker ERG (30 Hz flicker). An additional dark-adapted 10.0 or 30.0 ERG is also recommended. The standard defines stimulus flash levels as single values to improve consistency. It also specifies the use of full-field (Ganzfeld) stimulation and recommends a white background of 30 cd·m⁻² for light adaptation. Stimulus strength is quantified in cd·s·m⁻², with specific values for each response. The standard emphasizes the importance of accurate calibration and the use of appropriate electrodes, including contact lens electrodes for high amplitude and stable recordings. It also outlines the need for proper patient preparation, including dark and light adaptation, and the importance of consistent stimulus and background conditions. The standard aims to ensure reproducible and comparable ERG results worldwide, with clear reporting of ERG waveforms, amplitude, and time calibrations. It also addresses the special considerations for pediatric ERG recordings, including the need for multiple repetitions and the use of appropriate electrodes. The standard is intended to be used widely but not to the exclusion of other tests or protocols not covered by this standard. It also includes guidelines for calibration of electrophysiologic equipment and other related tests.
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