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Diabetic Retinopathy & Medical Retina - aioseducation

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70th AIOC Proceedings, Cochin 2012<br />

fundus biomicroscopy, Fluorescein angiography<br />

and OCT. Pattern ERG was performed in all 20<br />

patients using the Arden gold foil electrode on<br />

ISCEV standardized machine. The Arden gold<br />

foil electrode was used as the active electrode<br />

with the gold surface touching the corneoscleral<br />

limbus and non polarisable Ag/AgCl electrodes<br />

were used as the ground electrode on the forehead<br />

and reference electrode (outer canthus).<br />

Stimulus: Full field monocular stimulation was<br />

given using the Checkerboard pattern on a 17 inch monitor. The central<br />

fixation spot size was 4 mm. The<br />

patient was seated at a distance of<br />

1 meter from the monitor such that<br />

the screen occupied 12 degree of the<br />

patient’s visual field, and with a check<br />

size of 16 the visual angle subtended<br />

was 1 degree. 150 stimuli for signal<br />

averaging at a frequency of 1 pps were<br />

used. PERG consists of a negative<br />

wave N1, a positive P50 (P1) wave<br />

driven by the macular photoreceptors<br />

thus reflecting the macular function<br />

and a negative N95(N2) wave for the<br />

assessment of the retinal ganglion cell<br />

function. P50, at 50 m.sec latency, is<br />

measured from the trough of N1 to the peak of P50. N2, at 95 m.sec latency, is<br />

measured from peak of P50 to trough of N95.<br />

884

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