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  • 1
    In: Ophthalmic Research, S. Karger AG, Vol. 58, No. 2 ( 2017), p. 117-124
    Abstract: 〈 b 〉 〈 i 〉 Purpose: 〈 /i 〉 〈 /b 〉 We present the multifocal electroretinogram (mfERG) with a 7-hexagon array as an objective test of macular function that can be recorded in 14 s. We provide normal values and investigate its reproducibility and validity. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Healthy participants underwent mfERG testing according to International Society for Clinical Electrophysiology of Vision (ISCEV) standards using the Espion Profile/D310 multifocal ERG system (Diagnosys, LLC, Lowell, MA, USA). One standard recording of a 61-hexagon array and 2 repeated recordings of a custom 7-hexagon array were obtained. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 A total of 13 subjects (mean age 46.9 years) were included. The median response densities were 12.5 nV/deg 〈 sup 〉 2 〈 /sup 〉 in the center and 5.2 nV/deg 〈 sup 〉 2 〈 /sup 〉 in the periphery. Intereye correlations were strong in both the center ( & #x03C1; 〈 sub 〉 Center 〈 /sub 〉 = 0.821; 〈 i 〉 p 〈 /i 〉 〈 0.0001) and the periphery ( & #x03C1; 〈 sub 〉 Periphery 〈 /sub 〉 = 0.862; 〈 i 〉 p 〈 /i 〉 〈 0.0001). Intraeye correlations were even stronger: & #x03C1; 〈 sub 〉 Center 〈 /sub 〉 = 0.904 with 〈 i 〉 p 〈 /i 〉 〈 0.0001 and & #x03C1; 〈 sub 〉 Periphery 〈 /sub 〉 = 0.955 with 〈 i 〉 p 〈 /i 〉 〈 0.0001. Bland-Altman plots demonstrated an acceptable retest mean difference in both the center and periphery, and narrow limits of agreement. We found strong correlations of the center ( & #x03C1; 〈 sub 〉 Center 〈 /sub 〉 = 0.826; 〈 i 〉 p 〈 /i 〉 〈 0.0001) and periphery ( & #x03C1; 〈 sub 〉 Periphery 〈 /sub 〉 = 0.848; 〈 i 〉 p 〈 /i 〉 〈 0.0001), with recordings obtained by the 61-hexagon method. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 The 7-hexagon mfERG provides reproducible results in agreement with results obtained according to the ISCEV standard.
    Type of Medium: Online Resource
    ISSN: 0030-3747 , 1423-0259
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2017
    detail.hit.zdb_id: 1483177-6
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  • 2
    In: Ophthalmic Research, S. Karger AG, Vol. 61, No. 1 ( 2019), p. 36-43
    Abstract: 〈 b 〉 〈 i 〉 Purpose: 〈 /i 〉 〈 /b 〉 To describe the study design and characteristics at first visit of participants in the longitudinal Scotopic Microperimetric Assessment of Rod Function in Stargardt Disease (SMART) study. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Scotopic microperimetry (sMP) was performed in one designated study eye in a subset of participants with molecularly proven 〈 i 〉 ABCA4 〈 /i 〉 -associated Stargardt disease (STGD1) enrolled in a multicenter natural history study (ProgStar). Study visits were every 6 months over a period ranging from 6 to 24 months, and also included fundus autofluorescence (FAF). 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 SMART enrolled 118 participants (118 eyes). At the first visit of SMART, the mean sensitivity in mesopic microperimetry was 11.48 (±5.05; range 0.00–19.88) dB and in sMP 11.25 (±5.26; 0–19.25) dB. For FAF, all eyes had a lesion of decreased autofluorescence (mean lesion size 3.62 [±3.48; 0.10–21.46] mm 〈 sup 〉 2 〈 /sup 〉 ), and a total of 76 eyes (65.5%) had a lesion of definitely decreased autofluorescence with a mean lesion size of 3.46 (±3.60; 0.21–21.46) mm 〈 sup 〉 2 〈 /sup 〉 . 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Rod function is impaired in STGD1 and can be assessed by sMP. Testing rod function may serve as a potential outcome measure for future clinical treatment trials. This is evaluated in the SMART study.
    Type of Medium: Online Resource
    ISSN: 0030-3747 , 1423-0259
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2019
    detail.hit.zdb_id: 1483177-6
    Library Location Call Number Volume/Issue/Year Availability
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  • 3
    In: Ophthalmic Research, S. Karger AG, Vol. 60, No. 3 ( 2018), p. 185-194
    Abstract: 〈 b 〉 〈 i 〉 Background/Aims: 〈 /i 〉 〈 /b 〉 To describe the design and baseline characteristics of patients enrolled in the multicenter, prospective natural history study of Stargardt disease type 4. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Fifteen eligible patients aged 6 years and older at baseline, harboring disease-causing variants in the 〈 i 〉 PROM1 〈 /i 〉 gene, and with specified ocular lesions were enrolled. They were examined at baseline using a standard protocol, with 6 monthly follow-up visits for a 2-year period including best-corrected ETDRS visual acuity, spectral-domain optical coherence tomography, fundus autofluorescence (FAF), mesopic and scotopic microperimetry (MP). Areas of definitely decreased FAF (DDAF) and questionably decreased FAF were outlined and quantified on FAF images. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Amongst the 15 patients (29 eyes) that were enrolled at 5 centers in the USA and Europe, 10 eyes (34.5%) had areas of DDAF with an average lesion area of 3.2 ± 3.5 mm 〈 sup 〉 2 〈 /sup 〉 (range 0.36–10.39 mm 〈 sup 〉 2 〈 /sup 〉 ) at baseline. The mean retinal sensitivity of the posterior pole derived from mesopic MP was 8.8 ± 5.8 dB. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Data on disease progression in 〈 i 〉 PROM1 〈 /i 〉 -related retinopathy from this study will contribute to the characterization of the natural history of disease and the exploration of the utility of several modalities to track progression and therefore to potentially be used in future interventional clinical trials.
    Type of Medium: Online Resource
    ISSN: 0030-3747 , 1423-0259
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2018
    detail.hit.zdb_id: 1483177-6
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
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