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June 1993

Electroretinographic Findings in Iris Neovascularization due to Acute Central Retinal Vein Occlusion

Author Affiliations

From the Wilmer Ophthalmological Institute, The Johns Hopkins University School of Medicine, Baltimore, Md (Dr Johnson), and the Department of Ophthalmology, The Mayo Clinic, Scottsdale, Ariz (Dr McPhee).

Arch Ophthalmol. 1993;111(6):806-814. doi:10.1001/archopht.1993.01090060094030

• Electroretinograms (ERGs) were recorded in 94 patients with central retinal vein occlusion (CRVO). Of these 94, 11 had neovascularization of the iris (NVI) at the time of testing, 25 later developed NVI, and 58 did not develop NVI during a follow-up period that varied from 1½ to 5 years. The ERG recorded at the patient's presentation visit predicted the occurrence of NVI in these patients with high sensitivity and specificity. The most predictive ERG parameters were the semi-saturation constant from intensityresponse analysis (log K), and the implicit times of the scotopic a- and b-waves and the scotopic 30-Hz flicker response. These parameters were highly correlated, suggesting that the functional mechanism that places eyes at risk for NVI in CRVO is unidimensional. Paradoxically, the most likely candidate for this mechanism is photoreceptor sensitivity loss due to ischemia.

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