The Multifocal On- and Off-Responses in the Human Diabetic Retina.

The characteristics of the on- and off-responses in the human diabetic retina by a "long-duration" multifocal electroretinogram (mfERG) paradigm were investigated. Changes in the retinal antagonistic interaction were also evaluated in the early stage of diabetes mellitus (DM). Twenty type...

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Main Authors: Jenny C Y Lung, Peter G Swann, Henry H L Chan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0155071&type=printable
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author Jenny C Y Lung
Peter G Swann
Henry H L Chan
author_facet Jenny C Y Lung
Peter G Swann
Henry H L Chan
author_sort Jenny C Y Lung
collection DOAJ
description The characteristics of the on- and off-responses in the human diabetic retina by a "long-duration" multifocal electroretinogram (mfERG) paradigm were investigated. Changes in the retinal antagonistic interaction were also evaluated in the early stage of diabetes mellitus (DM). Twenty type II diabetic patients with no or mild non-proliferative diabetic retinopathy (NPDR) and twenty-one age-matched healthy controls were recruited for "long-duration" mfERG measurements. A 61-hexagon mfERG stimulus was displayed under two chromatic conditions (white/black and blue/black) at matched luminance. The amplitudes and implicit times of the on-response components (N1, P1 and N2) and off-response (P2) components were analysed. The blue stimulation generally triggered greater mfERG amplitudes in P1, N2 and P2 (p<0.05) than those from white stimulation in both control and diabetic groups. The diabetic group showed significantly greater N2 amplitude than the controls under white stimulation in mid-retinal regions (Rings 2 and 4) (p<0.05). When the stimulus was changed from white to blue, the diabetic group showed a smaller percentage change in N2 amplitude than the controls in peripheral retinal region (Ring 5) (p<0.02). When a stimulus is changed from white (broad-band spectral stimulation) to blue (narrow-band spectral stimulation), a decrease in the involvement of lateral antagonism would be expected. The larger amplitude of the on-response component (N2) in the diabetic patients suggested an imbalance of lateral antagonism, and the lesser percentage change of N2 amplitude in the diabetic group may indicate an impairment of the cross-talk at the middle retinal level in early stages of DM.
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spelling doaj-art-79071366126c4b8ea345ce97f25b90fd2025-08-20T02:15:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01115e015507110.1371/journal.pone.0155071The Multifocal On- and Off-Responses in the Human Diabetic Retina.Jenny C Y LungPeter G SwannHenry H L ChanThe characteristics of the on- and off-responses in the human diabetic retina by a "long-duration" multifocal electroretinogram (mfERG) paradigm were investigated. Changes in the retinal antagonistic interaction were also evaluated in the early stage of diabetes mellitus (DM). Twenty type II diabetic patients with no or mild non-proliferative diabetic retinopathy (NPDR) and twenty-one age-matched healthy controls were recruited for "long-duration" mfERG measurements. A 61-hexagon mfERG stimulus was displayed under two chromatic conditions (white/black and blue/black) at matched luminance. The amplitudes and implicit times of the on-response components (N1, P1 and N2) and off-response (P2) components were analysed. The blue stimulation generally triggered greater mfERG amplitudes in P1, N2 and P2 (p<0.05) than those from white stimulation in both control and diabetic groups. The diabetic group showed significantly greater N2 amplitude than the controls under white stimulation in mid-retinal regions (Rings 2 and 4) (p<0.05). When the stimulus was changed from white to blue, the diabetic group showed a smaller percentage change in N2 amplitude than the controls in peripheral retinal region (Ring 5) (p<0.02). When a stimulus is changed from white (broad-band spectral stimulation) to blue (narrow-band spectral stimulation), a decrease in the involvement of lateral antagonism would be expected. The larger amplitude of the on-response component (N2) in the diabetic patients suggested an imbalance of lateral antagonism, and the lesser percentage change of N2 amplitude in the diabetic group may indicate an impairment of the cross-talk at the middle retinal level in early stages of DM.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0155071&type=printable
spellingShingle Jenny C Y Lung
Peter G Swann
Henry H L Chan
The Multifocal On- and Off-Responses in the Human Diabetic Retina.
PLoS ONE
title The Multifocal On- and Off-Responses in the Human Diabetic Retina.
title_full The Multifocal On- and Off-Responses in the Human Diabetic Retina.
title_fullStr The Multifocal On- and Off-Responses in the Human Diabetic Retina.
title_full_unstemmed The Multifocal On- and Off-Responses in the Human Diabetic Retina.
title_short The Multifocal On- and Off-Responses in the Human Diabetic Retina.
title_sort multifocal on and off responses in the human diabetic retina
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0155071&type=printable
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