Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal Diseases

The photopic negative response (PhNR) in response to a brief flash is a negative-going wave following the b-wave of the cone electroretinogram (ERG) that is driven by retinal ganglion cells (RGCs). The function of RGCs is objectively evaluated by analysing the PhNR. We reviewed articles regarding c...

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Main Author: Shigeki Machida
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2012/397178
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author Shigeki Machida
author_facet Shigeki Machida
author_sort Shigeki Machida
collection DOAJ
description The photopic negative response (PhNR) in response to a brief flash is a negative-going wave following the b-wave of the cone electroretinogram (ERG) that is driven by retinal ganglion cells (RGCs). The function of RGCs is objectively evaluated by analysing the PhNR. We reviewed articles regarding clinical use of the PhNR. The PhNR was well correlated with the visual sensitivity obtained by standard automated perimetry and morphometric parameters of the inner retina and optic nerve head in optic nerve and retinal diseases. Moreover, combining the PhNR with focal or multifocal ERG techniques enables the objective assessment of local function of RGCs. The PhNR is therefore likely to become established as an objective functional test for optic nerve and retinal diseases involving RGC injury.
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spelling doaj-art-a80d7772b06e4aa8b6eba23103e6f2c72025-08-20T02:20:45ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/397178397178Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal DiseasesShigeki Machida0Department of Ophthalmology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Iwate, Morioka 020-8505, JapanThe photopic negative response (PhNR) in response to a brief flash is a negative-going wave following the b-wave of the cone electroretinogram (ERG) that is driven by retinal ganglion cells (RGCs). The function of RGCs is objectively evaluated by analysing the PhNR. We reviewed articles regarding clinical use of the PhNR. The PhNR was well correlated with the visual sensitivity obtained by standard automated perimetry and morphometric parameters of the inner retina and optic nerve head in optic nerve and retinal diseases. Moreover, combining the PhNR with focal or multifocal ERG techniques enables the objective assessment of local function of RGCs. The PhNR is therefore likely to become established as an objective functional test for optic nerve and retinal diseases involving RGC injury.http://dx.doi.org/10.1155/2012/397178
spellingShingle Shigeki Machida
Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal Diseases
Journal of Ophthalmology
title Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal Diseases
title_full Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal Diseases
title_fullStr Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal Diseases
title_full_unstemmed Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal Diseases
title_short Clinical Applications of the Photopic Negative Response to Optic Nerve and Retinal Diseases
title_sort clinical applications of the photopic negative response to optic nerve and retinal diseases
url http://dx.doi.org/10.1155/2012/397178
work_keys_str_mv AT shigekimachida clinicalapplicationsofthephotopicnegativeresponsetoopticnerveandretinaldiseases