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Electroretinography

Contact lens elect...Contact lens electrode on eye

ERG; Electrophysiologic testing

Definition

Electroretinography is a test to measure the electrical response of the eye's light-sensitive cells, called rods and cones. These cells are part of the retina (the back part of the eye).

How the Test is Performed

While you are in a sitting position, the health care provider places numbing drops into your eyes, so you will not have any discomfort during the test. Your eyes are held open with a small device called a speculum. An electrical sensor (electrode) is placed on each eye.

The electrode measures the electrical activity of the retina in response to light. A light flashes, and the electrical response travels from the electrode to a TV-like screen, where it can be viewed and recorded. The normal response pattern has waves called A and B.

The provider will take the readings in normal room light and then again in the dark, after allowing 20 minutes for your eyes to adjust.

How to Prepare for the Test

No special preparation is necessary for this test.

How the Test will Feel

The probes that rest on your eye may feel a little scratchy. The test takes about 1 hour to perform.

Why the Test is Performed

This test is done to detect disorders of the retina. It is also useful for determining if retinal surgery is recommended.

Normal Results

Normal test results will show a normal A and B pattern in response to each flash.

What Abnormal Results Mean

The following conditions may cause abnormal results:

Arteriosclerosis with damage to the retina
Congenital night blindness
Congenital retinoschisis (splitting of the retinal layers)
Giant cell arteritis
Medicines (chloroquine, hydroxychloroquine)
Mucopolysaccharidosis
Retinal detachment
Rod-cone dystrophy (retinitis pigmentosa)
Trauma
Vitamin A deficiency

Risks

The cornea may get a temporary scratch on the surface from the electrode. Otherwise, there are no risks with this procedure.

Considerations

You should not rub your eyes for an hour after the test, as this could injure the cornea. Your provider will talk to you about the results of the test and what they mean for you.

References

Baloh RW, Jen JC. Neuro-ophthalmology. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 396.

Reichel E, Klein K. Retinal electrophysiology. In: Yanoff M, Duker JS, eds. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019:chap 6.9.

Tsang SH, Holder GE. Clinical electrophysiology. In: Sadda SVR, Sarraf D, Freund B, et al, eds. Ryan's Retina. 7th ed. Philadelphia, PA: Elsevier; 2023:chap 9.

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Review Date: 8/22/2022

Reviewed By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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