Normative Data of the Electrophysiologic Tests at Siriraj Hospital

Main Article Content

Ketchanya Rungsiri
Natayanee Homchong
Atiporn Thuangtong
Siriwan Loket

Abstract

Objective: To define normal values of Electroretinography (ERG) and Visual Evoked Potential (VEP) using VerisTM Clinic V.6.4.6. (contact lens electrode) in Siriraj hospital and using these values as a reference data.


Materials & Methods: ERG and VEP values were measured using VerisTM Clinic V.6.4.6 (contact lens electrode) in 20 healthy subjects (40 eyes) without history of ocular and/or systemic diseases that will affect ERG and VEP values.


Results: Twenty healthy volunteers (40 eyes) : 10 males and 10 females with the age range from 19 – 55 years old (mean 34 years old). ERG values were as followings – the amplitude of b-wave of Dark-adapted 0.01 ERG was > 195.2 microvoltage (µV), the amplitude of a-wave and b-wave of Dark-adapted 3.0 ERG were > 212.7 µV and > 343.0 µV, the amplitude of a-wave and b-wave of Dark-adapted 10.0 ERG were > 290.9 µV and > 344.9 µV, the amplitude of oscillatory potentials amplitude (op)1, 2, 3 and 4 of Dark-adapted 3.0 oscillatory potentials amplitude of were > 22.0 µV, > 39.3 µV, > 35.1 µV, and > 18.2 µV, the amplitude of a-wave and b-wave of Light-adapted 3.0 ERG were > 25.4 µV and > 109.8 µV, the amplitude of b-wave of Light-adapted 30 Hz flicker ERG was > 103.3 µV. VEP values were as followings the amplitude and latency of Flash VEP were > 6.3 µV and < 121.9 millisecond (ms), the amplitude and latency of Pattern-reversal VEP size 1 were > 8.0 µV and < 93.0 ms, the amplitude and latency of Pattern-reversal VEP size 2 were > 8.4 µV and < 102.0 ms.


Conclusion: These ERG and VEP values using VerisTM Clinic V.6.4.6 (contact lens electrode) in healthy volunteers will be used as a reference values at Siriraj Hospital.


Keywords: Electrophysiologic tests; normal values

Article Details

How to Cite
1.
Rungsiri K, Homchong N, Thuangtong A, Loket S. Normative Data of the Electrophysiologic Tests at Siriraj Hospital. Siriraj Med Bull [Internet]. 2020 Sep. 23 [cited 2024 Dec. 27];13(4):247-52. Available from: https://he02.tci-thaijo.org/index.php/simedbull/article/view/241892
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Original Article

References

1. งามแข เรืองวรเวทย์, อติพร ตวงทอง, เพียงพร ศักดิ์ศิริวุฒโฒ. การตรวจคลื่นไฟฟ้าทางจักษุวิทยา. กรุงเทพ: ภาควิชาจักษุวิทยา คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล; 2561. หน้า 71-81.
2. อติพร ตวงพร, วณิชา ชื่นกองแก้ว, อภิชาติ สิงคาลวณิช. ความรู้พื้นฐานทางจักษุวิทยา. สำนักพิมพ์ศิริราช 2558.หน้า 61-69.
3. สุธาสินี สีนะวัฒน์. โรคจอตาและวุ้นตาที่พบบ่อย. ขอนแก่น: ภาควิชาจักษุวิทยา คณะแพทยศาสตร์ มหาวิทยาลัยขอนแก่น; 2559. หน้า 75-80.
4. Daphne L. McCulloch, Michael F. Marmor, Mitchell G. Brigell, Ruth Hamilton, Graham E. Holder, Radouil Tzekov, et al. ISCEV Standard for full-field clinical electroretinography (2015 update). Doc Ophthalmol 2015; 130:1-12.
5. Anthony G. Robson, Josefin Nilsson, Shiying Li, Subhadra Jalali, Anne B.Fulton, Alma Patrizia Tormne, et al. ISCEV guide to visual electrodiagnostic procedures. Doc Ophthalmol 2018; 136:1-26.
6. John R. Heckenlively, Geoffrey B. Arden, Steven Nusinowitz, Graham E. Holder, Michael Bach. Prinnciples and practice of clinical electrophysiology of vision. 2nd ed. London. 2006.
7. Byron L. Lam. Electrophysiology of Vision (Clinical testing and applications). Informa Healthcare. 2011.
8. J. Vernon Odom, Michael Bach, Mitchel Brigell, Graham E. Holder, Daphne L., McCulloch, et al. ISCEV standard for clinical visual evoked potentials (2016 update). Dco Ophthalmol. 2016.
9. ณัชชา จันทร์วราภา. คู่มือการใช้งานโปรแกรม VerisTM Clinic Electrophysiology Lab Siriraj Hospital. 2551.
10. Thuangtong A, Ruangvaravate N, Samsen P, Thanasombatskul N. Normative data of Electroretinogram and Visual Evoked Potential in Thai Population. Siriraj Medical Journal. 2007; 59: 131-134.