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Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma.

Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma. Research Abstract Details 

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  • Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma. Abstract Text:

    eijiro asanoEijiro Asano,kiyofumi mochizukiKiyofumi Mochizuki,akira sawadaAkira Sawada,ei-ichiro nagasakaEi-ichiro Nagasaka,yuji kondoYuji Kondo,tetsuya yamamotoTetsuya Yamamoto,eijiro asanoEijiro Asano,kiyofumi mochizukiKiyofumi Mochizuki,akira sawadaAkira Sawada,ei-ichiro nagasakaEi-ichiro Nagasaka,yuji kondoYuji Kondo,tetsuya yamamotoTetsuya Yamamoto,eijiro asanoEijiro Asano,kiyofumi mochizukiKiyofumi Mochizuki,akira sawadaAkira Sawada,ei-ichiro nagasakaEi-ichiro Nagasaka,yuji kondoYuji Kondo,tetsuya yamamotoTetsuya Yamamoto,

    PURPOSE: To determine whether multifocal electroretinograms (mfERGs) can provide an index for identification of glaucomatous optic neuropathy in patients with normal-tension glaucoma (NTG). METHODS: mfERGs were recorded in 30 normal volunteers (30 eyes) and 20 patients (20 eyes) with normal-tension glaucoma (NTG). Visual field examinations were performed with a Humphrey field analyzer, and all NTG patients had unilateral hemifield defects. The mfERGs were elicited by a binary m-sequence of flashes from 37 hexagonal elements that subtended an overall visual angle of 50 degrees x 40 degrees. The mfERGs were summed and analyzed for predetermined retinal loci. These mfERGs were compared with the perimetric findings of the corresponding visual fields. RESULTS: In normal volunteers, the amplitude of the second-order kernel within the central 5 degrees of the nasal hemisphere was significantly smaller than in that of the temporal hemisphere (Wilcoxon signed-rank test, P = 0.0001). In NTG patients, this asymmetry of the two hemispheres was reduced or not present. The ratio of the amplitude of the mfERGs from the nasal and temporal hemispheres (N/T amplitude ratio) in normal control volunteers was significantly different from that of NTG patients with a hemifield defect (analysis of variance, P = 0.0001). When the cutoff value for the N/T amplitude ratio was set at 0.83 for discriminating glaucomatous eyes from normal eyes, the sensitivity was 65.0% with a specificity of 96.7%. The area under the receiver-operating characteristic curve of the N/T amplitude ratio was 0.86. The N/T amplitude ratio and the visual field indices were significantly correlated. CONCLUSION: A decrease in the nasal-temporal asymmetry in the amplitude of the second-order kernel responses within the central 5 degrees of glaucoma patients' eyes indicated a dysfunction of the inner retinal layers, including of the retinal ganglion cells.

    Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma. Publishing Authors By Initials

    e asanoE Asano,k mochizukiK Mochizuki,a sawadaA Sawada,e nagasakaE Nagasaka,y kondoY Kondo,t yamamotoT Yamamoto,e asanoE Asano,k mochizukiK Mochizuki,a sawadaA Sawada,e nagasakaE Nagasaka,y kondoY Kondo,t yamamotoT Yamamoto,e asanoE Asano,k mochizukiK Mochizuki,a sawadaA Sawada,e nagasakaE Nagasaka,y kondoY Kondo,t yamamotoT Yamamoto,

    For similar abstracts research abstracts see: abstracts research

    PUBMED ID PMID:

    MEDLINE DATE: 2007 Sep-Oct

    Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Japanese journal of ophthalmology

    VOLUME: 51

    Page Numbers: 379-89

    Journal Abbreviation: Jpn. J. Ophthalmol.

    ISSN: 0021-5155

    DAY: 5

    MONTH: 10

    YEAR: 2007

    Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma. Information

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    LANGUAGE: eng

    NlmUniqueID: 44652

    Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma. Keywords Mesh Terms:

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    Grant and Affiliation Information for Decreased nasal-temporal asymmetry of the second-order kernel response of multifocal electroretinograms in eyes with normal-tension glaucoma.

    AFFILIATION: Department of Ophthalmology, Gifu University Graduate School of Medicine, Gifu, Japan.

    Country: Japan

    Japan Research PublicationJapan Research Publication

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    MEDLINETA: Jpn J Ophthalmol

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