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A comparison of two patient-friendly ERG electrode

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Abstract

The ideal electroretinography (ERG) electrode does not exist. In deciding which electrode should be used in clinical practice the capacity to provide reproducible waveforms, maximal amplitudes and minimal irritation to the patient’s eyes are the most important characteristics. This study tested two patient friendly electrodes, the gold foil (CH Electrodes, UK) and the H-K loop (Avanta, Slovenia). Seventeen normal volunteers were subjected to three standard measurements namely flash ERGs under photopic and scotopic conditions and the transient pattern ERG (PERG). Each test followed the guidelines set by the International Society for Clinical Electrophysiology of Vision (ISCEV). It was found that the mean values of the flash ERG a and b wave amplitudes and the PERG P50 and N95 amplitudes from the gold foil electrodes were approximately a factor of two larger than those from the H-K loop. In addition most of the subjects (13/17) felt less discomfort with the gold foil electrodes. We reached the conclusion that gold foil electrodes are the electrode of choice because they provide good patient comfort, reasonably high amplitudes and relatively reproducible results.

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References

  1. Gjotterberg, M.,Electrodes for electroretinography. Arch Ophthalmol 104: 569–570, 1986.

    CAS  PubMed  Google Scholar 

  2. Dawson, W.W., Trick, G.L. and Litzkow, C.A.,Improved electrode for electroretinography. Invest Ophthalmol Visual Sci 18: 988–991, 1979.

    CAS  Google Scholar 

  3. Arden, G.B., Carter, C.H., Siegel, I.M. and Margolis, S.,A gold foil electrode: extending the horizons for clinical electroretinography. Invest. Ophthalmol Visual Sci 18: 421–426, 1979.

    CAS  Google Scholar 

  4. Hawlina, M. and Konec, B.,New noncorneal H-K loop electrode for clinical electroretinography. Doc Ophthalmol 81: 253–259, 1992.

    Article  CAS  PubMed  Google Scholar 

  5. Bach, M., Hawlina, M., Holder, G.E., Marmor, M.F., Meigen, T., Veagan and Miyake, Y.,Standard for pattern electroretinography. Doc Ophthalmol 101: 11–18, 2000.

    Article  CAS  PubMed  Google Scholar 

  6. Prager, T.C., Saad, N., Schweitzer, F.G., Garcia, C.A. and Arden, G.B.,Electrode comparison in pattern electroretinography. Invest Ophthalmol Visual Sci 33: 390–394, 1992.

    CAS  Google Scholar 

  7. Esakowitz, L., Kriss, A. and Shawkat, F.,A comparison of flash electroretinograms recorded from Burian Allen, Jet, Cglide, gold foil, DTL and Skin electrodes. Eye 7: 169–171, 1993.

    PubMed  Google Scholar 

  8. Kriss, A.,Skin ERGs: their effectiveness in paediatric visual assessment, confounding factors, and comparison with ERGs recorded using various types of corneal electrodes. Int J Psychophysiol 16: 137–146, 1994.

    Article  CAS  PubMed  Google Scholar 

  9. Mohidin, N., Yap, M.K. and Jacobs, R.J.,The repeatability and variability of the multifocal electroretinogram for four different electrodes. Ophthalmic Physiol Opt 17: 530–535, 1997.

    Article  CAS  PubMed  Google Scholar 

  10. McCulloch, D.L., Van Boemel, G.B. and Borchert, M.S.,Comparisons of contact lens, foil, fiber and skin electrodes for patterns Electroretinograms. Doc Ophthalmol 94: 327–340, 1997–98.

    Article  PubMed  Google Scholar 

  11. Arden, G.B., Hogg, C.R. and Holder, G.E.,Gold foil electrodes: A two-center study of electrode reliability. Doc Ophthalmol 86: 275–284, 1994.

    Article  CAS  PubMed  Google Scholar 

  12. Prager, T.C., Fea, A.M., Sponsel, W.E., Schweitzer, F.C., McNulty, L. and Garcia, C.A.,The gold foil electrode in pattern electroretinography. Doc Ophthalmol 86: 267–274, 1994.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to R. R. Hidajat.

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Hidajat, R.R., McLay, J.L., Elder, M.J. et al. A comparison of two patient-friendly ERG electrode. Australas Phys Eng Sci Med 26, 30 (2003). https://doi.org/10.1007/BF03178694

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  • DOI: https://doi.org/10.1007/BF03178694

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