Electrophysiologic tests in the assessment of visual disorders

Abstract

Some electrophysiological tests are helpful in the assessment of visual disorders. The physiological basis, technical aspects and general indications of those available at most neurophysiology services are reviewed. The Full-Field electroretinogram reflects photoreceptor and inner retinal function. The Pattern electroretinogram assesses retinal ganglion cell function and can identify macular dysfunction mimicking optic nerve disease. The electro-oculogram is a test of function of the outer retina and retinal pigment epithelium; it differentiates Best’s disease from all other bestrophinopathies. Visual evoked potentials evaluate the visual pathway and are especially helpful in the evaluation of the optic nerve.