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Electroretinogram abnormalities in non‐infectious uveitis often persist
Author(s) -
Brouwer Anna H.,
Wit Gerard C.,
ten Dam Ninette H.,
Wijnhoven Ralph,
Genderen Maria M.,
Boer Joke H.
Publication year - 2020
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.14401
Subject(s) - erg , uveitis , medicine , ophthalmology , electroretinography , visual acuity , retinal
Purpose In uveitis, a prolonged implicit time of the cone b‐wave is a characteristic electroretinogram (ERG) abnormality. We investigated whether this can improve or deteriorate over time and which clinical factors are associated with change. Methods Prospective cohort study. Patients with a non‐infectious uveitis were included. An ERG was measured in the first year of uveitis onset and a follow‐up ERG one year later. Changes in the implicit time of the cone b‐wave were investigated in relation to clinical parameters including the following: demographics, uveitis characteristics, treatment, best‐corrected visual acuity, optical coherence tomography parameters and fluorescein angiography scores. Results Of 98 eyes (63 patients), 40 showed a prolonged cone b‐wave on the first ERG, which improved in 10 eyes. Eyes with an improved ERG more often had a panuveitis with initially a higher incidence of cells in the anterior chamber during the first ERG, which resolved at the time of their follow‐up ERG. Five of the 58 eyes with a normal first ERG had a deteriorated follow‐up ERG. These eyes had more frequently an active uveitis at the time of the follow‐up ERG. Of the 78 eyes with a stable cone b‐wave, 16 had a quiescent inflammation during follow‐up. There were no differences in age or treatment. Conclusion In most patients with non‐infectious uveitis, ERG abnormalities appear to be irreversible, even when the inflammation becomes quiescent. However, some ERGs improved, which was associated with reduction in inflammation of the anterior chamber due to panuveitis. In contrast, a worsened ERG was associated with a persistence of inflammation.