The Electro-retinogram Flashcards

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1
Q

what is the electro-retinogram used to show

A

it is a clinical test of vision which shows whats wrong with the retina, is a functional test of retinal function

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2
Q

which retinal cells does the electroretinogram specifically look at

A
photoreceptors 
bipolar cells
amacrine cells
RPE cells 
ganglion cells & 
interactions within the retina or the macula
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3
Q

what shapes the electrical signals recorded within the eye

A

electrical changes within the cells as a single photo transduction passes through the retina

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4
Q

from the sclera to the vitreous list the origins of electroretinogram responses

A
  • standing potential EOG light peak
    c-wave (doesn’t record the apical hyperpolarisation which comes from RPE cells)
  • ERG a-wave (hyper polarisation of photoreceptors)
  • ERG b-wave (combination of on & off bipolar cell activity & some contribution from muller cells)
    oscillatory potentials (largly amacrine cells in nature)
    pattern ERG (derived from ganglion cell layer)
    photopic negative response, PhNR (responses of the cone system & is shaped by amacrine cells & off bipolar pathway)
    scotopic threshold response STR (something you record after being dark adapted for 3-4 days)
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5
Q

what does the c-wave not record

A

the apical hyperpolarisation which comes from RPE cells

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6
Q

what is the a-wave a hyper polarisation of

A

photoreceptors

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7
Q

what is the b-wave a combination of

A

on & off bipolar cell activity & some contribution from muller cells

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8
Q

what are oscillatory potentials largely in nature

A

amacrine cells

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9
Q

what is the pattern ERG derived from

A

ganglion cell layer

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10
Q

what are photopic negative response PhNR responses of

A

the cone system

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11
Q

what are the photopic negative response PhNR responses shaped by

A

amacrine cells & off bipolar pathway

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12
Q

when do you record the scotopic threshold response STR

A

after being dark adapted for 3-4 days

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13
Q

what receptors are the on bipolar cells exclusively

A

MGLUR-R6 glutamate receptors

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14
Q

what blockers are the on bipolar cells exclusively

A

MNDA

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15
Q

what receptors are there within the off bipolar cell pathway

A

ionotropic receptors

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16
Q

what are the ionptropic receptors fast in

A

acting

17
Q

what are the inotropic receptors expressed largely in

A

off bipolar cells

18
Q

what do the inotropic receptors shape

A

the off bipolar cell pathway

19
Q

which receptors of the off bipolar cell are linked and associated with autism

A

Glu6 or GRIK glutamte receptor

20
Q

which wave is the hyper polarisation of bipolar cells

A

a-wave

21
Q

what is the b-wave, depolarisation of

A

bipolar cells

22
Q

what does the peak of an a-wave show in ERG waveforms as an all scotopic series in photopic conditions

A

cone responses at a faster frequency

23
Q

what does the peak of a b-wave show in the ERG waveforms as an all scotopic series in photopic conditions

A

pure cone response which is smaller than the rod response

24
Q

what happens to the b-wave if you increase the intensity higher

A

rising edge with ripples

25
Q

what happens to the a-wave and b-wave if you increase the intensity higher

A

a-wave gets larger and b-wave gets smaller

26
Q

what happens to the a-wave and b-wave as you increase light levels but still in scotopic conditions

A

the a-wave and b-wave is there but with reduced amplitude, there is a mix of rod a-wave and cone a-wave and contribution to b-wave is less