Erg Case

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3.1.1 ERG
One of the first reports of using ERG tracing was in 1988, where the oscillatory potentials (low amplitude, high frequency wavelets present on the ascending part of the b-wave, were looked at as a marker for dopaminergic disease. No difference was found in schizophrenic patients (N=12) versus the control group (N=9). The next ERG study was in 1992. While they did not find a significant difference in ERG tracing between their schizophrenia patients (N=9) versus their control group (N=13), they did notice a decreased cone b-wave in 6 of their schizophrenia patients with a history of sun gazing.
Since then, there have been more studies using the ERG as a probe for retinal disease in schizophrenic patients. A summary of these studies is shown below in Table 2. A pilot study used the ERG to measure retinal function as a marker for cell membrane omega-3 fatty acid depletion
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In addition to the findings shown below, they found no significant correlation between medication dose, in terms of chlorpromazine equivalents, and ERG measures. Of the 9 schizophrenic patients, one patient had been free of antipsychotic medication for over 6 months. In this patient, the dark adapted a-wave amplitude was comparable to the schizophrenic group (217.2 versus 215.1), the light adapted a-wave amplitude was intermediate between the groups (50.7 versus 40.0 in SZ and 56.6 in control), and both the dark and light adapted b-wave amplitudes were greater than the control group. These values are visualized in Figure 1. This was replicated by a subsequent study, which found a

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