Mid Atlantic Retina is excited to announce that Retinal and Ophthalmic Consultants, PC has joined our practice. Brett Foxman, MD, Scott Foxman, MD, Thomas Margolis, MD, and Daniel Connors, MD will continue to treat patients at the Northfield, Vineland, and Cape May Court House locations.

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Electroretinogram (ERG)

An electroretinogram (ERG), or electroretinography, is a painless diagnostic procedure that evaluates the function of the retina, the light-sensitive lining on the back of the eye where light is focused. This test can aid in the diagnosis of several retinal conditions that can lead to serious complications, including permanent vision loss.

How an Electroretinogram (ERG) Test is Performed

During the ERG procedure, the doctor places a contact lens on the eye to record electrical responses in retinal cells to flashes of light. By measuring these responses to the light under varying conditions, your doctor can determine how well the retina is functioning.

The entire ERG eye test takes 30-45 minutes on average and is available to our patients at Wills Eye Hospital. This procedure is performed with dilated pupils to achieve the most accurate results.

What Does Electroretinography Feel Like?

Patients receive anesthetic eye drops to minimize discomfort, so most report only mild sensations, including slight scratchiness or pressure from the electrode resting on the surface of the eye. A speculum is also used to gently keep the eyelids open throughout the test. While some irritation or sensitivity to the bright light is expected, significant pain is rare.

What Does My Doctor See?

Electroretinography helps your doctor evaluate the health of your retina. More specifically, it allows your doctor to detect retinal diseases/conditions at early stages and has made timely intervention possible in many cases.

After the Procedure

You might notice some mild irritation or light sensitivity afterward, and your vision could stay blurry for a few hours because of the dilation drops and electrode placement. Avoid touching or rubbing your eyes for at least an hour, and hold off on wearing contact lenses until the next day.

Sunglasses can help with discomfort from bright light while your pupils are still dilated. If you develop significant pain or any noticeable change in vision, contact your doctor.

Normal vs Abnormal Results

  • Normal results: A normal ERG eye test shows appropriate electrical responses from the retina’s photoreceptors, rods and cones, under both scotopic (dark-adapted) and photopic (light-adapted) conditions. These responses are typically reflected in well-formed A- and B-waves on the recording.
  • Abnormal results: Abnormal results can point to retinal dysfunction. That might include inherited retinal diseases, retinal detachment, or other issues, and usually shows up as reduced signal strength, delayed responses, or missing waveforms.