Review Article

Visual Electrodiagnostic Testing in Birdshot Chorioretinopathy

Table 1

Studies reporting full-field ERG results in birdshot chorioretinopathy.

AuthorsYearType of studyPatients /ERG Eyes /ERG Disease severityISCEV StandardRod ERG amplitudeRod ERG peak timeMixed ERG amplitudeMixed ERG peak timePhotopic b-wave amplitudePhotopic b-wave peak timeFlicker ERG amplitudeFlicker ERG peak timeNote 1Note 2

Kaplan and Aaberg [20]1980Case reports48Low/
variable
NNMethod is unclear

Gass [8]1981Cross-sectional11/1022/20VariableNo detailed breakdown of ERG changes by stimulus/parametersAbnormal rod and cone ERGs in all 10 patients

Fuerst et al. [29]1984Cross-sectional9/618/10Variable↓↓→ →Good ERG method

Priem et al. [21]1988Cross-sectional16 32 ?VariablePoor ERG method, few detailsb-wave/a-wave ratio correlated with vasculopathy

Godel et al. [22]1989Case reports24Severe/
moderate
Few ERG method details ERG got worse with disease progression

Hirose et al. [30] 1991Cross-sectional1528Variable↓↓↓↓↓Good ERG method, each ERG component affected to a different degree

Fich and Rosenberg [31]1992Case reports24Severe↓↓→ →↓↓→ →Few ERG details

Gasch et al. [32] 1999Cross-sectional59/22??/44 ?VariableNo detailed breakdown of ERG changes by stimulus/parametersEqual reduction in rod and cone responses claimed

Oh et al. [33]2002Cross-sectional19/14??/28 ?Variable?↓↓↓↓ERG 30 Hz flicker not doneb-wave/a-wave ratio ↓ initially, then overall decrease

Zacks et al. [23]2002Cross-sectional and follow-up1530VariableYes→ →Correlated 7 ERG parameters with ability to taper immunosuppressive Rx30 Hz flicker time was the best

Holder et al. [24]2005Cross-sectional and follow-up1836VariableYes30 Hz flicker amplitude and time most sensitiveERG classified only as normal/abnormal

Sobrin et al. [25]2005Cross-sectional and follow-up2346VariableYes→ →The authors state that most sensitive parameters are unclear Tables 2, 5 and Figure 4 suggest 30 Hz flicker; time most affected

Kiss et al. [34]2005Cross-sectional and follow-up2856VariableYes→ →Only 2 ERG parameters monitored: mixed amplitude and flicker time

Sobrin et al. [35]2008Cross-sectional and follow-up with Rx816VariableYes→ → Reported numeric values for only 2 ERG parameters: 30 Hz time and max amplitudeToo few patients for statistics

Thorne et al. [13]2008Cross-sectional and follow-up55/24109/48Variable?No detailed breakdown of ERG changes by stimulus/parameters79% had abnormal ERG

Rush et al. [26]2011Rx follow-up1932VariableYes→ →Used flicker ERG for follow-up, amplitude, and PTOnly ERG flicker reported; no statistics

Artornsombudh et al. [27]2013Rx follow-up2244VariableYesUsed flicker ERG time for follow-up as part of the definition of relapse/inflammation controlNo ERG statistics

Cervantes-Castañeda et al. [28]2013Rx follow-up4998VariableYesUsed flicker ERG amplitude and time for follow-upTime is more sensitive than amplitude

Doycheva et al. [36] 2014Rx follow-up24/2148/42VariableYesUsed mixed flicker ERG for follow-upNo change in ERG parameters; effective Rx?

Rx: treatment.