Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors

Purpose: To study the effect of refractive errors on pattern visual evoked potential (VEP) recordings in the pediatric population. Methods: This cross-sectional observational study assessed 240 eyes of 120 participants attending the outpatient department of a tertiary care center in North India. Par...

Full description

Bibliographic Details
Main Authors: Ajai Agrawal, Athul Suresh Puthalath, Sanjeev K Mittal, Sunita Mittal, Yogesh Singh, Anupam Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=5;spage=1727;epage=1731;aulast=Agrawal
_version_ 1811244788894138368
author Ajai Agrawal
Athul Suresh Puthalath
Sanjeev K Mittal
Sunita Mittal
Yogesh Singh
Anupam Singh
author_facet Ajai Agrawal
Athul Suresh Puthalath
Sanjeev K Mittal
Sunita Mittal
Yogesh Singh
Anupam Singh
author_sort Ajai Agrawal
collection DOAJ
description Purpose: To study the effect of refractive errors on pattern visual evoked potential (VEP) recordings in the pediatric population. Methods: This cross-sectional observational study assessed 240 eyes of 120 participants attending the outpatient department of a tertiary care center in North India. Participants were between 8 and 18 years of age; 30 participants each were recruited into four groups, namely emmetropia, myopia, hypermetropia, and amblyopia. They were then subjected to pattern reversal VEP, with P-100 amplitude and latency recorded for each participant. Results: The emmetropic group in this study provided normal values of P-100 parameters, namely P-100 latency and P-100 amplitude with readings of 115.78 ± 10.19 ms and 11.11 ± 4.08 μV, respectively. P-100 amplitude was significant compared to P-100 latency in detecting the presence or absence of a specific type of refractive error. It was found that there was a significant association between severity of myopia and P-100 latency (both unaided and aided) with P < 0.05. The severity of hypermetropia showed a significant association with P-100 amplitude (unaided) (P < 0.05). Receiver operating characteristics analysis revealed P-100 amplitude to be a good predictor of refractive error and the cut-offs were calculated. Conclusion: The P-100 parameters of the pediatric Indian population were comparatively higher than conventional values. P-100 latency seemed to better correlate with myopia, while hypermetropia correlated with P-100 amplitude. P-100 amplitude appears to be the most significant predictor of the presence of refractive error in an individual.
first_indexed 2024-04-12T14:31:04Z
format Article
id doaj.art-e9c099939b9743e193bc1d59fe58d506
institution Directory Open Access Journal
issn 0301-4738
1998-3689
language English
last_indexed 2024-04-12T14:31:04Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Ophthalmology
spelling doaj.art-e9c099939b9743e193bc1d59fe58d5062022-12-22T03:29:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017051727173110.4103/ijo.IJO_2692_21Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errorsAjai AgrawalAthul Suresh PuthalathSanjeev K MittalSunita MittalYogesh SinghAnupam SinghPurpose: To study the effect of refractive errors on pattern visual evoked potential (VEP) recordings in the pediatric population. Methods: This cross-sectional observational study assessed 240 eyes of 120 participants attending the outpatient department of a tertiary care center in North India. Participants were between 8 and 18 years of age; 30 participants each were recruited into four groups, namely emmetropia, myopia, hypermetropia, and amblyopia. They were then subjected to pattern reversal VEP, with P-100 amplitude and latency recorded for each participant. Results: The emmetropic group in this study provided normal values of P-100 parameters, namely P-100 latency and P-100 amplitude with readings of 115.78 ± 10.19 ms and 11.11 ± 4.08 μV, respectively. P-100 amplitude was significant compared to P-100 latency in detecting the presence or absence of a specific type of refractive error. It was found that there was a significant association between severity of myopia and P-100 latency (both unaided and aided) with P < 0.05. The severity of hypermetropia showed a significant association with P-100 amplitude (unaided) (P < 0.05). Receiver operating characteristics analysis revealed P-100 amplitude to be a good predictor of refractive error and the cut-offs were calculated. Conclusion: The P-100 parameters of the pediatric Indian population were comparatively higher than conventional values. P-100 latency seemed to better correlate with myopia, while hypermetropia correlated with P-100 amplitude. P-100 amplitude appears to be the most significant predictor of the presence of refractive error in an individual.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=5;spage=1727;epage=1731;aulast=Agrawalamblyopiahypermetropiamyopiap-100pediatricrefractive errorvisual evoked potential
spellingShingle Ajai Agrawal
Athul Suresh Puthalath
Sanjeev K Mittal
Sunita Mittal
Yogesh Singh
Anupam Singh
Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors
Indian Journal of Ophthalmology
amblyopia
hypermetropia
myopia
p-100
pediatric
refractive error
visual evoked potential
title Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors
title_full Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors
title_fullStr Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors
title_full_unstemmed Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors
title_short Alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors
title_sort alteration in pattern reversal visual evoked potential in pediatric population with amblyopia and spherical refractive errors
topic amblyopia
hypermetropia
myopia
p-100
pediatric
refractive error
visual evoked potential
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=5;spage=1727;epage=1731;aulast=Agrawal
work_keys_str_mv AT ajaiagrawal alterationinpatternreversalvisualevokedpotentialinpediatricpopulationwithamblyopiaandsphericalrefractiveerrors
AT athulsureshputhalath alterationinpatternreversalvisualevokedpotentialinpediatricpopulationwithamblyopiaandsphericalrefractiveerrors
AT sanjeevkmittal alterationinpatternreversalvisualevokedpotentialinpediatricpopulationwithamblyopiaandsphericalrefractiveerrors
AT sunitamittal alterationinpatternreversalvisualevokedpotentialinpediatricpopulationwithamblyopiaandsphericalrefractiveerrors
AT yogeshsingh alterationinpatternreversalvisualevokedpotentialinpediatricpopulationwithamblyopiaandsphericalrefractiveerrors
AT anupamsingh alterationinpatternreversalvisualevokedpotentialinpediatricpopulationwithamblyopiaandsphericalrefractiveerrors