Evidence map›Paper›PMID 40164784›Full record

ArticleDocumenta ophthalmologica. Advances in ophthalmology2025

ISCEV standard full-field ERG reference limits from 407 healthy subjects, derived from transference and validation of reference data between electrode types and centres.

Rebecca A Baker, Shaun M Leo, William I N Clowes, Isabelle Chow, Xiaofan Jiang, Anne L Georgiou, Antonio Calcagni, Christopher J Hammond, Magella M Neveu, Omar A Mahroo and 1 more

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in Documenta ophthalmologica. Advances in ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. A unilateral presentation of pigmented paravenous chorioretinal atrophy: a case report.Documenta ophthalmologica. Advances in ophthalmology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rebecca A BakerMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.
Shaun M LeoMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.
William I N ClowesMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.
Isabelle ChowSt Thomas' Hospital, London, UK.
Xiaofan JiangUCL Institute of Ophthalmology, London, UK.
Anne L GeorgiouMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.
Antonio CalcagniMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.
Christopher J HammondSt Thomas' Hospital, London, UK.
Magella M NeveuMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.
Omar A MahrooMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK.
Anthony G RobsonMoorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, UK. anthony.robson3@nhs.net.ORCID 0000-0002-8391-6123

Funding

National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology NIHR203322Wellcome TrustWellcome Trust 206619/Z/17/Z
6 · The paper itself

Abstract

purposeTo establish age-adjusted reference intervals for the ISCEV standard full-field electroretinogram (ERG) recorded with silver thread electrodes in the lower fornix, based on a combined reference sample involving recordings from reference subjects and transference of data between two centres and two types of electrode.

methodsSilver thread lower fornix ERG reference data from two centres underwent verification for inclusion in the reference sample (n = 251). Comparison analysis was performed to determine whether gold foil reference data could be included in the silver thread reference range, directly or with adjustment. Reference subjects and patients underwent ERG testing with both silver thread and gold foil electrodes (n = 53) and skin electrodes (n = 41). A linear model, fitted to the electrode comparison data, was used to transform gold foil ERG reference data for inclusion in the reference sample (n = 156). The combined sample of 407 reference individuals was used to derive age-adjusted reference limits for the main DA 0.01, DA 3, DA 10, LA 30 Hz and LA 3 ERG components.

resultsSilver thread ERG reference data was sufficiently similar across two centres to justify combination into a single reference sample. Peak times for gold foil and silver thread ERGs were closely comparable (r

conclusionsISCEV standard silver thread ERG data were consistent across the two centres, allowing transference of reference data. Reference data recorded with gold foil electrodes can be transformed for inclusion in a silver thread ERG reference range. The study highlights methods of pooling multiple sources of reference data into a larger, more robust sample, pertinent to standardization, clinical management, and multi-centre studies. These reference data could be adopted by other centres or combined with other datasets, following suitable verification.

Indexed as

ElectroretinographyRetinaAdolescentAdultAgedAged, 80 and overElectrodesFemaleGoldHealthy VolunteersHumansMaleMiddle AgedReference ValuesReproducibility of ResultsSilverGoldSilverClinical electrophysiology of visionElectroretinogramFull-field ERGHumanNormative dataReference rangeSilver thread electrode

Identifiers

PMID40164784
PMCPMC11991937

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.