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Pattern electroretinogram plus visual evoked potential: A decisive test in patients suspected of malingering

Research paper by J. Röver, M. Bach

Indexed on: 01 Jun '87Published on: 01 Jun '87Published in: Documenta Ophthalmologica



Abstract

Along the processing chain in the visual pathway the pattern electroretinogram (PERG) is a better indicator of the peripheral function than the visual evoked potential (VEP). Therefore the PERG and the VEP will be impaired equally by disturbances before the ganglion cell layer (e.g., blurred image or retinal disease) and differently by further centrally located diseases (e.g., tumor compression of the optic nerve). Thus in patients complaining of reduced visual acuity who show disturbed VEP but a normal PERG, malingering can be definitely ruled out. Representative combinations of PERG and VEP findings are described.