PMID: 7082606Jun 1, 1982Paper

The photomyoclonic reflex: an artefact in the clinical electroretinogram

The British Journal of Ophthalmology
M A Johnson, R W Massof

Abstract

An artefact may appear in the clinical electroretinogram (ERG) that can interfere with the recording and interpretation of the ERG b wave. This artefact, the photomyoclonic reflex (PMR), was studied by covering the eye containing the recording electrode and stimulating the fellow eye. Records obtained by this technique before and after administration of a modified Van Lint lid block demonstrated that most of the PMR is due to a reflex contraction of the orbicularis muscle. The remaining part of the PMR was ascertained by eye movement recordings to be a 1.5 degrees to 3.5 degrees downward and medial eye movement. In most persons the PMR occurs with a latency that is fast enough (59 ms +2- 7 ms) to interfere with interpretation of the b wave under most conditions. The PMR can be minimised in some cases by habituation or conditioned suppression. However, these methods generally do not extinguish the PMR but reduce it enough so that it would not readily be rejected as artefact. In such cases the PMR may produce a wave form that mimics a normal amplitude ERG but with delayed implicit time.

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Citations

May 30, 1984·Documenta Ophthalmologica. Advances in Ophthalmology·R W MassofM A Johnson
Jan 1, 1986·Vision Research·G B ArdenR M Carter
Jun 1, 1990·Journal of Neuroscience Methods·Pierre Lachapelle, L Blain
Jul 31, 2014·Documenta Ophthalmologica. Advances in Ophthalmology·Eric VukmanicPaul DeMarco
Jan 1, 1993·Documenta Ophthalmologica. Advances in Ophthalmology·M L Severns, M A Johnson
Oct 1, 1983·Postgraduate Medical Journal·K Blakemore
Jan 1, 1992·Documenta Ophthalmologica. Advances in Ophthalmology·M E Breton, D P Montzka
Oct 2, 2019·Documenta Ophthalmologica. Advances in Ophthalmology·Gonzalo OrtizRadouil Tzekov
Apr 1, 2019·Documenta Ophthalmologica. Advances in Ophthalmology·Mary A JohnsonAnthony G Robson
Mar 18, 2016·Journal of Neurophysiology·Xiaolan TangChristopher L Passaglia

Related Concepts

Winking
Electrode
Electroretinography
Eye Movements
Eyelid Structure
Habituation, Psychophysiologic
Muscle of Orbit
Pupillary Reflex Test

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