Multifocal electroretinogram: age-related changes for different luminance levels

Background: Age-related changes in the first-order multifocal electroretinogram (mfERG) responses were measured for two different luminance levels (200 and 700 cd(.)m(-2)). The relative contribution of optical and neural factors to senescent change in response was evaluated. Methods: Data were obtained from one eye of each of 71 normal phakic subjects, age 9-80 years. The mfERG responses were recorded with the 7" stimulus-refractor unit (EDI) and VERIS 4.3 using the following protocol: bipolar contact lens, 103 hexagons, consecutive stimulation with 200 and 700 cd(.)m(-2), pupils greater than or equal to6 nun, amplification of 105, filter cut-offs at 10 and 300 Hz. Results: Age-correlated decreases in amplitude and response density and increases in P1 implicit time were found for both luminance level. The mean response density (nV deg(-2)) was higher for the 700 cd(.)m(-2) stimulus, but the rate of change with age was not significantly different from that obtained with the 200 cd(.)m(-2) stimulus. Implicit time was not significantly different for the two light levels, nor was the rate of change with age. The decrease in response density and the increase in implicit time with age were significant across all retinal regions, dividing the 50 deg stimulus into six concentric rings. Age-related change in response density was greatest for the central retina and decreased with increasing retinal eccentricity. Conclusion: Log mfERG response changes linearly as a function of age. Analyses of the effects of reduced ocular media transmission and increased stray light, along with ancillary data obtained from pseudophakes, imply that age-related changes in the mfERG are due to both optical and neural factors.