Cone dystrophy and supernormal dark-adapted b-waves in the electroretinogram

Graefes Arch Clin Exp Ophthalmol. 1990;228(2):116-9. doi: 10.1007/BF00935718.

Abstract

A male patient suffering from cone dystrophy was followed over 9 years. In addition to the typical clinical and electrophysiologic signs, supernormal b-waves were found in the dark-adapted electroretinogram. Our case is compared with 12 similar patients described in the literature. Our patient differed from the other patients in the following aspects: he was male and had a congenital stationary disease with a small pigment epithelial scar in the left eye only and no other fundus changes up to the age of 22 years. He did not complain of night blindness. The dark-adapted electroretinogram of our patient showed a normal b-wave threshold with increased b-wave amplitudes and markedly prolonged b-wave latencies and implicit times. This combination of signs has not been reported to date in any other patient and points towards a postreceptoral defect of the interneuronal connection.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Color Vision Defects / etiology
  • Dark Adaptation*
  • Electroretinography*
  • Follow-Up Studies
  • Humans
  • Male
  • Retinitis Pigmentosa / complications
  • Retinitis Pigmentosa / physiopathology*
  • Visual Acuity