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What is an EEG test for eyes?

Published in Eye Testing 3 mins read

An EEG test for eyes, more accurately referred to as eye electrophysiology, uses EEG-like techniques to measure the electrical activity of the retina and other parts of the visual system. These tests can help diagnose diseases affecting these structures.

Understanding Eye Electrophysiology

Rather than focusing on the brain's electrical activity as a traditional EEG does, eye electrophysiology specifically looks at the electrical responses generated within the eye itself, particularly in the retina. This testing often involves:

  • Electroretinography (ERG): This is a primary method that measures the electrical activity of the retina in response to light stimulation.
    • A small electrode is placed on the cornea or nearby the eye.
    • Flashes of light of different intensities are shone into the eye.
    • The ERG measures the resulting electrical activity of the retinal cells.
  • Visual Evoked Potentials (VEP): While not solely focused on the eye itself, VEPs measure electrical activity in the visual cortex of the brain in response to visual stimuli, such as checkerboard patterns. This helps identify potential issues with the visual pathway between the eye and the brain.

Why Perform Eye Electrophysiology?

Eye electrophysiology tests are crucial for diagnosing various eye conditions. Specifically, they can help identify:

  • Retinal Diseases: Eye electrophysiology is used to identify conditions affecting the retina, including:
    • Retinitis Pigmentosa: A genetic disorder that causes progressive vision loss.
    • Macular Degeneration: A condition affecting the central part of the retina, leading to loss of central vision.
    • Other retinal degenerations and dystrophies.
  • Optic Nerve Problems: VEP testing can detect problems affecting the optic nerve.

How is it different from a traditional EEG?

While both use similar electrode-based technology to measure electrical activity, the primary distinction lies in what they measure.

Feature Eye Electrophysiology Traditional EEG
Focus Retina and visual pathways Brain activity
Stimuli Light flashes, visual patterns No specific stimuli, or different types for specific brain studies
Primary Use Diagnosing eye diseases Diagnosing brain disorders like epilepsy, sleep disorders, etc.
Electrode Placement Near/on the eye and sometimes on scalp for VEPs On the scalp

Conclusion

Eye electrophysiology, including ERG and VEP tests, provides critical insights into the function of the retina and visual pathway. These tests help diagnose a range of eye disorders and contribute significantly to patient care.

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