[Follow-up on MEWDS by fundus perimetry and multifocal ERG with the SLO].
BACKGROUND
Most conventional techniques for examination such as perimetry or ERG may not be sensitive enough to detect functional alterations due to MEWDS precisely. We report on a follow-up performed by fundus perimetry and the new technique of multifocal ERG using the scanning laser ophthalmoscope.


METHODS
A 24-year-old female patient (VA 0.2/0.8) was followed up for 7 weeks with these techniques as well as Octopus perimetry, fluorescence angiography, Ganzfeld ERG and biomicroscopy. Multifocal ERG stimulation (mfERG, Retiscan) was performed with the SLO.


RESULTS
Visual acuity improved from 0.2 to 0.8 and the central relative scotoma disappeared while a relevant increase of P1-wave amplitudes in mfERG could be observed.


CONCLUSIONS
Combining objective measurements from the fundus controlled SLO-mfERG and results from fundus perimetry enable good correlation of morphology and results, even for minor alterations of the macula only accessible by few established clinical examinations.
Bültmann
S
S
Universitäts-Augenklink Heidelberg.
Martin
M
M
Rohrschneider
K
K
D000328:Adult; D002825:Chorioretinitis / Q000175:diagnosis*; D004596:Electroretinography / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D018613:Microscopy, Confocal / Q000295:instrumentation; D019721:Ophthalmoscopes; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D012984:Software; D058609:Visual Field Tests / Q000295:instrumentation*