The impact of fixation on the multifocal electroretinogram

There are a number of variables which can influence the quality of multifocal ERG waveforms. In common with visual field measurements, fixation quality may be an important parameter on the integrity of the acquired data. A low cost, fixation-monitoring device was used to assess fixation quality on a group of normal volunteers. Data was successfully acquired while five subjects viewed a fixation target for a period of time equal to that of a single multifocal recording segment. The target was presented on a stationary grey background and as the central fixation mark on a 61-element multifocal flicker stimulus. The results show no significant difference with or without the flickering pattern. The percentage of samples falling within 1.2 degrees of the point of fixation was 51%. This suggests that fixation quality is adequate for scaled stimuli where the central element subtends 2.4 degrees. High resolution stimuli of less than 2.4 degrees may be more susceptible to fixation fluctuations during the recording process.