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Updated: Aug 7, 2026

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Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
[Flicker provocation with LED full-field stimulation in normals and glaucoma patients]
1Augenklinik mit Poliklinik, Friedrich-Alexander Universität Erlangen-Nürnberg, Schwabachanlage 6, 91054 Erlangen. folkert.horn@augen.imed.uni-erlangen.de
Summary
Flicker stress significantly impacts temporal contrast sensitivity, showing prolonged recovery times in glaucoma patients compared to healthy individuals. This highlights impaired visual processing in glaucoma.
Area of Science:
- Ophthalmology
- Neuroscience
- Visual Psychophysics
Background:
- Flicker light is a simple method for assessing sensory function post-stress.
- Glaucoma involves progressive damage to the optic nerve, affecting visual function.
Purpose of the Study:
- To investigate the effect of flicker stress on temporal contrast sensitivity.
- To compare these effects in healthy controls and glaucoma patients.
Main Methods:
- Utilized a modified full-field stimulator with white LEDs for psychophysical testing.
- Measured recovery time from flicker stress and contrast sensitivity using continuous and burst flicker protocols.
- Tested 40 healthy controls, 62 preperimetric, and 52 perimetric glaucoma patients.
Main Results:
- Recovery time after flicker stress was significantly longer in glaucoma patients than controls.
- Recovery time was also longer in perimetric than preperimetric glaucoma patients.
- Receiver operating characteristic (ROC) analysis showed the provocation test was highly effective in perimetric patients.
Conclusions:
- Modern full-field devices with high-power LEDs are effective tools for psychophysical studies.
- Glaucoma patients exhibit impaired temporal transfer characteristics, including threshold, adaptation, and recovery.
- Flicker stress testing can reveal sensory deficits in glaucoma.

