Tips and tricks for successful electroretinography in children
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Updated: Apr 26, 2026

Electroretinogram Recording for Infants and Children under Anesthesia to Achieve Optimal Dark Adaptation and International Standards
Published on: September 3, 2020
1Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, USA.
Insights
Electroretinography (ERG) is a valuable diagnostic tool in pediatric eye care. With proper techniques, ERG can be successfully performed in children, improving diagnostic accessibility.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Electrophysiology
Background:
- Electroretinography (ERG) assesses the function of the retina.
- Pediatric applications of ERG are crucial for diagnosing visual impairments in children.
- Challenges exist in obtaining reliable ERG recordings in pediatric patients.
Purpose of the Study:
- To review the role of electroretinography in pediatric practice.
- To provide recommendations for successful pediatric ERG recordings.
- To enhance the accessibility of ERG for pediatric diagnosis.
Main Methods:
- Review of existing literature on pediatric electroretinography.
- Analysis of techniques for successful ERG recordings in children.
- Consideration of anesthetic protocols for pediatric ERG.
Main Results:
- Electroretinography is often achievable in infants without general anesthesia.
- Modified protocols can minimize anesthesia duration when general anesthesia is necessary.
- Clinical value of ERG is maintained even with protocol modifications.
Conclusions:
- Appropriate techniques can make pediatric electroretinography more widely available.
- ERG is a vital tool for diagnosing retinal dysfunction in children.
- Optimized protocols can overcome challenges in pediatric ERG acquisition.
Purpose Of Review:
The role of electroretinography in pediatric practice, and to offer suggestions for successful electroretinography recordings in children.
Recent Findings:
Electroretinography can be usually be obtained in infants without resorting to general anesthesia. When general anesthesia is required, modifications to standard protocols can often reduce total anesthesia time without compromising the clinical value of the study.
Summary:
With appropriate technique, electroretinography methods could be made more widely available for pediatric diagnosis.

