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Updated: May 14, 2026

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Transretinal ERG Recordings from Mouse Retina: Rod and Cone Photoresponses
Published on: March 14, 2012
Applications of Photopic Negative Response: A Narrative Review.
Minzhong Yu1,2,3, Nara Shakaki4, Anas Bakdalieh4
1Department of Ophthalmology and Visual Sciences, University Hospitals Eye Institute, Case Western Reserve University, Cleveland, OH 44106, USA.
Journal of Clinical Medicine
|May 13, 2026
Summary
The photopic negative response (PhNR) is a functional biomarker for retinal ganglion cells. It offers insights into glaucoma and systemic diseases, complementing structural imaging when needed.
Area of Science:
- Ophthalmology
- Neuroscience
- Biomarker Discovery
Background:
- The photopic negative response (PhNR) is a functional signal from retinal ganglion cells, proposed as a clinical biomarker.
- Its exact clinical utility and added value across various diseases are still under investigation.
Purpose of the Study:
- To review human studies on PhNR, focusing on its physiological basis, recording methods, and clinical applications.
- To evaluate PhNR's role in providing additional functional insights in different disease contexts.
Main Methods:
- Narrative review of key human studies concerning the photopic negative response.
- Emphasis on physiological underpinnings, standardized recording techniques, and clinical utility.
Main Results:
- PhNR objectively measures retinal ganglion cell dysfunction in glaucoma, correlating with OCT and visual field data but showing variability.
- PhNR is valuable for early glaucoma detection, functional assessment, and monitoring short-term changes post-treatment, less so for progression.
- PhNR detects inner retinal dysfunction in systemic diseases like idiopathic intracranial hypertension and diabetes, reflecting broader health issues.
Conclusions:
- PhNR serves as a complementary functional biomarker, not a standalone diagnostic tool.
- It provides objective insights when structural or psychophysical tests are limited or conflicting.
- PhNR reflects the retina's role in mirroring systemic and genetic diseases, requiring standardized recordings and cautious interpretation.
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