The paper presents the use of visual evoked potentials VEP to the objective assessment of visual acuity. Methods of using visual evoked potentials (VEP) rely on the assessment of changes of the electrical action potentials generated within the cortex. To diagnose the degree of weakening eyesight a series of studies on healthy people and visually impaired ones were made. Electrophysiological studies of the eye, using noninvasive VEP examination allow a noninvasive and objective assessment of visual acuity. The use of visual evoked potentials gives the objectivity in assessment of visual acuity what may be very important in ophthalmology. This particularly may concern children examination, people with mental retardation and suspected of simulation.
Purpose: to demonstrate the possibility of finding features reliable for more precise distinguishing between normal and abnormal Pattern Electroretinogram (PERG) recordings, in Continuous Wavelet Transform (CWT) coefficients domain. To determine characteristic features of the PERG and Pattern Visual Evoked Potential (PVEP) waveforms important in the task of precise classification and assessment of these recordings. Material and methods: 60 normal PERG waveforms and 60 PVEPs as well as 47 PERGs and 27 PVEPs obtained in some retinal and optic nerve diseases were studied in the two age groups (<= 50 years, > 50 years). All these signals were recorded in accordance with the guidelines of ISCEV in the Laboratory of Electrophysiology of the Retina and Visual Pathway and Static Perimetry, at the Department and Clinic of Ophthalmology of the Pomeranian Medical University. Continuous Wavelet Transform (CWT) was used for the time-frequency analysis and modelling of the PERG signal. Discriminant analysis and logistic regression were performed in statistical analysis of the PERG and PVEP signals. Obtained mathematical models were optimized using Fisher F(n1; n2) test. For preliminary evaluation of the obtained classification methods and algorithms in clinical practice, 22 PERGs and 55 PVEPs were chosen with respect to especially difficult discrimination problems (borderline recordings). Results: comparison between the method using CWT and standard time-domain based analysis showed that determining the maxima and minima of the PERG waves was achieved with better accuracy. This improvement was especially evident in waveforms with unclear peaks as well as in noisy signals. Predictive, quantitative models for PERGs and PVEPs binary classification were obtained based on characteristic features of the waveform morphology. Simple calculations algorithms for clinical applications were elaborated. They proved effective in distinguishing between normal and abnormal recordings. Conclusions: CWT based method is efficient in more precise assessment of the latencies of the PERG waveforms, improving separation between normal and abnormal waveforms. Filtering of the PERG signal may be optimized based on the results of the CWT analysis. Classification of the PERG and PVEP waveforms based on statistical methods is useful in preliminary interpretation of the recordings as well as in supporting more accurate assessment of clinical data.