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March 10, 2026Documenta Ophthalmologica1 citationsOpen Access

Review of the clinical electrooculogram - Part 2: the bestrophinopathies and modified protocols

SPSrikanta Kumar PadhyMHMaja Šuštar HabjanPCPaul A. Constable

Key Points

  • This review aims to summarize the bestrophinopathies and advancements in electro-oculogram protocols.
  • Overview of bestrophinopathies, including BVMD, ARB, AVMD, and ADVIRC.
  • Discussion of modified EOG protocols to enhance clinical testing efficiency.
  • Integration of ERG measures during EOG recordings.
  • Bestrophinopathies are identified as conditions detectable by EOG.
  • Modified testing protocols can potentially reduce administration time without sacrificing accuracy.
  • Future therapies for bestrophinopathies are suggested for potential clinical application.

Abstract

Abstract The light-rise of the electro-oculogram (EOG) is used as a clinical marker for a collection of disorders known as the ‘bestrophinopathies.’ This review provides an overview of these conditions including Best Vitelliform Macular Dystrophy (BVMD, Autosomal Recessive Bestrophinopathy (ARB), Adult Onset Vitelliform Macular Dystrophy (AVMD) and Autosomal Dominant Vitreoretinalchoriodopathy (ADVIRC) and potential future therapies. One drawback of the EOG is the time to administer the test and shortened protocols that have been developed to improve the clinical testing of the EOG which include incorporating measures during recordings of the ERG or shortening the period of dark and light adaptation. The companion paper summarizes the cellular mechanism of the EOG, and this review is focused on the clinical applications of the EOG.

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Cite This Study

Padhy et al. (2026) studied this question.

synapsesocial.com/papers/69af95c070916d39fea4d9e1https://doi.org/10.1007/s10633-026-10093-y
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