A comparison of CRT and digital stimulus delivery methods in the multifocal ERG.

The purpose of this paper is to compare and evaluate the multifocal ERG response from raster based CRT and Digital Projection (LCD) stimulus delivery systems. A custom built p.c. based multifocal system was used to generate a 61 hexagonal element stimulus array. The stimulus was presented on a high luminance CRT display and on a back projected screen using a Digital polysilicon projection system. A fast response photodiode was used to analyse the stimulus pulse characteristics of both systems. A number of recordings were performed to assess the effect of stimulus delivery on a standard m-sequence response, inserted full-field filler response and on separation of onset and offset components. The pulse width for a CRT system is dependant on the type of phosphor and is typically 2 msec whereas the Digital Projection system produces a 13.3 msec pulse equivalent to the frame rate for the system. Slowing down the m-sequence by a factor of eight results in a pulse width of 106 msec which should enable the recovery of true offset responses. The CRT stimulus consists of a series of eight pulses of 2 msec duration each separated by 11.3 msec. First order responses are larger from the CRT system and second order responses larger from the Digital system. In conclusion, there are fundamental differences in the two delivery systems. The CRT system may have more potential in examining non-linear aspects of the multifocal response. Although both systems may be able to record offset responses, the Digital system will generate true offset responses whereas the CRT system may not allow true separation of these components.