Evoked potentials in albinos: efficacy of pattern stimuli in detecting misrouted optic fibers.

Misrouting of retinogeniculostriate projections associated with retinal hypopigmentation has been found to be a general phenomenon in mammals, including humans. Anomalous optic pathway projections of albinos may be detected by recording visually evoked potentials (VEPs). To determine the efficacy of various stimulus conditions for detecting misrouted optic fibers, we compared flash, modulated light, pattern reversal and pattern onset/offset (appearance/disappearance) stimuli. Pattern onset/offset were found superior in detecting anomalies of misrouting of retinogeniculostriate projections. As a group, humans with retinal hypopigmentation have poor evoked potentials to offset and pattern reversal stimuli. Nystagmus seems to be most symptomatic of poor pattern reversal responses. In general onset/offset pattern stimuli are more versatile for detection of abnormalities in the visual system than pattern reversal stimuli.