PMID- 37221823 OWN - NLM STAT- MEDLINE DCOM- 20230809 LR - 20230809 IS - 1556-9535 (Electronic) IS - 1556-9527 (Linking) VI - 42 IP - 3 DP - 2023 Sep TI - Electrophysiological effects of hyperbaric oxygen treatment on the healthy retina. PG - 103-108 LID - 10.1080/15569527.2023.2217250 [doi] AB - PURPOSE: The study aimed to investigate the electrophysiological effects of hyperbaric oxygen treatment (HBOT) on the retina after ten sessions in healthy eyes. METHODS: This prospective, interventional study evaluated forty eyes of twenty patients who were treated with HBOT of ten sessions with the diagnosis of an extraocular health problem. All patients underwent a complete ophthalmologic examination, including assessments of best-corrected visual acuity (BCVA), slit-lamp and pupil-dilated fundus examinations, full-field electroretinography (ffERG) measurements before and after HBOT within 24 h of the 10th session. The ffERG was recorded according to the International Society for Clinical Electrophysiology of Vision protocol using the RETI-port system. RESULTS: The mean age of patients was 40.5 years ranging from 20 to 59 years. Thirteen patients were administered HBOT for avascular necrosis, six patients for sudden hearing loss, and one patient for chronic osteomyelitis of the vertebra. BCVA acuity was 20/20 in all eyes. The mean spherical refractive was 0.56 dioptre (D), and the mean cylindrical refractive error was 0.75 D. Dark-adapted b-wave amplitude in 3.0 ERG was the only variable for the b-wave that showed a statistically significant decrease (p = 0.017). The amplitude of the a-waves in dark-adapted 10.0 ERG and light-adapted 3.0 ERG reduced significantly (p = 0.024, p = 0.025). The amplitude of N 1-P 1 in light-adapted 30 Hz Flicker ERG also demonstrated a statistically significant decrease (p = 0.011). Implicit times did not differ significantly in any of the ffERG data (p > 0.05). CONCLUSIONS: HBOT caused the deterioration of a-wave and b-wave amplitudes in ffERG after ten treatment sessions. The results showed that photoreceptors were adversely affected in the short term after HBOT treatment. FAU - Demir, Nur AU - Demir N AUID- ORCID: 0000-0003-0738-7212 AD - Ophthalmology Department, Sultan 2. Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Kayhan, Belma AU - Kayhan B AUID- ORCID: 0000-0003-0748-6691 AD - Ophthalmology Department, Sultan 2. Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Sumen, Selin Gamze AU - Sumen SG AUID- ORCID: 0000-0002-9845-1306 AD - Underwater and Hyperbaric Medicine Department, Kartal Lutfi Kirdar Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Sonmez, Murat AU - Sonmez M AUID- ORCID: 0000-0003-4231-7797 AD - Ophthalmology Department, Sultan 2. Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. FAU - Tukenmez Dikmen, Nejla AU - Tukenmez Dikmen N AUID- ORCID: 0000-0001-6767-6871 AD - Ophthalmology Department, Sultan 2. Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20230601 PL - England TA - Cutan Ocul Toxicol JT - Cutaneous and ocular toxicology JID - 101266892 RN - S88TT14065 (Oxygen) SB - IM MH - Humans MH - Adult MH - *Oxygen MH - *Hyperbaric Oxygenation/adverse effects MH - Prospective Studies MH - Retina MH - Electroretinography/methods OTO - NOTNLM OT - Electrophysiology OT - ffERG OT - healthy retina OT - hyperbaric oxygen OT - photoreceptors EDAT- 2023/05/24 06:42 MHDA- 2023/08/09 06:43 CRDT- 2023/05/24 01:23 PHST- 2023/08/09 06:43 [medline] PHST- 2023/05/24 06:42 [pubmed] PHST- 2023/05/24 01:23 [entrez] AID - 10.1080/15569527.2023.2217250 [doi] PST - ppublish SO - Cutan Ocul Toxicol. 2023 Sep;42(3):103-108. doi: 10.1080/15569527.2023.2217250. Epub 2023 Jun 1.