ERG shrinks by 10% when reducing dark adaptation time to 10 min, but only for weak flashes

Purpose To compare dark-adapted (DA) ERG between 10, 15 and 20 min of dark adaptation (DA). Methods In a counterbalanced random block design, 40 healthy adult subjects were dark-adapted for 10, 15 or 20 min before we recorded ERGs to nine flash strengths from 0.001 to 10.0 cd s/m(2) (dilated pupils) with a DTL-like electrode. Before and between sessions, the room was lit. Apart from choosing a wider range of stimulus strengths, and adding shorter DA times, the recordings fully complied with the ISCEV ERG Standard, namely using corneal electrodes, mydriasis and a standard DA sequence. Results The a-wave amplitude was not affected by any adaptation condition. For the b-wave amplitude, effects of reduced DA time are stronger for weaker flashes: Reducing DA from 20 to 10 min had no measurable effect on the DA 3 ERG, but reduced the DA 0.01 b-wave significantly (p < 0.0001) to 87 +/- 2% (mean +/- SEM). The DA 0.001 b-wave (not part of the ISCEV ERG Standard) was more affected (down to 72 +/- 4%). There was a small, but significant, increase, only for weak flashes, in a- and b-wave peak times for 20 compared to 10-min dark adaptation time. Conclusion Reducing dark adaptation time from 20 to 10 min in normal participants has no effect on the ISCEV DA 3 and DA 10 ERG. The reduction in DA 0.01 ERGs to 87 +/- 2% agrees with Hamilton and Graham (Doc Ophthalmol 133:11-19, 2016. 10.1007/s10633-016-9554-x) who found 90 +/- 2% and with Asakawa et al. (Doc Ophthalmol 139:33-44, 2019. 10.1007/s10633-019-09693-8) who found 83%. Pending verification in pathophysiological states, the current results suggest that one might be able to correct for the 10% amplitude loss when gaining 10 min through shortened DA.