7-Hexagon Multifocal Electroretinography for an Objective Functional Assessment of the Macula in 14 Seconds

Purpose: We present the multifocal electroretinogram (mfERG) with a 7-hexagon array as an objective test of macular function that can be recorded in 14 s. We provide normal values and investigate its reproducibility and validity. Methods: Healthy participants underwent mfERG testing according to International Society for Clinical Electrophysiology of Vision (ISCEV) standards using the Espion Profile/D310 multifocal ERG system (Diagnosys, LLC, Lowell, MA, USA). One standard recording of a 61-hexagon array and 2 repeated recordings of a custom 7-hexagon array were obtained. Results: A total of 13 subjects (mean age 46.9 years) were included. The median response densities were 12.5 nV/deg² in the center and 5.2 nV/deg² in the periphery. Intereye correlations were strong in both the center (ρ_Center = 0.821; p < 0.0001) and the periphery (ρ_Periphery = 0.862; p < 0.0001). Intraeye correlations were even stronger: ρ_Center = 0.904 with p < 0.0001 and ρ_Periphery = 0.955 with p < 0.0001. Bland-Altman plots demonstrated an acceptable retest mean difference in both the center and periphery, and narrow limits of agreement. We found strong correlations of the center (ρ_Center = 0.826; p < 0.0001) and periphery (ρ_Periphery = 0.848; p < 0.0001), with recordings obtained by the 61-hexagon method. Conclusions: The 7-hexagon mfERG provides reproducible results in agreement with results obtained according to the ISCEV standard.