Studies of visual evoked potentials (EP) to chess field reversion in 80 children (147 eyes) aged 5 to 16 with congenital myopia have demonstrated significant deviations from the reference values of the P100 component to all the stimuli. The clinical groups with various changes in the fundus oculi were found to differ by the P100 component amplitude when chess fields with cells 112 and 56 angular min in size were shown. The number of discrepancies between the clinical vision acuity and its assessment from the threshold EP grew from 19% when no changes in the fundus oculi were seen to 54 and 61% when myopic and non-myopic changes were detectable in the fundus oculi. These data evidence that EP amplitude to chess field reversion better reflects the status of the retino-cortical route than the central vision acuity.

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