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Pattern electroretinogram and photopic negative response (PhNR) of the light-adapted (LA) full-field electroretinogram (ERG) are typically affected in LHON. In the present study, we evaluated dark-adapted (DA) and LA oscillatory potentials (OPs) of the flash ERG in genetically characterized LHON patients to dissociate slow from fast components of the response.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Seven adult patients (mean age\u2009=\u200928.4\u2009\u00b1\u20095.6) in whom genetic diagnosis confirmed LHON with mtDNA or nuclear DNAJC30 (arLHON) pathogenic variants were compared to 12 healthy volunteers (mean age\u2009=\u200935.0\u2009\u00b1\u200912.1). Full-field ERGs were recorded from both eyes. Offline digital filters at 50, 75 and 100\u00a0Hz low cutoff frequencies were applied to isolate high-frequency components from the original ERG signals.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>ERG <jats:italic>a<\/jats:italic>-waves and <jats:italic>b<\/jats:italic>-waves were comparable between LHON patients and controls, while PhNR was significantly reduced (<jats:italic>p<\/jats:italic>\u2009=\u20090.009) in LHON patients compared to controls, as expected. OPs derived from DA signals (75\u00a0Hz low cutoff frequency) showed reduced peak amplitude for OP2 (<jats:italic>p<\/jats:italic>\u2009=\u20090.019). LA OP differences between LHON and controls became significant (OP2: <jats:italic>p<\/jats:italic>\u2009=\u20090.047, OP3: <jats:italic>p<\/jats:italic>\u2009=\u20090.039 and OP4: <jats:italic>p<\/jats:italic>\u2009=\u20090.013) when the 100\u00a0Hz low-cutoff frequency filter was applied.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Reduced OPs in LHON patients may represent disturbed neuronal interactions in the inner retina with preserved photoreceptoral (<jats:italic>a<\/jats:italic>-wave) to bipolar cell (<jats:italic>b<\/jats:italic>-wave) activation. Reduced DA OP2 and high-cutoff LA OP alterations may be further explored as functional measures to characterize LHON status and progression.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10633-024-09968-9","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T08:02:35Z","timestamp":1709798555000},"page":"133-143","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Electroretinographic oscillatory potentials in Leber hereditary optic neuropathy"],"prefix":"10.1007","volume":"148","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0717-1852","authenticated-orcid":false,"given":"Mirella T. 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