The EOG is associated with which ratio that should be greater than 1.8 in normal patients?

The correct answer is the Arden ratio, which is used in the context of electroretinography (ERG) and the electrooculogram (EOG) to evaluate retinal function. The Arden ratio is defined as the ratio of the light peak to the dark trough of the EOG, and it is typically assessed in both normals and patients with retinal diseases. In healthy individuals, this ratio exceeds 1.8.

A ratio above 1.8 indicates normal functioning of the retinal pigment epithelium, which plays a crucial role in the metabolic support of photoreceptors and is involved in the maintenance of the blood-retinal barrier. When this ratio falls below the normal threshold, it can indicate dysfunction of the retinal pigment epithelium or the outer retina, often seen in conditions like Best disease or other retinal dystrophies.

Understanding the Arden ratio is important in a clinical setting when evaluating patients for potential retinal disorders, as it provides insights into the health of the retina and helps guide further diagnostic steps or management for the patient. The other ratios mentioned do not have the same clinical relevance in this specific context, which highlights the significance of the Arden ratio in ocular physiology.