Sweep VEP is an automated way to objectively assess visual acuity using proven visually evoked potential (VEP) techniques. It can be used to examine unexplained visual loss, cortical visual impairment (CVI), and to provide an objective acuity assessment when subjective ones are questionable or unreliable in pediatric and adult patients.
Objective visual acuity assessment
The person sits in front of the monitor with three electrodes on their occipital cortex and one on their forehead. One eye is patched while the monitor displays several patterns with differently sized checks. Attention-getting devices and pause/resume features can be used on children who cannot reliably fixate.
Sweep VEP stimulus
Visual acuity is determined by making the stimulus check sizes progressively smaller until the VEP amplitudes become near zero. The objective is to reduce the check sizes until the person’s visual system can no longer differentiate between the black and white on the screen. At this point, the estimated visual acuity is automatically calculated. No response is required by the patient during the test.
Pediatric Sweep VEP
This rapid sweep VEP takes 1-2 minutes per eye and is designed with a pause/resume function for children. It is used to estimate acuities ranging from 20/20 to 20/2000 (6/6 to 6/600). The test is based on methods developed by clinicians at the Royal Hospital for Children Glasgow.
Stepwise Sweep VEP
The stepwise sweep VEP can be used to estimate acuities ranging from 20/20 to 20/400 (6/6 to 6/120). It can be used on patients 16 and older and takes about 4 minutes per eye. The test is based on methods developed by clinicians at the University of Freiburg.
References
Hamilton, R., Bach, M., Heinrich, S.P. et al. ISCEV extended protocol for VEP methods of estimation of visual acuity. Doc Ophthalmol 142, 17–24 (2021). https://doi.org/10.1007/s10633-020-09780-1