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Eye Movement Abnormalities in Multiple Sclerosis: Pathogenesis, Modeling, and Treatment.

Alessandro Serra1, Clara G Chisari2, Manuela Matta3

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|February 23, 2018
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Multiple sclerosis (MS) causes eye movement disorders like acquired pendular nystagmus (APN) and internuclear ophthalmoplegia (INO). Studying these can reveal MS mechanisms and aid in developing new treatments.

Keywords:
eye movementsinternuclear ophthalmoplegiamultiple sclerosisnystagmuspathologic saccades

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Neurology

Background:

  • Multiple sclerosis (MS) frequently leads to ocular motor abnormalities, significantly impacting patient disability.
  • Lesions in the posterior fossa are common causes of disorders such as acquired pendular nystagmus (APN) and internuclear ophthalmoplegia (INO).

Purpose of the Study:

  • To explore how studying ocular motor abnormalities in MS can provide insights into disease mechanisms.
  • To investigate the potential of quantitative measurement and modeling of eye movement disorders for understanding MS symptoms like Uhthoff's phenomenon and fatigue.

Main Methods:

  • Correlation of experimental models with neuroimaging-identified lesion localization in MS to clarify pathophysiology.
  • Quantitative measurement and computational modeling of specific eye movement disorders, such as INO.

Main Results:

  • The study clarifies the pathophysiology of APN by correlating experimental models with lesion localization in MS patients.
  • Quantitative analysis of INO may enhance understanding of MS-related fatigue and Uhthoff's phenomenon.

Conclusions:

  • Eye movement disorders in MS can serve as biomarkers for early cognitive deficits and disease progression.
  • Ocular motor abnormalities offer a platform for testing novel therapeutic agents for MS.
  • Neuropharmacology of eye movement dysfunction guides treatment strategies for APN and central nystagmus in MS.