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Published on: March 11, 2021
Retinal oxygen metabolism in patients with mild cognitive impairment
Olof Birna Olafsdottir1,2, Hrafnhildur Sif Saevarsdottir2, Sveinn Hakon Hardarson2
1Department of Ophthalmology, Landspitali - National University Hospital, Reykjavik, Iceland.
Introduction:
We have previously reported that retinal vessel oxygen saturation is increased in mild-to-moderate dementia of Alzheimer's type when compared with healthy individuals. Mild cognitive impairment (MCI) is the predementia stage of the disease. The main purpose was to investigate if these changes are seen in MCI.
Methods:
Retinal vessel oxygen saturation was measured in 42 patients with MCI and 42 healthy individuals with a noninvasive retinal oximeter, Oxymap T1. The groups were paired according to age.
Results:
Arteriolar and venular oxygen saturation was increased in MCI patients compared to healthy individuals (arterioles: 93.1 ± 3.7% vs. 91.1 ± 3.4%, P = .01; venules: 59.6 ± 6.1% vs. 54.9 ± 6.4%, P = .001). Arteriovenous difference was decreased in MCI compared to healthy individuals (33.5 ± 4.5% vs. 36.2 ± 5.2%, P = .01).
Discussion:
Increased retinal vessel oxygen saturation and decreased arteriovenous difference in MCI could reflect less oxygen extraction by retinal tissue. This indicates that retinal oxygen metabolism may be affected in patients with MCI.
Insights
Retinal vessel oxygen saturation is elevated in individuals with mild cognitive impairment (MCI), a predementia stage of Alzheimer's disease. This suggests altered retinal oxygen metabolism in early stages of the disease.
Area of Science:
- Ophthalmology
- Neurology
- Medical Diagnostics
Background:
- Previous research indicated increased retinal vessel oxygen saturation in Alzheimer's disease.
- Mild cognitive impairment (MCI) represents a predementia stage of Alzheimer's disease.
Purpose of the Study:
- To investigate if elevated retinal vessel oxygen saturation is present in individuals with MCI compared to healthy controls.
Main Methods:
- Noninvasive retinal oximetry (Oxymap T1) was used to measure retinal vessel oxygen saturation.
- 42 patients with MCI and 42 age-matched healthy individuals participated.
Main Results:
- MCI patients exhibited significantly higher arteriolar and venular oxygen saturation compared to healthy individuals.
- A decreased arteriovenous oxygen saturation difference was observed in MCI patients.
Conclusions:
- Elevated retinal oxygen saturation and reduced arteriovenous difference in MCI may indicate reduced oxygen extraction by retinal tissues.
- These findings suggest potential alterations in retinal oxygen metabolism during the MCI stage.
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