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Schizophrenia and Orthoptic Conditions: A Literature Review
Anna McBride1,2, Gemma Arblaster3
1University of Sheffield (BMedSci Orthoptics), UK.
Patients with schizophrenia often experience ocular abnormalities, including strabismus and reduced vision. These visual disturbances may impact their quality of life and schizophrenia symptoms.
Area of Science:
- Ophthalmology
- Psychiatry
- Neuroscience
Background:
- Schizophrenia is a complex mental disorder with potential links to neurological and sensory deficits.
- Ocular abnormalities are increasingly recognized as a potential comorbidity in patients with schizophrenia.
Purpose of the Study:
- To review and synthesize existing literature on ocular abnormalities in schizophrenia patients.
- To determine the types and prevalence of orthoptic conditions in this population.
Main Methods:
- A narrative review of published studies was conducted.
- A systematic search of multiple databases identified 1,974 relevant studies from 1992 to 2022.
- Seventeen studies met the inclusion criteria for the final analysis.
Main Results:
- Schizophrenia patients showed a higher incidence of strabismus, reduced visual acuity, and impaired stereopsis compared to controls.
- Frequent eye movement abnormalities, such as reduced smooth pursuit gain and increased prosaccade latency, were reported.
- Reduced visual acuity correlated with negative schizophrenia symptoms and diminished quality of life.
Conclusions:
- Ophthalmologists and orthoptists should be aware of the increased prevalence of visual and eye movement abnormalities in schizophrenia.
- Further research is needed to explore the influence of these ocular conditions on schizophrenia symptoms and the potential impact of medication.
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