患有帕金森病的患者视网膜功能和结构变化
Rehab Elanwar1, Hatem Al Masry2, Amna Ibrahim2
1Neuro Diagnostic Research Center, Beni-Suef University, Beni-Suef, Egypt.
BMC neurology
|September 18, 2023
概括
帕金森病 (PD) 患者表现出显著的视网膜结构和功能变化,包括视网膜神经纤维层厚度降低和电网膜图反应受损. 这些变化与疾病持续时间和运动功能障碍严重程度相关.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 神经科学是一个神经科学.
背景情况:
- 视觉功能障碍是帕金森病 (PD) 的常见非运动症状.
- 视网膜变化可以作为PD中神经退行症的指标.
- 了解这些变化可以提供有关疾病进展的见解.
研究的目的:
- 评估PD患者的功能和结构视网膜变化.
- 调查视网膜变化,疾病持续时间和运动障碍之间的相关性.
- 为了将PD患者的视网膜参数与年龄和性别匹配的健康对照进行比较.
主要方法:
- 一项病例对照研究,涉及50名异常PD患者和50名健康对照 (年龄在50-80岁).
- 使用Hoehn和Yahr分阶段和UPDRS评估的运动功能.
- 视网膜结构通过光学一致性断层扫描 (OCT) 进行评估,功能通过全场电网膜图 (ff-ERG) 进行评估.
主要成果:
- 与对照人群相比,PD患者表现出显著减少的周周状视网膜神经纤维层 (RNFL) 厚度和黄斑团细胞复合体 (GCC) 厚度 (P<0.05).
- ff-ERG揭示了PD患者的棒和圆反应中的显著延迟延迟和降低幅度 (P<0.001).
- 在疾病持续时间和RNFL厚度之间,以及在UPDRS得分和ff-ERG参数之间发现了负相关性.
结论:
- 在帕金森病患者中存在显著的结构和功能视网膜损伤.
- 视网膜厚度受到疾病持续时间的显著影响.
- 在PD中,运动功能障碍的严重程度与视网膜功能有负相关.
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