外视网膜薄化与早期与年龄相关的黄斑退化中大脑缩有关
Yu Jiang1, Thomas Swain2, Nayoon Gim3
1From the Department of Ophthalmology (Y.J., N.G., M.B., J.P.O., and C.S.L.), University of Washington, Seattle, Washington, USA.
American journal of ophthalmology
|October 6, 2024
概括
年龄相关黄斑变性 (AMD) 的老年人外视网膜较薄与大脑体积较小有关,特别是在视觉和认知至关重要的区域. 这表明在老年人群中,视网膜健康和大脑结构之间存在联系.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 老年学是一门学科.
背景情况:
- 视网膜变化和与年龄相关的黄斑变性 (AMD) 与阿尔茨海默病和相关的痴呆症 (ADRD) 有关.
- 外视网膜在AMD中受到显著影响,但其与认知和大脑结构的关系尚不清楚.
研究的目的:
- 调查视网膜形态测量与大脑形态测量在正常,早期和中期AMD的老年人之间的关联.
主要方法:
- 一项涉及70岁以上正常,早期或中期AMD的成年人的横截面研究.
- 参与者接受了认知测试,光学连贯性断层扫描和磁共振成像.
- 多变量线性回归和最小绝对收缩和选择操作员 (LASSO) 回归用于分析视网膜厚度和大脑体积/区域厚度之间的关联.
主要成果:
- 较薄的外视网膜与较小的海马体积相关,尾皮层厚度降低,以及与ADRD相关的大脑区域的下皮层厚度降低.
- 较薄的视网膜与皮层厚度降低和与ADRD相关的大脑区域厚度相关.
- 外视网膜厚度是通过LASSO回归与大脑形态学相关的最常见的视网膜变量.
结论:
- 在正常视网膜衰老和早期/中期AMD的老年人中,更薄的外视网膜与大脑视觉和认知至关重要的区域体积的减少特别相关.
- 这些发现突显了受痴呆症影响的区域内外视网膜结构和大脑形态学之间的潜在联系.
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