在NMOSD和MOGAD的视觉生活质量:个人资料,动态和与衰老和视力相关的关联
Mihaela Nicolescu1,2, Vivien Häußler3, Friedemann Paul4,5,6
1APHM, Hôpital de la Timone, CEMEREM, Marseille, France. m3nicolescu9@gmail.com.
Journal of neurology
|December 21, 2024
概括
与健康个体相比,神经omyelitis光学谱障碍 (NMOSD),MOGAD和多发性硬化症 (MS) 患者报告与视力相关的生活质量受损类似. 年龄和高对比度视力敏度显著影响这些生活质量得分.
科学领域:
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
- 生活质量研究 研究 生命质量研究
背景情况:
- 神经脊髓炎光学谱系障碍 (NMOSD) 和髓寡基细胞糖蛋白抗体相关疾病 (MOGAD) 是影响中枢神经系统的炎症性脱髓化疾病.
- 视力障碍是这些疾病中常见且显著的症状,影响患者的日常生活.
研究的目的:
- 为了比较与视觉相关的生活质量 (VR-QoL) 和其与NMOSD,MOGAD,多发性硬化症 (MS) 和健康对照中的视觉障碍的关联.
- 在这些患者群体中确定影响VR-QoL的因素.
主要方法:
- 分析来自德国NEMOS注册的数据,包括国家眼科研究所视觉功能问卷 (NEI-VFQ),视力敏度 (HCVA,LCVA) 和神经学分数 (EDSS).
- 利用调整的线性混合效应模型来比较NEI-VFQ得分和疾病组和对照组之间的视力敏度相互作用.
- 平均随访时间为1.2年.
主要成果:
- 尽管MOGAD队列的年龄较小,但VR-QoL减少在NMOSD,MOGAD和MS患者组中与健康对照组相比相似.
- 一般健康,一般视力,驾驶和角色困难是最受影响的VR-QoL维度.
- 年龄是几个NEI-VFQ子尺度下降的主要预测因素,而高对比度视力敏度最好预测大多数子尺度.
结论:
- 患有NMOSD,MOGAD和MS的患者对视力和生活质量受损的感觉相似.
- 这些神经炎症状况导致相比于健康个体的生活质量较差,无论年龄差异如何.
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