眼科症状作为预发性和早期帕金森病的生物标志物:一个范围审查
Olga Łach-Wojnarowicz1, Natalia Szejko2,3,4, Vanessa Carvalho5
1Department of Ophthalmology, District Railway Hospital, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
Neurologia i neurochirurgia polska
|December 9, 2025
概括
视力障碍和视网膜变化等视觉障碍是帕金森病 (PD) 的早期指标. 这些眼部生物标志物可以帮助早期诊断和监测疾病进展.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 生物标志物 生物标志物
背景情况:
- 非运动症状,特别是视觉障碍,往往在帕金森病 (PD) 诊断之前.
- 这些视觉症状可能表明前性或早期的PD.
研究的目的:
- 审查与先发性和早期帕金森病相关的眼部生物标志物.
- 为了确定早期的PD诊断和进展跟踪的眼科指标.
主要方法:
- 在PubMed和Scopus数据库中进行系统的文献搜索,截至2024年5月.
- 遵守系统性审查和元分析的首选报告项目,扩展范围审查 (PRISMA-ScR) 准则.
- 使用PICO框架用于早期PD和前期PD队列.
主要成果:
- 包括30项研究:4项研究是关于REM睡眠行为障碍 (REM睡眠行为障碍 - RBD),18项研究是关于PD,8项研究是关于两者.
- RBD研究表明瞳孔反射,眼睛运动和色彩辨别异常.
- 早期的PD患者表现出对比度敏感性降低,色彩视觉缺陷,视网膜变薄,瞳孔反应改变,视觉幻觉和眼睛运动障碍.
结论:
- 颜色/对比视力受损和OCT变化与PD严重程度和认知能力下降相关.
- 这些发现表明,眼部生物标志物对于早期,非侵入性神经退行检测有价值.
- 眼部生物标志物为监测帕金森病进展提供了一种安全的方法.
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