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[阿尔茨海默病的眼部变化]

[Ocular changes in Alzheimer's disease].

作者信息

Kaczmarczyk Kamila, Lubiński Wojciech, Karczewicz Danuta

机构信息

Katedry i Kliniki Okulistyki Pomorskiej Akademii Medycznej w Szczecinie.

出版信息

Klin Oczna. 2007;109(10-12):482-4.

Abstract

PURPOSE

In this study the authors present the ocular diseases and bioelectrical dysfunction of the retina and optic nerve in patients with Alzheimer's disease, based on available literature.

MATERIALS AND METHODS

The paper focuses on the most often occurring ocular diseases and optic nerve dysfunction associated with Alzheimer's disease measured by ERG, PERG and VEP tests.

RESULTS

The most common ocular diseases in Alzheimer's disease are glaucoma, cataract and AMD. Electrophysiological tests can be abnormal in patients with Alzheimer's disease even with normal eye fundus in routine ophthalmic examination.

CONCLUSIONS

Early diagnosis of ocular changes associated with Alzheimer's disease can prevent from significant loss of vision and can prolong self-reliant existence of patients with this disease. Electrophysiological tests are expected to be helpful in differentiation between patients with early stages of Alzheimer's disease and healthy people or people suffering from other types of dementia or mental diseases. Future research to estimate the diagnostic value of this tests are needed.

摘要

目的

在本研究中,作者基于现有文献介绍了阿尔茨海默病患者的眼部疾病以及视网膜和视神经的生物电功能障碍。

材料与方法

本文重点关注通过视网膜电图(ERG)、图形视网膜电图(PERG)和视觉诱发电位(VEP)测试测量的与阿尔茨海默病相关的最常见眼部疾病和视神经功能障碍。

结果

阿尔茨海默病最常见的眼部疾病是青光眼、白内障和年龄相关性黄斑变性(AMD)。即使在常规眼科检查中眼底正常,阿尔茨海默病患者的电生理测试也可能异常。

结论

早期诊断与阿尔茨海默病相关的眼部变化可预防视力显著丧失,并可延长该疾病患者的自理生存期。预计电生理测试有助于区分阿尔茨海默病早期患者与健康人或患有其他类型痴呆或精神疾病的人。需要进一步研究以评估这些测试的诊断价值。

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