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原发性开角型青光眼与肌萎缩侧索硬化症患者的光学相干断层扫描结果与视野变化比较

Comparison of optical coherence tomography findings and visual field changes in patients with primary open-angle glaucoma and amyotrophic lateral sclerosis.

作者信息

Liu Ziyuan, Wang Hongli, Fan Dongsheng, Wang Wei

机构信息

Department of Ophthalmology, Peking University Third Hospital, Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Beijing 100191, China.

Department of Neurology, Peking University Third Hospital, Beijing 100191, China.

出版信息

J Clin Neurosci. 2018 Feb;48:233-237. doi: 10.1016/j.jocn.2017.10.080. Epub 2017 Nov 21.

Abstract

Recent studies revealing genetic connection of primary open angle glaucoma (POAG) and amyotrophic lateral sclerosis (ALS) have received particular attention. Exploring the evidence for common pathogenesis of these two progressive neurological disorders may assist in understanding the mechanism and searching for new treatment. Retinal nerve fiber layer (RNFL) defect and corresponding visual field (VF) impairment are well known neuropathy signs in glaucoma. In our study, thickness of certain retinal layer in ALS patients was analyzed to detect ganglion cell's soma and axon, and for first time visual field was examined for ALS. The correlation of retinal involvement and ALS progression were also investigated. The results were compared with those of POAG. The study may provide new knowledge for these two neurodegenerative diseases.

摘要

近期揭示原发性开角型青光眼(POAG)与肌萎缩侧索硬化症(ALS)存在遗传联系的研究受到了特别关注。探究这两种进行性神经疾病共同发病机制的证据,可能有助于理解其发病机制并寻找新的治疗方法。视网膜神经纤维层(RNFL)缺损及相应的视野(VF)损害是青光眼常见的神经病变体征。在我们的研究中,分析了ALS患者特定视网膜层的厚度,以检测神经节细胞的胞体和轴突,并首次对ALS患者进行了视野检查。还研究了视网膜受累与ALS病情进展的相关性。将结果与POAG患者的结果进行了比较。该研究可能为这两种神经退行性疾病提供新知识。

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