Department of Neurology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey.
Department of Ophthalmology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey.
Kaohsiung J Med Sci. 2018 Mar;34(3):166-171. doi: 10.1016/j.kjms.2017.11.006. Epub 2017 Dec 6.
The aim of this study is to compare optical coherence tomography (OCT) findings of retinal thickness (RT) and retinal nerve fiber layer thickness (RNFLT) of idiopathic Parkinson's disease (IPD) patients to those of healthy subjects, and to investigate whether there is any relationship between the severity of the disease and the RNFLT values. This prospective study was included 25 IPD patients and 29 healthy controls. In the IPD group, the Hoehn and Yahr (H&Y), Unified Parkinson's Disease Rating Scale (UPDRS), and Mini-Mental State Exam (MMSE) were performed. Intraocular pressure (IOP), visual acuity (VA), spherical equivalent, axial length (AL), and central corneal thickness (CCT) were measured using OCT in both groups. The RT was measured in the central retinal (RTc), nasal (RTn), and temporal (RTt) segments. Nasal (RNFLTn), nasal superior (RNFLTns), nasal inferior (RNFLTni), temporal (RNFLTt), temporal superior (RNFLTts), and temporal inferior (RNFLTti) measurements were made and mean RTFLT was calculated (RNFLTg) for each individual. In the patient group, IOP and VA values were statistically significantly lower The RTn and RNFLTg were significantly thinner in the patient group. There was no statistically significant relationship between the severity of IPD and these findings. In our study, RNFLTg and RTn were found to be thinner in the IPD group, which may have caused lower VA scores. The effects of retinal dopamine depletion on RT and RNFLT, and lower IOP values in the non-glaucomatous IPD patients should be further investigated.
本研究旨在比较特发性帕金森病(IPD)患者与健康对照组的光学相干断层扫描(OCT)视网膜厚度(RT)和视网膜神经纤维层厚度(RNFLT)的结果,并探讨疾病严重程度与 RNFLT 值之间是否存在任何关系。这项前瞻性研究纳入了 25 名 IPD 患者和 29 名健康对照者。在 IPD 组中,进行了 Hoehn 和 Yahr(H&Y)、统一帕金森病评定量表(UPDRS)和简易精神状态检查(MMSE)。使用 OCT 测量两组的眼压(IOP)、视力(VA)、球镜等效、眼轴长度(AL)和中央角膜厚度(CCT)。在中央视网膜(RTc)、鼻侧(RTn)和颞侧(RTt)节段测量 RT。测量鼻侧(RNFLTn)、鼻上(RNFLTns)、鼻下(RNFLTni)、颞侧(RNFLTt)、颞上(RNFLTts)和颞下(RNFLTti)的 RNFLT,并计算每位个体的平均 RNFLT(RNFLTg)。在患者组中,IOP 和 VA 值均明显降低,患者组的 RTn 和 RNFLTg 明显变薄。IPD 的严重程度与这些发现之间无统计学显著关系。在我们的研究中,发现 IPD 组的 RNFLTg 和 RTn 变薄,这可能导致 VA 评分降低。应进一步研究视网膜多巴胺耗竭对 RT 和 RNFLT 的影响,以及非青光眼 IPD 患者较低的 IOP 值。