Department of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, the Netherlands.
Royal Dutch Visio, Centre of Expertise for Blind and Partially Sighted People, Huizen, the Netherlands.
J Parkinsons Dis. 2022;12(3):785-806. doi: 10.3233/JPD-202324.
Scientific research increasingly focuses on visual symptoms of people with Parkinson's disease (PD). However, this mostly involves functional measures, whereas self-reported data are equally important for guiding clinical care.
This review provides an overview of the nature and prevalence of self-reported visual complaints by people with PD, compared to healthy controls.
A systematic literature search was performed. Studies from three databases (PubMed, PsycInfo, and Web of Science) were screened for eligibility. Only studies that reported results of visual self-reports in people with idiopathic PD were included.
One hundred and thirty-nine eligible articles were analyzed. Visual complaints ranged from function-related complaints (e.g., blurred vision, double vision, increased sensitivity to light or changes in contrast sensitivity) to activity-related complaints (e.g., difficulty reading, reaching, or driving). Visual complaints were more prevalent in people with PD compared to healthy controls. The presence of visual complaints leads to a reduced quality of life (QoL). Increased prevalence and severity of visual complaints in people with PD are related to longer disease duration, higher disease severity, and off-state.
A large proportion of people with PD have visual complaints, which negatively affect QoL. Complaints are diverse in nature, and specific and active questioning by clinicians is advised to foster timely recognition, acknowledgement, and management of these complaints.
科学研究越来越关注帕金森病（PD）患者的视觉症状。然而，这主要涉及功能措施，而自我报告的数据对于指导临床护理同样重要。
本综述概述了与健康对照组相比，PD 患者自我报告的视觉主诉的性质和发生率。
进行了系统的文献检索。从三个数据库（PubMed、PsycInfo 和 Web of Science）筛选符合条件的研究。仅纳入报告特发性 PD 患者视觉自我报告结果的研究。
分析了 139 篇符合条件的文章。视觉主诉范围从与功能相关的主诉（例如，视力模糊、复视、对光敏感或对比敏感度变化）到与活动相关的主诉（例如，阅读、伸手或驾驶困难）。与健康对照组相比，PD 患者的视觉主诉更为常见。视觉主诉会导致生活质量（QoL）下降。PD 患者视觉主诉的发生率和严重程度增加与疾病持续时间较长、疾病严重程度较高和处于非运动状态有关。
相当一部分 PD 患者有视觉主诉，这会对 QoL 产生负面影响。主诉的性质多种多样，建议临床医生进行具体和主动的询问，以促进及时识别、承认和处理这些主诉。
