Borm Carlijn D J M, Bloem Bastiaan R, Hoyng Carel, de Vries Nienke M, Theelen Thomas
Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Centre of Expertise for Parkinson & Movement Disorders, Radboud University Medical Centre, Nijmegen, The Netherlands.
Department of Ophthalmology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Case Rep Neurol. 2022 Mar 29;14(1):173-178. doi: 10.1159/000523987. eCollection 2022 Jan-Apr.
Ocular disorders constitute a major component of the non-motor symptoms of Parkinson's disease (PD). Blurry vision is commonly associated with PD, but often challenging to interpret. The clinical spectrum of blurred vision is broad, and finding the underlying aetiology can be challenging. An incomplete diagnosis impedes therapeutic successes. We report two persons with PD who both experienced blurry vision, but each with a different underlying pathology that called for specific ophthalmological and neurological treatments. In case 1, the blurry vision was presumably caused by strabismus and convergence insufficiency, while case 2 had blurry vision partly due to palinopsia, a higher order visual processing deficit. Adequate treatment improved vision in both cases. Neurologists should be aware of the different underlying causes of blurred vision, should master the basic therapeutic approaches, and know when to refer a patient to the ophthalmology department.
眼部疾病是帕金森病（PD）非运动症状的主要组成部分。视力模糊通常与PD相关，但往往难以解释。视力模糊的临床范围很广，找出潜在病因可能具有挑战性。诊断不完整会阻碍治疗成功。我们报告了两名患有PD的患者，他们都经历了视力模糊，但各自有着不同的潜在病理状况，需要特定的眼科和神经科治疗。在病例1中，视力模糊可能是由斜视和集合不足引起的，而病例2的视力模糊部分是由于持续性视觉重叠症，这是一种高级视觉处理缺陷。适当的治疗改善了两个病例的视力。神经科医生应了解视力模糊的不同潜在原因，掌握基本的治疗方法，并知道何时将患者转诊至眼科。
