关注帕金森病:色觉和视网膜外层厚度作为简单且无创的生物标志物
Keeping an eye on Parkinson's disease: color vision and outer retinal thickness as simple and non-invasive biomarkers.
作者信息
Lin Jingjing, Finkelstein David I, Anderson Andrew J, Lee Pei Ying, Bui Bang V, Wijeratne Tissa, Alty Jane E, Nguyen Christine T O
机构信息
Department of Optometry and Vision Sciences, The University of Melbourne, Melbourne, VIC, Australia.
Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, VIC, Australia.
出版信息
J Neurol. 2025 Apr 21;272(5):351. doi: 10.1007/s00415-025-13080-6.
Over the last two decades, visual symptoms and retinal changes in Parkinson's disease (PD) have emerged as important biomarkers. Color vision deficiency, which begins in the outer retina, has been increasingly investigated, but a focused review of these papers has not recently been conducted. Similarly, thinning of the outer retina as measured using optical coherence tomography (OCT) holds potential as a screening marker for PD, particularly as these devices are already commonplace in community and hospital settings. Moreover, outer retinal thinning may be more specific for Parkinson's disease as inner retinal changes also occur in more common neurodegenerative diseases like glaucoma and Alzheimer's disease. This review summarizes contemporary evidence on two outer retina focused measures, color vision and outer retinal thickness, which can be readily quantified using non-invasive approaches and thus examines their potential as biomarkers for screening, detection, and progression in PD.
在过去二十年中,帕金森病(PD)的视觉症状和视网膜变化已成为重要的生物标志物。始于视网膜外层的色觉缺陷越来越受到关注,但最近尚未对这些论文进行集中综述。同样,使用光学相干断层扫描(OCT)测量的视网膜外层变薄有可能作为PD的筛查标志物,特别是因为这些设备在社区和医院环境中已经很常见。此外,视网膜外层变薄可能对帕金森病更具特异性,因为视网膜内层变化也发生在青光眼和阿尔茨海默病等更常见的神经退行性疾病中。本综述总结了关于两种聚焦于视网膜外层的测量方法——色觉和视网膜外层厚度的当代证据,这两种方法可以通过非侵入性方法轻松量化,从而检验它们作为PD筛查、检测和病情进展生物标志物的潜力。