How I do it: The Neuro-Ophthalmological Assessment in Parkinson's Disease

doi:10.3233/JPD-181523

. 2019;9(2):427-435.

doi: 10.3233/JPD-181523.

How I do it: The Neuro-Ophthalmological Assessment in Parkinson's Disease

Carlijn D J M Borm¹, Katarzyna Smilowska¹, Nienke M de Vries¹, Bastiaan R Bloem¹, Thomas Theelen²

Affiliations

¹ Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Parkinson Center Nijmegen (ParC) Nijmegen, The Netherlands.
² Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behavior, Department of Ophthalmology, Nijmegen, The Netherlands.

PMID: 30958314
PMCID: PMC6597980
DOI: 10.3233/JPD-181523

How I do it: The Neuro-Ophthalmological Assessment in Parkinson's Disease

Carlijn D J M Borm et al. J Parkinsons Dis. 2019.

. 2019;9(2):427-435.

doi: 10.3233/JPD-181523.

Authors

Carlijn D J M Borm¹, Katarzyna Smilowska¹, Nienke M de Vries¹, Bastiaan R Bloem¹, Thomas Theelen²

Affiliations

¹ Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behavior, Department of Neurology, Parkinson Center Nijmegen (ParC) Nijmegen, The Netherlands.
² Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behavior, Department of Ophthalmology, Nijmegen, The Netherlands.

PMID: 30958314
PMCID: PMC6597980
DOI: 10.3233/JPD-181523

Abstract

Visual disorders like double vision, dry eyes, and visual field deficits are common but frequently missed in Parkinson's disease. Here, we aim to increase awareness for these visual disorders in Parkinson patients by discussing several common problems that can be easily diagnosed using comprehensive history taking and a basic neuro-ophthalmological examination. We offer practical guidance for the patient interview and physical exam that can facilitate a timelier recognition of visual disorders. Such recognition has immediate therapeutic relevance, because Parkinson patients are strongly dependent on an adequate vision, for example to optimally benefit from visual cueing strategies.

Keywords: Neuro-ophthalmology; parkinson’s disease; vision.

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References

1. Ekker MS, Janssen S, Seppi K, Poewe W, de Vries NM, Theelen T, Nonnekes J, Bloem BR (2017) Ocular and visual disorders in Parkinson’s disease: Common but frequently overlooked. Parkinsonism Relat Disord 40, 1–10. - PubMed
1. Archibald NK, Clarke MP, Mosimann UP, Burn DJ (2009) The retina in Parkinson’s disease. Brain 132, 1128–1145. - PubMed
1. Nguyen-Legros J (1988) Functional neuroarchitecture of the retina: Hypothesis on the dysfunction of retinal dopamin-ergic circuitry in Parkinson’s disease. Surg Radiol Anat 10, 137–144. - PubMed
1. Davidsdottir S, Cronin-Golomb A, Lee A (2005) Visual and spatial symptoms in Parkinson’s disease. Vision Res 45, 1285–1296. - PubMed
1. Guo L, Normando EM, Shah PA, De Groef L, Cordeiro MF (2018) Oculo-visual abnormalities in Parkinson’s disease: Possible value as biomarkers. Mov Disord 33, 1390–1406. - PubMed

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[1] Ekker MS, Janssen S, Seppi K, Poewe W, de Vries NM, Theelen T, Nonnekes J, Bloem BR (2017) Ocular and visual disorders in Parkinson’s disease: Common but frequently overlooked. Parkinsonism Relat Disord 40, 1–10. - PubMed

[2] Ekker MS, Janssen S, Seppi K, Poewe W, de Vries NM, Theelen T, Nonnekes J, Bloem BR (2017) Ocular and visual disorders in Parkinson’s disease: Common but frequently overlooked. Parkinsonism Relat Disord 40, 1–10. - PubMed

[3] Archibald NK, Clarke MP, Mosimann UP, Burn DJ (2009) The retina in Parkinson’s disease. Brain 132, 1128–1145. - PubMed

[4] Archibald NK, Clarke MP, Mosimann UP, Burn DJ (2009) The retina in Parkinson’s disease. Brain 132, 1128–1145. - PubMed

[5] Nguyen-Legros J (1988) Functional neuroarchitecture of the retina: Hypothesis on the dysfunction of retinal dopamin-ergic circuitry in Parkinson’s disease. Surg Radiol Anat 10, 137–144. - PubMed

[6] Nguyen-Legros J (1988) Functional neuroarchitecture of the retina: Hypothesis on the dysfunction of retinal dopamin-ergic circuitry in Parkinson’s disease. Surg Radiol Anat 10, 137–144. - PubMed

[7] Davidsdottir S, Cronin-Golomb A, Lee A (2005) Visual and spatial symptoms in Parkinson’s disease. Vision Res 45, 1285–1296. - PubMed

[8] Davidsdottir S, Cronin-Golomb A, Lee A (2005) Visual and spatial symptoms in Parkinson’s disease. Vision Res 45, 1285–1296. - PubMed

[9] Guo L, Normando EM, Shah PA, De Groef L, Cordeiro MF (2018) Oculo-visual abnormalities in Parkinson’s disease: Possible value as biomarkers. Mov Disord 33, 1390–1406. - PubMed

[10] Guo L, Normando EM, Shah PA, De Groef L, Cordeiro MF (2018) Oculo-visual abnormalities in Parkinson’s disease: Possible value as biomarkers. Mov Disord 33, 1390–1406. - PubMed

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How I do it: The Neuro-Ophthalmological Assessment in Parkinson's Disease

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How I do it: The Neuro-Ophthalmological Assessment in Parkinson's Disease

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