PMID- 28208185 OWN - NLM STAT- MEDLINE DCOM- 20170615 LR - 20220408 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 58 IP - 2 DP - 2017 Feb 1 TI - Evaluation of Progressive Visual Dysfunction and Retinal Degeneration in Patients With Parkinson's Disease. PG - 1151-1157 LID - 10.1167/iovs.16-20460 [doi] AB - PURPOSE: To quantify changes in visual function parameters and in the retinal nerve fiber layer and macular thickness over a 5-year period in patients with Parkinson's disease (PD). METHODS: Thirty patients with PD and 30 healthy subjects underwent a complete ophthalmic evaluation, including assessment of visual acuity, contrast sensitivity vision, color vision, and retinal evaluation with spectral-domain optical coherence tomography (SD-OCT). All subjects were reevaluated after 5 years to quantify changes in visual function parameters, the retinal nerve fiber layer, and macular thickness. Association between progressive ophthalmologic changes and disease progression was analyzed. RESULTS: Changes were detected in visual function parameters and retinal nerve fiber layer thickness in patients compared with controls. Greater changes were found during the follow-up in the PD group than healthy subjects in visual acuity, contrast sensitivity, Lanthony color test (P < 0.016), in superotemporal and temporal retinal nerve fiber layer sectors (P < 0.001), and in macular thickness (all sectors except inner superior and inner inferior sectors, P < 0.001). Progressive changes in the retinal nerve fiber layer were associated with disease progression (r = 0.389, P = 0.028). CONCLUSIONS: Progressive visual dysfunction, macular thinning, and axonal loss can be detected in PD. Analysis of the macular thickness and the retinal nerve fiber layer by SD-OCT can be useful for evaluating Parkinson's disease progression. FAU - Satue, Maria AU - Satue M AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Rodrigo, Maria J AU - Rodrigo MJ AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Obis, Javier AU - Obis J AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Vilades, Elisa AU - Vilades E AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Gracia, Hector AU - Gracia H AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Otin, Sofia AU - Otin S AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Fuertes, Maria I AU - Fuertes MI AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Alarcia, Raquel AU - Alarcia R AD - Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain 3Neurology Department, Miguel Servet University Hospital, Zaragoza, Spain. FAU - Crespo, Jose A AU - Crespo JA AD - Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain 3Neurology Department, Miguel Servet University Hospital, Zaragoza, Spain. FAU - Polo, Vicente AU - Polo V AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Larrosa, Jose M AU - Larrosa JM AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Pablo, Luis E AU - Pablo LE AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. FAU - Garcia-Martin, Elena AU - Garcia-Martin E AD - Ophthalmology Department, Miguel Servet University Hospital, Zaragoza, Spain 2Aragon Health Research Institute (IIS Aragon, IACS), Zaragoza, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Aged MH - Aged, 80 and over MH - Case-Control Studies MH - Color Vision/physiology MH - Contrast Sensitivity/physiology MH - Disease Progression MH - Female MH - Humans MH - Macula Lutea/pathology MH - Male MH - Middle Aged MH - Nerve Fibers/pathology MH - Parkinson Disease/*complications/physiopathology MH - Retina/*physiopathology MH - Retinal Degeneration/*physiopathology MH - Retinal Ganglion Cells/pathology MH - Tomography, Optical Coherence MH - Visual Acuity/physiology EDAT- 2017/02/17 06:00 MHDA- 2017/06/16 06:00 CRDT- 2017/02/17 06:00 PHST- 2017/02/17 06:00 [entrez] PHST- 2017/02/17 06:00 [pubmed] PHST- 2017/06/16 06:00 [medline] AID - 2604719 [pii] AID - 10.1167/iovs.16-20460 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2017 Feb 1;58(2):1151-1157. doi: 10.1167/iovs.16-20460.