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Seeing ophthalmologic problems in Parkinson disease: Results of a visual impairment questionnaire. | LitMetric

Seeing ophthalmologic problems in Parkinson disease: Results of a visual impairment questionnaire.

Neurology

From Parkinson Centre Nijmegen (ParC), Department of Neurology, Donders Institute for Brain, Cognition and Behaviour (C.D.J.M.B., D.d.G., B.R.B., N.M.d.V.), and Department of Ophthalmology (C.H., T.T.), Radboud University Medical Centre, Nijmegen; Department of Neurology (F.V., A.M.M.V.), Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, the Netherlands; and Departments of Neurology (M.W., K.S., W.P.) and Ophthalmology (D.P.), Medical University Innsbruck, Austria.

Published: April 2020

AI Article Synopsis

  • A study aimed to investigate the prevalence and impact of eye symptoms in Parkinson's Disease (PD) patients compared to healthy controls using the Visual Impairment in Parkinson's Disease Questionnaire (VIPD-Q).
  • In a sample of 848 PD patients and 250 controls, 82% of PD patients reported at least one eye symptom, which was significantly higher than the 48% reported by controls, indicating more severe symptoms across all categories.
  • These eye symptoms were shown to disrupt daily activities in 68% of PD patients, emphasizing the need for effective screening tools like the VIPD-Q for better management and treatment of these symptoms.

Article Abstract

Objective: To determine the prevalence and clinical effect of ophthalmologic symptoms in patients with Parkinson disease (PD), compared with controls, using a standardized questionnaire.

Methods: In this observational, cross-sectional, multicenter study, 848 patients with PD and 250 healthy controls completed the Visual Impairment in Parkinson's Disease Questionnaire (VIPD-Q). The VIPD-Q addressed 4 domains according to structures: (1) ocular surface; (2) intraocular; (3) oculomotor; and (4) optic nerve. The questionnaire also assessed the effect of ophthalmologic symptoms on daily activities.

Results: One or more ophthalmologic symptoms were reported by 82% (95% confidence interval [CI], 80-85) of patients, compared with 48% (95% CI, 42-54) of controls ( < 0.001). Patients with PD experienced more ophthalmologic symptoms across all domains than controls ( < 0.001), as reflected by a higher VIPD-Q total score among patients (median 10 [interquartile range (IQR) 13]) than controls (median 2 [IQR 5]; < 0.001). Ophthalmologic symptoms interfered with daily activities in 68% (95% CI, 65-71) of patients, compared with 35% (95% CI, 29-41) of controls ( < 0.001).

Conclusion: Patients with PD have a higher prevalence of ophthalmologic symptoms than controls. Moreover, these frequently interfere with daily activities. A screening questionnaire such as the VIPD-Q may help with identifying ophthalmologic symptoms in PD, thereby enabling more timely treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251522PMC
http://dx.doi.org/10.1212/WNL.0000000000009214DOI Listing

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