NR 10-12/2007

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Zmiany okulistyczne w chorobie Alzheimera

Ocular changes in Alzheimer’s disease

Kamila Kaczmarczyk, Wojciech Lubiński, Danuta Karczewicz

Z Katedry i Kliniki Okulistyki Pomorskiej Akademii Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Danuta Karczewicz

Summary: Purpose: In this study the authors present the ocular diseases and bioelectrical dysfunction of the retina and optic nerve in patients with Alzheimer’s disease, based on available literature.
Materials and methods: The paper focuses on the most often occurring ocular diseases and optic nerve dysfunction associated with Alzheimer’s disease measured by ERG, PERG and VEP tests.
Results: The most common ocular diseases in Alzheimer’s disease are glaucoma, cataract and AMD. Electrophysiological tests can be abnormal in patients with Alzheimer’s disease even with normal eye fundus in routine ophthalmic examination.
Conclusions: Early diagnosis of ocular changes associated with Alzheimer’s disease can prevent from significant loss of vision and can prolong self-reliant existence of patients with this disease. Electrophysiological tests are expected to be helpful in differentiation between patients with early stages of Alzheimer’s disease and healthy people or people suffering from other types of dementia or mental diseases. Future research to estimate the diagnostic value of this tests are needed.
Słowa kluczowe:  choroba Alzheimera, współistniejące choroby oczu, dysfunkcja siatkówki i nerwu wzrokowego, ERG, PERG, VEP.
Key words: Alzheimer’s disease, associated ocular diseases, retinal and optic nerve dysfunction, ERG, PERG, VEP.



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