Artikel
Diplopie bei Patienten mit M. Parkinson
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Autoren
Veröffentlicht: | 2. Dezember 2016 |
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Gliederung
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Introduction: Diplopia in Parkison´s Disease (PD) is a visual incident often described in affected patients. Nevertheless, its pathogenesis is poorly understood, and not every patient with PD suffers from this visual problems. Therefore, this article investigates the most common visual symptoms with an emphasis on diplopia depending on eye position and its relation to the impact on daily life of patients with PD.
Methods: In collaboration with our Department of Neurology we assessed a cohort of 35 patients with PD with confirmed sight disorders such as diplopia, hallucinations and blurred vision in a cross-sectional sample. The patients were seen in our outpatient clinic for neuro-ophthalmology and visual acuity, squint angles, eye motility and stereo +/- simultaneous vision measured.
Results: We found that diplopia was seen in 48,6% of the patients. Further, in 76,5% of this patients with diplopia it occurred due to an exophoria in the near distance. Therefore, the double vision is noticed especially whilst reading.
Conclusion: Diplopia is a frequent symptom in patients with PD. Its impact on daily life is significant, as it disrupts short-distance vision in often already severely handicapped patients. This impact makes diplopia more serious than other, less disruptive visual effects or hallucinations. We recommend separate reading glasses with corresponding compensation with prisms.