Visual function

视觉功能
  • 文章类型: Journal Article
    视网膜新生血管形成是几种眼部新生血管疾病的共同特征。这是世界上导致失明的主要原因。目前的治疗是通过侵入性玻璃体内注射进行的,导致患者依从性差,严重的眼部并发症和沉重的经济负担。因此,需要一种替代性的非侵入性或非侵入性治疗策略。这里,一种非侵入性口服酪氨酸激酶抑制剂,CM082在斑马鱼幼虫缺氧诱导的视网膜新生血管模型中进行了评估。我们发现CM082能有效抑制视网膜新生血管,拯救了视网膜神经节细胞层中的细胞损失,并挽救了视觉功能缺陷。我们的结果阐明了CM082主要通过抑制Vegfr2磷酸化来介导其治疗功效。研究结果表明,CM082具有很强的抗血管生成作用,可作为眼部新生血管性疾病血管生成的潜在治疗方法。
    Retinal neovascularization is a common feature of several ocular neovascular diseases, which are the leading cause of blindness in the world. Current treatments are administered through invasive intravitreal injections, leading to poor patient compliance, serious ocular complications and heavy economic burdens. Thus, an alternative less or non-invasive therapeutic strategy is in demand. Here, a non-invasive oral tyrosine kinase inhibitor, CM082, was evaluated in a retinal neovascularization model induced by hypoxia in zebrafish larvae. We found that CM082 effectively suppressed retinal neovascularization, rescued cell loss in the retinal ganglion cell layer, and rescued the visual function deficiency. Our results elucidated that CM082 mediated its therapeutic efficacy primarily through the inhibition of Vegfr2 phosphorylation. The findings demonstrated that CM082 possessed strong antiangiogenic effects and may serve as a potential treatment for angiogenesis in ocular neovascular diseases.
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  • 文章类型: Journal Article
    这项研究的目的是研究透明质酸钠(SH)联合普拉洛芬治疗干眼症患者的临床应用。
    纳入了2020年3月至2022年5月在昆山市中医医院治疗的117例干眼症患者。根据治疗方法,他们用SH治疗(SH组),普拉洛芬(普拉洛芬组),SH联合普拉洛芬(联合组)(n=39)。
    干眼的有效率为79.49%,SH组74.36%和94.87%,普拉洛芬组和联合组,分别为(p<0.05)。治疗后,联合组的泪液BUT和SIT均明显高于其他两组(p<0.05)。联合组治疗后角膜荧光素染色和干眼症状评分明显低于其他两组(p<0.001)。治疗后,视觉对比敏感度(12c/d,联合组18c/d和24c/d)明显高于其他两组(p<0.001)。CPR,TNF-α,联合组的IFN-γ和IL-1β水平明显低于其他两组(p<0.001)。治疗后,联合组的VRQOL生活质量评分明显高于其他两组(p<0.05)。
    SH联合普拉洛芬在治疗干眼方面显示出明显的治疗益处,疗效优于单独使用任何一种药物。
    UNASSIGNED: The aim of this study was to investigate the clinical use of sodium hyaluronate (SH) combined with pranoprofen in treating patients with dry eye.
    UNASSIGNED: A total of 117 patients with dry eye who were treated in the Traditional Chinese Medicine Hospital of Kunshan from March 2020 and May 2022 were included. According to the therapy approaches, they were treated with SH (SH group), pranoprofen (pranoprofen group), and SH combined with pranoprofen (joint group) (n = 39).
    UNASSIGNED: The effective rates of dry eye were 79.49%, 74.36% and 94.87% in the SH group, the pranoprofen group and the joint group, respectively (p < 0.05). After treatment, the tear BUT and SIT in the joint group were all prominently increased than those in the other two groups (p < 0.05). The corneal fluorescein staining and dry eye symptom scores in the joint group after treatment were dramatically lower than those in the other two groups (p < 0.001). After treatment, the visual contrast sensitivity (12 c/d, 18 c/d and 24 c/d) in the joint group was markedly higher than those in the other two groups (p < 0.001). The CPR, TNF-α, IFN-γ and IL-1β levels in the joint group were notably decreased than those in other two groups (p < 0.001). After treatment, the VRQOL quality-of-life scores in the joint group were significantly higher than those in the other two groups (p < 0.05).
    UNASSIGNED: SH combined with pranoprofen showed clear therapeutic benefit in treating dry eye, and the curative effect was more favorable than with either medication alone.
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  • 文章类型: Journal Article
    患有脑瘫(CP)的儿童表现出各种感觉障碍,这些障碍会干扰运动表现,但是这些障碍如何持续到成年需要进一步研究。这项研究的目的是描述患有CP的成年人的感觉障碍以及它们与运动障碍的关系。
    19名患有CP的成年人进行了一组机器人和临床评估。这些评估针对不同的感觉功能和运动功能(双边和单边任务)。通过将各个结果与规范数据进行比较来确定每种类型的损伤的频率。用Spearman相关系数评估感觉和运动障碍之间的关联。
    立体诊断障碍是最常见的,影响57.9%的参与者。虽然受损频率较低(26.3%),触觉辨别与所有运动任务(单边和双边,机器人或临床)。机器人运动评估中的表现与感觉障碍比与临床评估更频繁地相关。最后,感觉障碍与双侧任务的相关性不如与单侧任务的相关性更密切.
    体感和视觉感知障碍在患有CP的成年人中很常见,84.2%显示至少一种感觉功能受损。这些感觉障碍显示出与运动障碍的中度关联。
    UNASSIGNED: Children with cerebral palsy (CP) exhibit a variety of sensory impairments that can interfere with motor performance, but how these impairments persist into adulthood needs further investigation. The objective of this study was to describe the sensory impairments in adults having CP and how they relate to motor impairments.
    UNASSIGNED: Nineteen adults having CP performed a set of robotic and clinical assessments. These assessments were targeting different sensory functions and motor functions (bilateral and unilateral tasks). Frequency of each type of impairments was determined by comparing individual results to normative data. Association between the sensory and motor impairments was assessed with Spearman correlation coefficient.
    UNASSIGNED: Impairment in stereognosis was the most frequent, affecting 57.9% of participants. Although less frequently impaired (26.3%), tactile discrimination was associated with all the motor tasks (unilateral and bilateral, either robotic or clinical). Performance in robotic motor assessments was more frequently associated with sensory impairments than with clinical assessments. Finally, sensory impairments were not more closely associated with bilateral tasks than with unilateral tasks.
    UNASSIGNED: Somatosensory and visuo-perceptual impairments are frequent among adults with CP, with 84.2% showing impairments in at least one sensory function. These sensory impairments show a moderate association with motor impairments.
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  • 文章类型: Journal Article
    在这项研究中,我们研究了闪烁光对小鼠屈光发育的影响以及在此过程中眼底结构和功能的变化。将C57BL/6小鼠随机分为对照组和闪烁光诱导近视(FLM)组。对照组小鼠在正常光照下喂养。FLM组小鼠在50%占空比和2Hz闪光频率的照明下喂养。折射状态,轴向长度(AL),角膜曲率半径(CRC),在治疗前和治疗后2周和4周测量所有动物的视网膜电图信号。视网膜厚度(RT),通过光学相干断层扫描(OCT)和光学相干断层扫描血管造影(OCTA)测量脉络膜厚度(ChT)和脉络膜血液灌注(ChBP)。经过4周的闪烁光刺激,老鼠变成了近视,AL增加,但CRC保持不变。近视的诱导降低了视网膜电图中a波和b波的隐含时间和振幅,影响视网膜的功能。全层视网膜厚度,闪烁光诱导后2周和4周时,ChT和ChBP均降低。视网膜的表层和中间层明显变薄,而深层仅略薄,无统计学意义。由同心圆算法计算,FLM脉络膜血流灌注的减少主要集中在以视盘为中心半径150-450μm的同心圆区域。总之,本研究表明,闪烁光可以成功诱导C57BL/6小鼠近视,影响视网膜的电生理活动,并引起眼底组织结构和血流的变化。
    In this study, we investigated the effects of flickering light on refractive development of mice and the changes of fundus structure and function during this process. C57BL/6 mice were randomly divided into control group and flickering light-induced myopia (FLM) group. Mice in the control group were fed under normal lighting. FLM group mice were fed under lighting with a duty cycle of 50% and flash frequency of 2 Hz. Refractive status, axial length (AL), corneal radius of curvature (CRC), and electroretinogram signals were measured in all animals before treatment and at 2 and 4 weeks after treatment. Retinal thickness (RT), choroidal thickness (ChT) and choroidal blood perfusion (ChBP) were measured by optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA). After 4 weeks of flickering light stimulation, the mice became myopia, the AL increased, but the CRC remained constant. The induction of myopia reduced the implicit time and amplitude of a-wave and b-wave in electroretinogram, which affects the function of retina. Full-layer retinal thickness, ChT and ChBP decreased at both 2 and 4 weeks after flickering light induction. The superficial and middle layers of the retina were significantly thinner, while the deep layer was only slightly thinner without statistical significance. Calculated by the concentric circle algorithm, the decrease of choroidal blood perfusion in FLM was mainly concentrated in the concentric circle area with the optic disc as the center radius of 150-450 μm. In conclusion, the present study shows that flickering light can successfully induce myopia in C57BL/6 mice, affect the electrophysiological activity of retina, and cause changes in fundus tissue structure and blood flow.
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  • 文章类型: Journal Article
    量化动态视敏度(DVA)的变化,并解释急性暴露于低压低氧状态后的隐藏原因。
    研究组包括18名20-24岁的健康男性和15名健康女性参与者。DVA采用美地心(天津)有限公司自主开发的软件进行测量。Ltd.在八个海拔高度进行测量。数据分析采用Kolmogorov-Smirnov检验,配对样本T检验,以及用于重复测量的双向重复测量方差分析(ANOVA)。
    在恒定高度,随着角速度的增加,DVA总体上呈下降趋势,并且在绝大多数高度上呈波动下降趋势。在恒定的角速度下,DVA随海拔高度逐渐增加,在海拔5时DVA增加最明显,此后随着海拔增加DVA逐渐降低。最后,随着海拔高度的下降,DVA再次增加,并在实验结束时达到较高水平,优于初始状态的DVA。
    在高海拔的低压低氧环境下,DVA受角速度和缺氧程度的影响,表现为DVA的增加或减少,这会影响驾驶员在驾驶过程中对显示和控制界面的观察,获取信息,和决策能力,这反过来又可能危及飞行安全。
    UNASSIGNED: To quantify the changes in dynamic visual acuity (DVA) and explain the hidden reasons after acute exposure to hypobaric hypoxia status.
    UNASSIGNED: The study group comprised 18 healthy male and 15 healthy female participants aged 20-24 years old. DVA was measured with the self-developed software of Meidixin (Tianjin) Co., Ltd. Measurements were taken at eight altitudes. Data analysis was performed using the Kolmogorov-Smirnov test, paired sample T-test, and two-way repeated measures analysis of variance (ANOVA) for repeated measurements.
    UNASSIGNED: At constant altitude, DVA showed an overall decreasing trend with increasing angular velocity and a fluctuating decrease at the vast majority of altitudes. At constant angular velocities, DVA gradually increased with altitude, with the most pronounced increase in DVA at altitude 5, and thereafter a gradual decrease in DVA as altitude increased. Finally, as altitude decreased, DVA increased again and reached a higher level at the end of the experiment, which was superior to the DVA in the initial state.
    UNASSIGNED: Under a hypobaric hypoxic environment at high altitude, DVA was affected by the angular velocity and the degree of hypoxia, manifesting as an increase or decrease in DVA, which affects the pilot\'s observation of the display and control interfaces during the driving process, acquisition of information, and decision-making ability, which in turn may potentially jeopardize the safety of the flight.
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  • 文章类型: Journal Article
    背景:需要准确的视觉信息来指导和执行日常生活中的有效运动。
    目的:为了研究视觉功能之间的关系,功能视觉,单侧脑瘫(uCP)儿童的双功能。
    方法:在49名uCP(7-15岁)儿童中,我们研究了立体敏锐度之间的关系(Titmus立体飞试验),视觉感知(视觉感知技能测试),视觉运动整合(视觉-运动整合的BeeryBuktenica测试)和功能视觉(佛兰德脑视觉障碍问卷),双手灵活性(泰恩赛德Pegboard测试),双手协调(Kinarm外骨骼机器人,开箱任务),以及使用相关性(rs)和弹性网正则化回归(d)的功能性手使用(儿童手使用经验问卷;辅助手评估)。
    结果:视觉感知与双手协调(rs=0.407-0.436)和功能性手使用(rs=0.380-0.533)相关。立体灵敏度(rs=-0.404),视觉感知(rs=-0.391至-0.620),和视觉运动积分(rs=-0.377)与双手灵活性相关。功能性视力与功能性手使用相关(rs=-0.441至-0.458)。视觉感知预测双手灵活性(d=0.001-0.315),双配位(d=0.004-0.176),和功能性手使用(d=0.001-0.345),而功能性视力主要预测功能性手的使用(d=0.001-0.201)。
    结论:uCP患儿的视觉功能和视觉功能与双手功能相关,强调了进行广泛的视觉评估以更好地了解儿童执行双手任务的困难的重要性。
    结论:先前的研究结果表明,高达62%的单侧脑瘫(uCP)儿童存在视力障碍,这可能会进一步损害他们的电机性能。然而,在这个人群中,视觉和运动功能之间的关系几乎没有被研究过。这项研究通过全面调查uCP儿童视觉能力的异质性与双功能之间的多层次关系,为文献做出了重大贡献。我们发现视觉感知下降主要与双手灵活性下降有关,双协调,和功能性手使用,而功能性视力障碍仅与功能性手使用减少有关。此外,弹性网络回归模型表明,视觉评估可以预测uCP儿童的双功能,然而,效果大小只有很小到很小。随着我们的研究,我们证明了uCP儿童的视觉功能与双手功能之间的关系。这些发现表明,彻底检查uCP儿童的视觉功能以确定可能进一步损害其双手功能的视觉障碍的存在。
    BACKGROUND: Accurate visual information is needed to guide and perform efficient movements in daily life.
    OBJECTIVE: To investigate the relation between visual functions, functional vision, and bimanual function in children with unilateral cerebral palsy (uCP).
    METHODS: In 49 children with uCP (7-15 y), we investigated the relation between stereoacuity (Titmus Stereo Fly test), visual perception (Test of Visual Perceptual Skills), visuomotor integration (Beery Buktenica Test of Visual-Motor Integration) and functional vision (Flemish cerebral visual impairment questionnaire) with bimanual dexterity (Tyneside Pegboard Test), bimanual coordination (Kinarm exoskeleton robot, Box opening task), and functional hand use (Children\'s Hand-use Experience Questionnaire; Assisting Hand Assessment) using correlations (rs) and elastic-net regularized regressions (d).
    RESULTS: Visual perception correlated with bimanual coordination (rs=0.407-0.436) and functional hand use (rs=0.380-0.533). Stereoacuity (rs=-0.404), visual perception (rs=-0.391 to -0.620), and visuomotor integration (rs=-0.377) correlated with bimanual dexterity. Functional vision correlated with functional hand use (rs=-0.441 to -0.458). Visual perception predicted bimanual dexterity (d=0.001-0.315), bimanual coordination (d=0.004-0.176), and functional hand use (d=0.001-0.345), whereas functional vision mainly predicted functional hand use (d=0.001-0.201).
    CONCLUSIONS: Visual functions and functional vision are related to bimanual function in children with uCP highlighting the importance of performing extensive visual assessment to better understand children\'s difficulties in performing bimanual tasks.
    CONCLUSIONS: Previous findings showed that up to 62 % of children with unilateral cerebral palsy (uCP) present with visual impairment, which can further compromise their motor performance. However, the relation between visual and motor function has hardly been investigated in this population. This study makes a significant contribution to the literature by comprehensively investigating the multi-level relation between the heterogenous spectrum of visual abilities and bimanual function in children with uCP. We found that mainly decreased visual perception was related to decreased bimanual dexterity, bimanual coordination, and functional hand use while impairments in functional vision were only related to decreased functional hand use. Additionally, elastic-net regression models showed that visual assessments can predict bimanual function in children with uCP, however, effect sizes were only tiny to small. With our study, we demonstrated a relation between visual functions and bimanual function in children with uCP. These findings suggest the relevance of thoroughly examining visual functions in children with uCP to identify the presence of visual impairments that may further compromise their bimanual function.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fnins.2023.1278626。].
    [This corrects the article DOI: 10.3389/fnins.2023.1278626.].
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  • 文章类型: Journal Article
    开发和评估中文版的视觉功能障碍症状问卷(CSQVD),以量化患有各种眼病的学龄儿童的视觉功能障碍症状,并探讨眼科疾病与视觉功能障碍症状的关系。
    遵循标准比例调整程序,视觉功能障碍症状问卷(SQVD)被翻译成中文(CSQVD)。我们采用随机抽样调查了198名7-18岁的门诊患者,以评估CSQVD的心理测量特性。使用可靠且经过验证的问卷,我们在眼科中心对406例学龄期患者的视觉功能障碍症状的决定因素进行了评估.CSQVD评分与人口统计学和临床变量相关,包括性别,年龄,眼睛位置,屈光力,和最佳矫正视力。单变量分析确定了潜在的风险因素,对P值<0.05的因素进行二元logistic回归和多元线性回归分析。
    CSQVD量表的临界比率(CR)值范围为6.028至10.604。Cronbach的Alpha系数为0.779,Spearman-Brown的半可靠度也为0.779。I-CVI在0.83至1.000之间变化,S-CVI/Ave为0.857,KMO值为0.821。多因素回归分析显示高度近视(OR=5.744,95%CI[1.632,20.218],P​=0.006)和弱视(OR​=9.302,95%CI[1.878,46.058],P​=0.006)是CSQVD症状的显著预测因子。多元线性回归分析显示弱视眼的BCVA(B​=​-5.052,95%CI[-7.779,2.325],P​=​0.000)和SE幂(B​=​-0.234,95%CI[-0.375,0.205],P​=​0.001)显着影响CSQVD量表得分。
    中文版SQVD量表(CSQVD)证明了良好的可行性,歧视性权力,有效性,以及评估中国学龄儿童的可靠性。此外,那些患有严重近视和弱视的人报告了更多的视觉功能障碍症状。
    UNASSIGNED: To develop and evaluate a Chinese version of the Symptom Questionnaire for Visual Dysfunctions (CSQVD) to quantify visual dysfunction symptoms in school-age children with various eye diseases, and to explore the relationship between ophthalmological disorders and visual dysfunction symptoms.
    UNASSIGNED: Following standard scale adaptation procedures, the Symptom Questionnaire for Visual Dysfunctions (SQVD) was translated into Chinese (CSQVD). We employed random sampling to survey 198 outpatients aged 7-18 to assess the psychometric properties of the CSQVD. Using the reliable and validated questionnaire, we evaluated the determinants of visual dysfunction symptoms among 406 school-age patients at an eye center. The CSQVD scores were correlated with demographic and clinical variables, including gender, age, eye position, refractive power, and best-corrected visual acuity. Univariate analysis identified potential risk factors, followed by binary logistic regression and multiple linear regression analysis on factors with a P-value <0.05.
    UNASSIGNED: The CSQVD scale\'s critical ratio (CR) values ranged from 6.028 to 10.604. The Cronbach\'s Alpha coefficient was 0.779, and Spearman-Brown split-half reliability was also 0.779. The I-CVI varied from 0.83 to 1.000, the S-CVI/Ave was 0.857, and the KMO value was 0.821. Multifactorial regression analysis indicated that high myopia (OR ​= ​5.744, 95% CI [1.632, 20.218], P ​= ​0.006) and amblyopia (OR ​= ​9.302, 95% CI [1.878, 46.058], P ​= ​0.006) were significant predictors of CSQVD symptoms. Multiple linear regression analysis showed that BCVA of amblyopic eyes (B ​= ​-5.052, 95% CI [-7.779, 2.325], P ​= ​0.000) and SE power (B ​= ​-0.234, 95% CI [-0.375, 0.205], P ​= ​0.001) significantly affected the CSQVD scale scores.
    UNASSIGNED: The Chinese version of the SQVD scale (CSQVD) demonstrates good feasibility, discriminatory power, validity, and reliability in assessing Chinese school-aged children. Furthermore, those who have severe myopia and amblyopia reported more visual dysfunction symptoms.
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  • 文章类型: Journal Article
    早期关键视觉技能,比如跟踪对象,持续凝视,转移注意力,在婴儿生命的前6个月内迅速发展。这些能力在认知功能的发育中起着重要作用,但在有神经发育障碍风险的婴儿中经常受到损害。这项系统评价评估了早期视觉功能在预测12个月或以上认知方面的潜力。搜索了五个数据库的相关文章,并使用诊断准确性研究质量评估工具评估其质量。八项研究是合适的,包括521名不同风险的早产儿脑瘫(CP)。每一项研究都表明视力和认知结果之间存在显著的相关性。三项研究可以进行包括敏感性和特异性的预测分析。方法学质量是可变的。在视觉功能评估项目中,敏感度介于57%和100%之间。而特异性范围为59%至100%。总之,早期视力与认知≥12个月有很强的相关性.虽然没有发现单一的视力评估是优越的,对特定功能的评估,即固定和跟随,在足月年龄和3至6个月之间,表现出很强的预测有效性。
    Early key visual skills, such as tracking objects, sustaining gaze, and shifting attention, rapidly develop within the first 6 months of infant life. These abilities play a significant role in the development of cognitive functions but are frequently compromised in infants at risk of developing neurodevelopmental disorders. This systematic review evaluates the potential of early vision function in the prediction of cognition at or above 12 months. Five databases were searched for relevant articles, and their quality was assessed with the Quality Assessment of Diagnostic Accuracy Studies tool. Eight studies were suitable, including 521 preterm-born infants at varying risk of developing Cerebral Palsy (CP). Each study showed a significant correlation between vision and cognitive outcome. Predictive analysis including sensitivity and specificity was possible for three studies. Methodological quality was variable. Sensitivity ranged between 57 and 100% in the vision function assessments items, while specificity ranged from 59 to 100%. In conclusion, early vision showed strong correlation with cognition ≥ 12 months. While no single vision assessment was found to be superior, evaluation of specific functions, namely fixation and following, both at term age and between 3 and 6 months, demonstrated strong predictive validity.
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  • 文章类型: Systematic Review
    目的:检查视觉功能之间的关系(即,对比敏感度,视野,色觉,和运动知觉)和认知障碍,包括任何“认知障碍”的定义,“轻度认知障碍,或痴呆症。
    方法:系统评价和荟萃分析。
    方法:任何设置;有(病例)或没有(对照)认知障碍的参与者。
    方法:我们检索了4个数据库(至2024年1月),并纳入了已发表的比较病例和对照组视觉功能的研究。在数据可用的情况下,计算95%CI的标准化平均差(SMD)。当病例为痴呆症患者时,数据足以进行荟萃分析。JoannaBriggs研究所的清单用于质量评估。
    结果:纳入51项研究/69份报告。横断面证据表明,痴呆症患者的对比敏感度功能和色觉比对照组更差:通过字母图上的对比敏感度(对数单位)来测量,SMD-1.22(95%CI-1.98,-0.47),或者在不同的空间频率下,-0.90(-1.21,-0.60);通过伪等色平板,-1.04(-1.59,-0.49);颜色排列,-1.30(-2.31,-0.29);或匹配测试,-0.51(-0.78,-0.24)。他们在运动知觉测试中的表现也较差,-1.20(-1.73,-0.67),和视野:平均偏差,-0.87(-1.29,-0.46),和模式标准偏差,-0.69(-1.24,-0.15)。当病例仅限于临床诊断为阿尔茨海默病的参与者时,结果相似。偏倚的来源包括研究人群或认知障碍的设置和定义缺乏明确性。2项纳入的纵向研究随访约10年,质量良好,但报告结果不一致。
    结论:在缺乏纵向数据的情况下,横断面研究表明,认知障碍患者的视觉功能比正常认知者差。需要额外的纵向数据来了解视功能不良是否先于认知障碍和视觉功能的最相关方面,痴呆病理学,和认知领域。
    OBJECTIVE: To examine relationships between visual function (ie, contrast sensitivity, visual field, color vision, and motion perception) and cognitive impairment, including any definition of \"cognitive impairment,\" mild cognitive impairment, or dementia.
    METHODS: Systematic review and meta-analyses.
    METHODS: Any settings; participants with (cases) or without (controls) cognitive impairment.
    METHODS: We searched 4 databases (to January 2024) and included published studies that compared visual function between cases and controls. Standardized mean differences (SMD) with 95% CIs were calculated where data were available. Data were sufficient for meta-analyses when cases were people with dementia. The Joanna Briggs Institute checklists were used for quality assessment.
    RESULTS: Fifty-one studies/69 reports were included. Cross-sectional evidence shows that people with dementia had worse contrast sensitivity function and color vision than controls: measured by contrast sensitivity (log units) on letter charts, SMD -1.22 (95% CI -1.98, -0.47), or at varied spatial frequencies, -0.92 (-1.28, -0.57); and by pseudoisochromatic plates, -1.04 (-1.59, -0.49); color arrangement, -1.30 (-2.31, -0.29); or matching tests, -0.51 (-0.78, -0.24). They also performed more poorly on tests of motion perception, -1.20 (-1.73, -0.67), and visual field: mean deviation, -0.87 (-1.29, -0.46), and pattern standard deviation, -0.69 (-1.24, -0.15). Results were similar when cases were limited to participants with clinically diagnosed Alzheimer disease. Sources of bias included lack of clarity on study populations or settings and definitions of cognitive impairment. The 2 included longitudinal studies with follow-ups of approximately 10 years were of good quality but reported inconsistent results.
    CONCLUSIONS: In the lack of longitudinal data, cross-sectional studies indicate that individuals with cognitive impairment have poorer visual function than those with normal cognition. Additional longitudinal data are needed to understand whether poor visual function precedes cognitive impairment and the most relevant aspects of visual function, dementia pathologies, and domains of cognition.
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