国际眼科纵览 ›› 2020, Vol. 44 ›› Issue (6): 438-442.doi: 10.3760/cma.j.issn/1673-5803.2020.06.012

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帕金森病视网膜变化的基础及临床研究

黄乐怡1  林玲1,2   

  1. 1福建医科大学基础医学院生物化学与分子生物学系,福州 350122; 2福建医科大学 福建省脑老化与神经变性疾病重点实验室,福州 350122

  • 收稿日期:2020-05-31 出版日期:2020-12-22 发布日期:2020-12-29
  • 通讯作者: 林玲,Email:llinzheng@163.com
  • 基金资助:
    福建省自然科学基金(面上项目)(2018J01838)

The basic and clinical studies of retinal changes in Parkinson's disease

Huang Leyi1, Lin Ling1, 2   

  1. 1Department of Biochemistry and Molecular Biology, Fujian Medical University, Fuzhou 350122, China; 2Key Laboratory of Brain Aging and Neurodegenerative Diseases, Fujian Medical University, Fuzhou 350122, China

  • Received:2020-05-31 Online:2020-12-22 Published:2020-12-29
  • Contact: Lin Ling, Email: llinzheng@163.com
  • Supported by:
    Natural Science Foundation of Fujian Province, China (2018J01838)

摘要: 帕金森病(Parkinson’s disease,PD)是以黑质纹状体通路多巴胺能神经元丧失为主要特征的神经退行性疾病。PD患者除表现出静止性震颤等运动症状外,还可出现视觉损伤等非运动症状。PD患者视网膜改变可能是PD发生发展的一个生物信号,其出现的时间早于运动症状。多巴胺与褪黑素之间的平衡失调以及α-突触核蛋白的聚集均与PD视网膜的变化有关。PD患者视网膜神经纤维层及黄斑区厚度变薄,并出现一定程度视觉障碍。(国际眼科纵览,2020, 44: 438-442)


关键词: 帕金森病, 视网膜, 多巴胺

Abstract: Parkinson's disease (PD) is a neurodegenerative disease, which is pathologically characterized by progressive neurodegeneration of the nigrostriatal dopamine system. In addition to showing motor symptoms such as rest tremor, PD patients also have non-motor symptoms such as visual impairment. It has been shown that changes of retinal and visual dysfunction in PD patients are biological signals, which appear earlier than the motor symptoms. At present, several studies have found that the imbalance between dopamine and melatonin and the accumulation of α-synuclein are related to retinal changes of PD. At the same time, the thickness of the retinal nerve fiber layer (RNFL) and the macular area in PD patients will become thinner, and a certain degree of visual impairments will appear.(Int Rev Ophthalmol, 2020, 44: 438-442)

Key words: Parkinson's disease, retina, dopamine ,