Changes of retina are not involved in the genesis of visual hallucinations in Parkinson's disease.
Parkinson's disease (PD) is characterized by motor and nonmotor symptoms. Nonmotor symptoms include primarily visual hallucinations (VH). The aim of our study was to establish whether patients with PD and visual hallucinations (PDH+) have structural changes of retina detected by an optical coherence tomography (OCT) in comparison with PD patients without visual hallucinations (PDH-). We examined 52 PD patients (18 with VH, 34 without VH) and 15 age and sex matched healthy controls. Retinal nerve fiber layer (RNFL) thickness and macular thickness and volume were assessed by OCT. Functional impairment of retina was assessed using 2.5% contrast sensitivity test. For OCT outcomes we analyzed 15 PDH+ and 15 PDH- subjects matched for age, gender, and PD duration. For contrast sensitivity we analyzed 8 pairs of patients matched for age, gender, and visual acuity. There was no significant difference in RNFL thickness and macular thickness and macular volume between 15 PDH+ and 15 PDH- subjects, and also between a group of 44 PD patients (both PDH+ and PDH-) and 15 age and gender matched healthy controls. No significant difference was found for 2.5% contrast sensitivity test values between PDH+ and PDH- subjects. Therefore we conclude that functional and structural changes in retina play no role in genesis of VH in PD.
Department of Neurology, Regional Hospital Pardubice, Kyjevska 44, 532 03 Pardubice, Czech Republic.
Aleš
A
Kopal
Department of Ophthalmology, Regional Hospital Pardubice, Kyjevska 44, 532 03 Pardubice, Czech Republic.
Eva
E
Mejzlíková
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, 1st Faculty of Medicine and General University Hospital in Prague, Katerinska 30, 128 21 Prague, Czech Republic.
Jana Lízrová
JL
Preiningerová
Department of Mathematics and Quantitative Methods, Faculty of Economics and Administration, University of Pardubice, Studentska 95, 532 10 Pardubice, Czech Republic.
David
D
Brebera
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, 1st Faculty of Medicine and General University Hospital in Prague, Katerinska 30, 128 21 Prague, Czech Republic.
Olga
O
Ulmanová
Department of Neurology, Regional Hospital Pardubice, Kyjevska 44, 532 03 Pardubice, Czech Republic.
Edvard
E
Ehler
Department of Neurology and Center of Clinical Neuroscience, Charles University in Prague, 1st Faculty of Medicine and General University Hospital in Prague, Katerinska 30, 128 21 Prague, Czech Republic.
Jan
J
Roth