Relationship between Cognitive Impairment and Retinal Morphological and Visual Functional Abnormalities in Alzheimer Disease

@article{Iseri2006RelationshipBC,
  title={Relationship between Cognitive Impairment and Retinal Morphological and Visual Functional Abnormalities in Alzheimer Disease},
  author={Pervin Iseri and {\"O}zg{\"u}l Altinaş and Tomris Tokay and Nurşen Y{\"u}ksel},
  journal={Journal of Neuro-Ophthalmology},
  year={2006},
  volume={26},
  pages={18-24}
}
Background:There is conflicting evidence as to whether Alzheimer disease (AD) is accompanied by loss of retinal ganglion cells. To evaluate this issue, we have used optical coherence tomography (OCT) to assess the thickness and volume of the retina. We have also sought to correlate our findings with visual function and cognitive impairment. Methods:We evaluated 28 eyes of 14 patients with AD and 30 eyes of 15 age-matched control subjects. In these two groups, we measured retinal nerve fiber… 
Neurocognitive Assessment and Retinal Thickness Alterations in Alzheimer Disease: Is There a Correlation?
TLDR
The results suggest that correlations between retinal thinning and cognitive performance warrant further investigation, and OCT can show early thickness changes in AD patients with subtle memory disturbances.
Analysis of the Retinal Nerve Fiber Layer Thickness in Alzheimer Disease and Mild Cognitive Impairment
TLDR
The authors' OCT findings revealed a neuroanatomic difference in the RNFL thickness among the three groups, i.e., the AD, MCI, and healthy control groups, which suggests that a change in average R NFL thickness could be a meaningful index for diagnosing early AD.
Retinal alterations in mild cognitive impairment and Alzheimer’s disease: an optical coherence tomography study
TLDR
It is demonstrated that patients with amnestic MCI show an intermediate RNFL thickness between normality and AD, and a macular volume and thickness as well, which suggests loss of retinal neurons and their axons in early stages of AD.
Retinal Structural Changes in Patients with Mild Cognitive Impairment
TLDR
The preliminary study results suggest that RNFL overall and temporal thickness in patients with MCI is significantly decreased compared to normal controls and GCC FVL% is significantly increased in patientswith MCI compared tonormal controls suggesting that there is macular focal loss of ganglion cells in MCI patients.
Relationship between Retinal Nerve Fiber Layer Thickness and Cognitive Measures in Mild Cognitive Impairment Patients
Exploratory biomarkers of Alzheimer's disease (AD) are often expensive and invasive, which limits their clinical application.1 One potential biomarker is visual-system assessment in the early stages
Comparison of Visual Evoked Potentials and Retinal Nerve Fiber Layer Thickness in Alzheimer’s Disease
TLDR
It is demonstrated that pattern VEP did not show any significant correlation despite subtle loss in RNFLT, and it remains open whether additional flash VEP combined with R NFLT analysis may be useful in diagnosing AD, particularly for mild-to-moderate stages of the disease.
Changes in visual function and retinal structure in the progression of Alzheimer's disease
TLDR
The first changes in the mild AD patients appear in the psychophysical tests and in thecentral macula with a decrease in the central retinal thickness, and the presence of AD is best indicated based on contrast sensitivity.
The relationship between the degree of cognitive impairment and retinal nerve fiber layer thickness
TLDR
It is thought that retinal nerve fiber degeneration and central nervous system degeneration may be concurrent according to the thinning of RNFL measured by OCT in AD and MCI groups.
Retinal abnormalities in early Alzheimer's disease.
TLDR
The results show that AD produces quantifiable abnormalities in the retina, including a specific pattern of RNFL loss, narrow veins, and decreased retinal blood flow in these veins.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 42 REFERENCES
An evaluation of the retinal nerve fiber layer thickness by scanning laser polarimetry in individuals with dementia of the Alzheimer type.
TLDR
The data indicate that the RNFL is not altered in DAT, at least in the earlier stages of the disease.
Retinal ganglion cells in Alzheimer's disease and aging
TLDR
The density of GC subserving the central 11 degrees of vision was reduced by one‐fourth in both AD and control eyes compared with retinas from young adults, as was GC density in a wedge of nasal retina, which may contribute to deficits in visual function found in aged individuals, whether or not they have dementia.
Myelinated axon number in the optic nerve is unaffected by Alzheimer's disease.
TLDR
The results indicate that optic nerve degeneration is not a feature of AD and suggest that the visual deficits in the disease result from cortical dysfunction, supported by the fact that visuospatial dysfunction appears to be the most common visual problem in AD.
Optic nerve head and nerve fiber layer in Alzheimer's disease.
TLDR
A potential role for optic nerve head analysis in monitoring the progression of Alzheimer's disease and in assessing the effectiveness of any treatments developed is suggested.
Retinal nerve fiber layer abnormalities in Alzheimer's disease.
TLDR
Although these findings add to the clinical and histopathological evidence that ganglion cell degeneration occurs in Alzheimer's disease, the difficulty in obtaining and evaluating retinal nerve fiber layer photographs, especially in advanced cases, may limit the clinical usefulness of retinal nerves fiber layer analysis in such patients.
Normal Optic Nerve Head Topography in the Early Stages of Dementia of the Alzheimer Type
TLDR
The results suggest that the deficits in visual function that are known to occur in DAT are not related to ONH structural anomalies, at least in the earlier stages of the disease.
Visual dysfunction in Alzheimer's disease: Relation to normal aging
TLDR
The widespread visual dysfunction reported here is more likely to be related to known pathological changes in primary visual and association cortex in AD than to changes in the retina or optic nerve.
...
1
2
3
4
5
...