Fixation Duration and Pupil Size as Diagnostic Tools in Parkinson's Disease.
J Parkinsons Dis
; 11(2): 865-875, 2021.
Article
em En
| MEDLINE
| ID: mdl-33612496
ABSTRACT
BACKGROUND:
Visual and oculomotor problems are very common in Parkinson's disease (PD) and by using eye-tracking such problems could be characterized in more detail. However, eye-tracking is not part of the routine clinical investigation of parkinsonism.OBJECTIVE:
To evaluate gaze stability and pupil size in stable light conditions, as well as eye movements during sustained fixation in a population of PD patients and healthy controls (HC).METHODS:
In total, 50 PD patients (66% males) with unilateral to mild-to-moderate disease (Hoehn & Yahr 1-3, Schwab and England 70-90%) and 43 HC (37% males) were included in the study. Eye movements were recorded with Tobii Pro Spectrum, a screen-based eye tracker with a sampling rate of 1200âHz. Logistic regression analysis was applied to investigate the strength of association of eye-movement measures with diagnosis.RESULTS:
Median pupil size (OR 0.811; 95% CI 0.666-0.987; pâ=â0.037) and longest fixation period (OR 0.798; 95% CI 0.691-0.921; pâ=â0.002), were the eye-movement parameters that were independently associated with diagnosis, after adjustment for sex (OR 4.35; 95% CI 1.516-12.483; pâ=â0.006) and visuospatial/executive score in Montreal Cognitive Assessment (OR 0.422; 95% CI 0.233-0.764; pâ=â0.004). The area under the ROC curve was determined to 0.817; 95% (CI) 0.732-0.901.CONCLUSION:
Eye-tracking based measurements of gaze fixation and pupil reaction may be useful biomarkers of PD diagnosis. However, larger studies of eye-tracking parameters integrated into the screening of patients with suspected PD are necessary, to further investigate and confirm their diagnostic value.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença de Parkinson
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Parkinsons Dis
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Suécia