Thurs. Nov, 12, 2020 ZOOM @7 - Speaker: Dr. Robert S. Fox, - Eye and vision issues in PD
Dr. Robert Fox has been in practice in the Capital Region Area since 1986. Dr. Fox has completed a residency in Rehabilitative Optometry and is a Fellow of the College of Optometrists in Vision Development (FCOVD). He is board certified in Vision Therapy and Vision Development. Dr. Fox is a charter member of the Neuro-Optometric Rehabiliation Association (NORA).
Your issues may be related to the aging of the eye, but there are several issues related to vision that are unique to people with Parkinson’s. So, if you go to your general ophthalmologist, but the problem isn’t solved with new (or first) lenses, ask for a referral to a neuro-ophthalmologist. Neuro-ophthalmologists are ophthalmologists or neurologists who have received specialized training so they can diagnose and treat vision issues that are the result of neurological diseases.
Vision issues a neuro-ophthalmologist can help you with:
Eye movement issues that impact reading, depth perception, ability to focus, etc.
External eye disease
Color vision deficits
General eye diseases such as cataracts, glaucoma, macular degeneration
Patients with Parkinson disease were found to be more likely to experience vision and eye issues, such as blurry vision, dry eyes, trouble with depth perception, and problems adjusting to rapid changes in light, compared with people without the disorder, according to study findings.
Patients with Parkinson disease (PD) were found to be more likely to experience vision and eye issues, such as blurry vision, dry eyes, trouble with depth perception, and problems adjusting to rapid changes in light, compared with people without the disorder, according to study findings published in Neurology.
Visual disorders like double vision, dry eyes, and visual field deficits are common but frequently missed in Parkinson’s disease. Here, we aim to increase awareness for these visual disorders in Parkinson patients by discussing several common problems that can be easily diagnosed using comprehensive history taking and a basic neuro-ophthalmological examination. We offer practical guidance for the patient interview and physical exam that can facilitate a timelier recognition of visual disorders. Such recognition has immediate therapeutic relevance, because Parkinson patients are strongly dependent on an adequate vision, for example to optimally benefit from visual cueing strategies.
Among the most common visual and ocular symptoms associated with PD are dry eye and ocular surface irritation, a problem that may be prevalent in as many as 60% of patients.1 This is thought to not only be related to poor production and abnormal composition of tears, but also due to decreased blink rate with resultant subnormal tear distribution.2 Parkinson’s patients have also been reported to have problems with eye movements, especially convergence insufficiency.