Diagnostics,
Journal Year:
2024,
Volume and Issue:
14(23), P. 2685 - 2685
Published: Nov. 28, 2024
Parkinson's
Disease
is
a
prevalent
neurodegenerative
disorder
affecting
millions
worldwide,
primarily
marked
by
motor
and
non-motor
symptoms
due
to
the
degeneration
of
dopamine-producing
neurons.
Despite
absence
cure,
current
treatments
focus
on
symptom
management,
often
relying
pharmacotherapy
surgical
interventions.
Early
diagnosis
remains
critical
challenge,
particularly
in
underserved
areas,
as
existing
diagnostic
protocols
lack
standardization
accessibility.
This
paper
proposes
novel
framework
for
severity
classification
PD
using
video
data
captured
uncontrolled
environments.
Brain Sciences,
Journal Year:
2025,
Volume and Issue:
15(4), P. 362 - 362
Published: March 31, 2025
(1)
Background.
Eye
movement
abnormalities
are
increasingly
recognized
as
early
biomarkers
of
Parkinson's
disease
(PD),
reflecting
both
motor
and
cognitive
dysfunction.
Advances
in
eye-tracking
technology
provide
objective,
quantifiable
measures
saccadic
impairments,
fixation
instability,
smooth
pursuit
deficits,
pupillary
changes.
These
advances
offer
new
opportunities
for
diagnosis,
monitoring,
neurorehabilitation.
(2)
Objective.
This
narrative
review
explores
the
relationship
between
oculomotor
dysfunction
PD
pathophysiology,
highlighting
potential
applications
eye
tracking
clinical
research
settings.
(3)
Methods.
A
comprehensive
literature
was
conducted,
focusing
on
peer-reviewed
studies
examining
PD.
Relevant
publications
were
identified
through
PubMed,
Scopus,
Web
Science,
using
key
terms,
such
"eye
movements
disease",
"saccadic
control
neurodegeneration",
"fixation
instability
PD",
"eye-tracking
assessment".
Studies
integrating
machine
learning
(ML)
models
VR-based
interventions
also
included.
(4)
Results.
Patients
with
exhibit
distinct
abnormalities,
including
hypometric
saccades,
prolonged
latency,
increased
anti-saccade
errors.
impairments
correlate
executive
progression.
Fixation
altered
responses
further
support
role
metrics
non-invasive
biomarkers.
Emerging
AI-driven
show
promise
automated
diagnosis
progression
tracking.
(5)
Conclusions.
provides
a
reliable,
cost-effective
tool
detection,
assessment,
rehabilitation.
Future
should
focus
standardizing
protocols,
validating
predictive
AI
models,
into
multimodal
treatment
strategies.
Frontiers in Psychology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 4, 2025
Parkinson’s
disease
(PD)
is
characterized
by
motor
and
cognitive
impairments.
Subtle
impairment
may
precede
impairment.
There
a
substantial
need
for
innovative
assessments,
such
as
those
involving
decision-making,
to
detect
PD
in
the
premotor
phase.
Evidence
suggests
executive
dysfunction
can
impede
strategic
decision-making
relying
on
learning
applying
feedback.
The
Iowa
Gambling
Task
(IGT),
when
combined
with
eye-tracking,
be
valuable
synergistic
strategy
predicting
impaired
therapeutic
non-compliance.
Participants
matched
healthy
controls
completed
Movement
Disorders
Society’s
modified
Unified
Disease
Rating
Scale
(UPDRS-MDS),
6-min
Walk
Test
(6MWT),
Timed
Up
Go
(TUG),
Trail
Making
A
B
(TMT
B),
Controlled
Oral
Word
Association
(COWAT),
Barratt
Impulsiveness
(BIS).
Eye
tracking
was
recorded
during
IGT.
group
scored
significantly
higher
UPDRS
subscales
travelled
less
distance
6MWT
despite
equivalent
performance
TUG.
also
had
longer
completion
times
TMT
more
errors
B.
Overall
IGT
winning
scores
were
marginally
worse
PD.
However,
analyzed
function
of
over
time,
performed
task
end,
thus
suggesting
decision-making.
participants
exhibited
72%
reduction
blinks
outcomes
other
eye-movements.
Combined
established
tests,
inclusion
eye-tracking
represent
powerful
combination
noninvasive
methods
monitor
early
progression.
Cells,
Journal Year:
2025,
Volume and Issue:
14(9), P. 635 - 635
Published: April 25, 2025
The
integration
of
multisensory
inputs
plays
a
crucial
role
in
shaping
perception
and
behavior,
particularly
the
visual
system.
collicular
pathway,
encompassing
optic
tectum
non-mammalian
vertebrates
superior
colliculus
(SC)
mammals,
is
key
hub
for
integrating
sensory
information
mediating
adaptive
motor
responses.
Comparative
studies
across
species
reveal
evolutionary
adaptations
that
enhance
processing
contribute
to
compensatory
mechanisms
following
neuronal
injury.
present
review
outlines
structure
function
pathways,
emphasizing
retinocollicular
projections,
their
integration,
which
depends
on
synaptic
convergence
afferents
conveying
from
different
modalities.
cellular
underlying
multimodal
remain
be
fully
clarified,
further
investigations
are
needed
clarify
link
between
activity
response
stimulation
behavioral
involving
activity.
By
exploring
interplay
fundamental
neuroscience
translational
applications,
we
aim
address
as
pivotal
target
its
potential
rehabilitation
strategies.
Brain Communications,
Journal Year:
2024,
Volume and Issue:
6(5)
Published: Jan. 1, 2024
Noradrenaline
is
a
powerful
modulator
of
cognitive
processes,
including
action
decisions
underlying
saccadic
control.
Changes
in
eye
movements
are
common
across
neurodegenerative
diseases
ageing,
Parkinson's
disease.
With
growing
interest
noradrenergic
treatment
potential
for
non-motor
symptoms
disease,
the
temporal
precision
oculomotor
function
advantageous
to
assess
effects
this
modulation.
Here,
we
studied
effect
40
mg
atomoxetine,
noradrenaline
reuptake
inhibitor,
19
people
with
idiopathic
disease
using
single
dose,
randomized
double-blind,
crossover,
placebo-controlled
design.
Twenty-five
healthy
adult
participants
completed
assessments
provide
normative
data.
Participants
performed
prosaccade
and
antisaccade
tasks.
The
latency,
velocity
accuracy
saccades,
resting
pupil
diameter,
were
measured.
Increased
diameter
on
drug
confirmed
its
expected
locus
coeruleus
ascending
arousal
system.
Atomoxetine
altered
key
aspects
saccade
performance:
latencies
faster
main
sequence
was
normalized.
These
changes
accompanied
by
increased
error
rates
drug.
Together,
these
findings
suggest
shift
speed-accuracy
trade-off
visuomotor
response
treatment.
Our
results
new
evidence
substantiate
role
modulation
based
known
circuitry,
advance
hypothesis
that
reflects
at
level
coeruleus-superior
colliculus
pathway.
Given
related
conditions,
system
can
support
assessment
without
limb-motor
confounds
task
performance.
Journal of Parkinson s Disease,
Journal Year:
2024,
Volume and Issue:
14(7), P. 1369 - 1386
Published: Oct. 15, 2024
Eye
tracking
assessments
in
the
laboratory
have
previously
highlighted
clear
differences
eye
movements
between
Parkinson's
disease
(PD)
and
healthy
aging.
However,
laboratory-based
movement
tasks
are
artificial
limit
ecological
validity
of
observed
results.
utilizing
more
naturalistic
scenarios
may
provide
accurate
insight
into
cognitive
function
but
research
this
area
is
limited.