Dr. Carlson

Patients with Parkinson’s Disease pose several additional problems over the patient with routine cataracts.  Alan N. Carlson, M.D., Professor of Ophthalmology and Chief of the Corneal and Refractive Surgery Service at the Duke Eye Center in Durham, NC has operated on a number of patients with neurologic problems and the surgical case today demonstrates eye and head movement caused by uncontrollable tardive dyskinesia in a patient with advanced Parkinson’s Disease.

Furthermore, postoperative care of these patients can be additionally challenging and the following study helps shed light on my observation:

Convergence insufficiency significantly affects Parkinson’s patients’ quality of life

This prospective, case-control study assessed whether dopaminergic medication alone or in combinations with deep brain stimulation improved visual and ocular motor function inParkinson’s patients during the symptomatic “on state”. Additionally, it evaluated patients’ vision-related quality of life. Results showed Parkinson’s patients suffer from substantial convergence insufficiency compared to controls, which fluctuates throughout the day in association with the dosing schedule of medications, which complicates ophthalmic management and adversely affects vision-related quality of life. Ophthalmology, January, 2012