Electroneuromyographic findings in pseudoexfoliation syndrome

Int Ophthalmol. 2018 Apr;38(2):705-712. doi: 10.1007/s10792-017-0520-8. Epub 2017 Apr 12.

Abstract

Purpose: To examine peripheral electroneuromyographic findings in patients with ocular pseudoexfoliation syndrome (PEX) and to compare them controls without PEX.

Methods: A case-control study design was used to examine 31 patients with PEX and compare the findings with those of 31 age- and sex-matched healthy controls. All patients underwent complete ophthalmologic examination that included peripheral electroneuromyography examination. Motor and sensorial nerve conduction of the median, ulnar, tibial, peroneal, and sural nerve and the sympathetic skin response were measured.

Results: The average sensorial nerve latency of the ulnar and sural nerve was significantly longer in the PEX group compared to the control group (p < 0.05). The average sensorial nerve conduction amplitude and the velocity of the ulnar and sural nerve were significantly lower in the PEX group (p < 0.05).

Discussion: Peripheral nerves, especially sensorial fibers, appear to be affected in PEX patients. These finding may indicate that PEX is a systemic disease.

Keywords: Electroneuromyography; Median nerve; Peripheral nerve; Polyneuropathy; Pseudoexfoliation syndrome; Sensory nerve; Sural nerve; Sympathetic skin response.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Electromyography
  • Exfoliation Syndrome / physiopathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Motor Neurons / physiology
  • Neural Conduction / physiology*
  • Peripheral Nervous System / physiopathology
  • Sensory Receptor Cells / physiology
  • Sympathetic Nervous System / physiopathology