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Studies suggest an association between retinal abnormalities and NCD (Neuro Cognitive Disorders) whether they are linked to proven or prodromal Alzheimer's disease (aMCI : amnestic mild cognitive impairment), or to other neurodegenerative diseases such as frontotemporal dementia or Lewy body diseases.
These retinal anomalies objectified by OCT-A (Optical coherence tomography angiography) and adaptive optics (AO) appear different depending on the pathologies and could therefore serve as markers in vivo of the pathophysiological processes underlying NCD.
No study to date has studied the retina and its vessels in NCD using adaptive optics. In this pilot study, we are proposing a combination of two new ophthalmological imaging techniques (OCT-A and AO), which allow rapid in vivo analysis in a completely non-invasive way of the morphology of small vessels as well as architecture of the retina to better specify the retinal anomalies associated with NCD. We will compare the parameters in OCT-A and AO between patients with NCD and controls without NCD (with memory complaint or without) and will seek to determine if there are different profiles according to the causes of NCD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NCD patients (case) | Experimental | Patient diagnosed with Alzheimer's disease or parkinsonian dementia / Lewy body dementia or other mild or severe NCD defined by international criteria. |
|
| Control patients with memory complaint | Other | Normal neuropsychological evaluation during assessment |
|
| Control patients without memory complaint | Other | MMS score and / or the Montreal Cognitive Assessment grid (MoCA) ≥26 / 30, No memory complaint |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ophthalmological exam | Procedure | OCT-A and AO |
|
| Measure | Description | Time Frame |
|---|---|---|
| Wall to lumen ratio (WLR) | Measured in adaptive optics, compared between patients case with NCD and patient controls without NDC found | Baseline (Inclusion) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amélie YACHITZ, MD | Contact | (0)148036454 | +33 | ayavchitz@for.paris |
| Antoine MOULIGNIER, MD | Contact | amoulignier@for.paris |
| Name | Affiliation | Role |
|---|---|---|
| Antoine MOULIGNIER, MD | Fondation A. de Rothschild | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Fondation A. de Rothschild | Recruiting | Paris | 75019 | France |
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| ID | Term |
|---|---|
| D000647 | Amnesia |
| D000544 | Alzheimer Disease |
| D020961 | Lewy Body Disease |
| ID | Term |
|---|---|
| D008569 | Memory Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| Blood pressure measurement | Procedure | Blood pressure measurement before the ophthalmological exam |
|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |