Portable Eye-Testing Device May Help Diagnose Schizophrenia

Research has shown that people with schizophrenia exhibit abnormal electrical activity in the retina. Now a new study finds that a portable device commonly used in optometrists’ offices could allow for a faster diagnosis of the disease, predict relapse and assess symptom severity and treatment effectiveness.

The findings are published in the Journal of Abnormal Psychology.

For the study, researchers at Rutgers University used RETeval, a hand-held device developed to record electrical activity from the retina, to replicate and add to previous studies showing that schizophrenia patients have abnormal electrical activity in this area.

The study, which is the first time a portable device has been used for these tests, reveals that the device can accurately identify reduced electrical activity in multiple cell layers in the retina of schizophrenia participants, including in cell types that had not been studied before in this disorder.

“Schizophrenia is a devastating disorder, probably the most disabling disorder long term. Although we know quite a bit about it, it’s still not that well understood,” said Steven Silverstein, professor of psychiatry at Rutgers Robert Wood Johnson Medical School and director of research at Rutgers University Behavioral Health Care (UBHC), who designed the study.

“Our study should help generate further research into developing a test that clinicians — like psychologists, psychiatrists or nurses — can use in their offices to diagnose, treat and monitor the condition of people with schizophrenia.”

Focusing on eye biomarkers as a way to understand psychiatric disorders is a new field of study.

“Since the retina is part of the nervous system, what is happening in the retina is likely reflective of what is occurring in the brain,” Silverstein said. “For example, we know that certain changes in the retina, like thinning tissue [due to cell loss] or weakening electrical activity, occur alongside loss of brain tissue and reduced brain activity in patients with neurological disorders like multiple sclerosis and Parkinson’s disease. We and other researchers are now investigating whether retinal changes are related to brain structure and function changes in schizophrenia.”

The researchers evaluated 50 participants: 25 with schizophrenia and 25 with no diagnosed psychiatric disorder. During the test, the participants closed one eye and placed the other against the RETeval device, which flashed 10 to 20 white or colored lights of various intensity against a white or colored background.

A tiny electrode was placed on the skin under the eye to record the retina’s electrical activity. The participants underwent the test in both normal lighting and again after sitting in the dark for 10 minutes in order to evaluate activity in different types of retinal cells. Most individual tests were completed within two minutes.

“Since many of our participants were experiencing severe psychiatric symptoms, such as hallucinations and delusions, we wanted to use a test that was as noninvasive and quick as possible,” Silverstein said.

“While the portable device clearly distinguished people with schizophrenia from those without a psychiatric diagnosis, it’s too soon to call this a diagnostic tool,” said lead author Docia Demmin, a graduate assistant in UBHC’s Division of Schizophrenia Research and a doctoral student in Rutgers Department of Psychology.

“However, since every prior study has found that people with schizophrenia exhibit reduced retinal wave forms and slowed retinal responses, our research shows that we closing in on an accurate test that is faster, less invasive, inexpensive and more accessible to patients.”

Source: Rutgers University

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