Cataract in Long-stay Psychiatric In-Patients: Prevalence, Challenges, and Clinical Implications DOI Creative Commons

Yasaman Hadi,

A A Rezaei,

Sepehr Roozdar

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 30, 2024

Abstract Purpose Cataracts, the leading cause of blindness, result in significant vision impairment and require surgical intervention. This study evaluates prevalence, complexity, complications cataracts long-term psychiatric hospital patients, who often face delayed diagnosis due to limited support systems. Methods interventional case series included all patients hospitalized for more than six months. Comprehensive ophthalmic examinations were conducted, cataract severity was documented. Patients considered surgery based on self-awareness or objective signs impairment. Standard preoperative postoperative care implemented, with anesthesia determined by patient cooperation. Results A total 608 screened. The most common diagnoses schizophrenia (n = 432) bipolar disorder 112). Clinically diagnosed 212 (34.9%). Cataract performed 192 eyes 110 82 undergoing bilateral surgeries at least a 4-week interval. 89 underwent intravenous sedation topical anesthesia, while 21 required general anesthesia. No instances posterior capsular rupture vitreous loss reported. mean corrected distance visual acuity (CDVA) improved significantly from 0.76 ± 0.32 logMAR 0.26 0.15 (P 0.024) 65 cooperated evaluation. Conclusion Regular are essential timely chronic reducing improving mental health. Experienced surgeons can generally perform under local using phacoemulsification technique patients.

Language: Английский

Cataract Surgery and Mental Health: A Comprehensive Review on Outcomes in the Elderly DOI Open Access

Kasturi K Dhawale,

Pravin Tidake

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: July 26, 2024

Cataract surgery is a widely performed and highly effective procedure that significantly improves vision in elderly patients. This narrative review examines the impact of cataract on mental health outcomes elderly, focusing conditions such as depression, anxiety, cognitive decline. The highlights prevalence cataracts older adults importance this demographic, emphasizing interconnectedness visual health. Improved following has been associated with enhanced quality life, increased independence, better psychological well-being. Mechanisms linking improvement to benefits include biological pathways, psychosocial factors, overall improvements. However, socioeconomic access healthcare, patient education play crucial roles achieving positive outcomes. also compares other interventions, providing cost-benefit analysis discussing long-term sustainability benefits. Practice recommendations pre-surgical screening, integrative care approaches, guidelines for postoperative concludes suggestions future research further explore relationship between aiming enhance clinical practice public strategies.

Language: Английский

Citations

4
Postoperative evaluation of visual and cognitive functions following cataract surgery in patients with age-related cataracts: a prospective longitudinal study DOI Creative Commons
Can Zhao, Xuan Li,

Bolin Deng

et al.

Frontiers in Neuroscience, Journal Year: 2025, Volume and Issue: 18

Published: Jan. 3, 2025

Cataracts are associated with a decline in both cognitive and visual functions. This study examines postoperative changes functions patients age-related cataracts, focusing on the differential effects of unilateral bilateral cataract surgeries these Additionally, evaluates function following surgery individuals mild impairment (MCI). A cohort (n = 35, 59 eyes) aged 60 years older (69.9 ± 7.0 years) cataracts who underwent or between May June 2024 was selected. Cognitive were evaluated preoperatively at 1 week, month, 3 months postoperatively. using Montreal Assessment (MoCA). Visual assessed binocular testing system based virtual reality (VR) technology, which low spatial frequency suppression, simultaneous vision, stereopsis, perceptual eye position under 3D viewing conditions without glasses. Based preoperative MoCA scores, classified into cognitively normal (MCI) groups. Patients demonstrated significant improvements postoperatively, compared to assessments (p < 0.05). Specifically, group MCI exhibited substantial time points outperformed throughout follow-up period In terms function, showed stereopsis measurements Both significantly improved after surgery. Bilateral is more effective increasing than plays critical role facilitating recovery

Language: Английский

Citations

0
Fear of Falling among Elderly Individuals with Various Medical Conditions DOI Creative Commons
T.K. Konovalchik

Clinical Psychology and Special Education, Journal Year: 2025, Volume and Issue: 13(4), P. 76 - 95

Published: Jan. 16, 2025

<p>Fear of falling is a significant problem among the elderly population, leading to decrease in quality life. Research on this phenomenon has been actively conducted abroad since 1990s, starting with works N. Lach, M. Lachman, and Tinetti. In Russia, there practically no research fear falling. <strong>Objective</strong>. This study dedicated systematizing summarizing existing data various health conditions. <strong>Methods</strong>. Theoretical analysis contemporary elderly. <strong>Results Conclusions</strong>. It was found that reliable correlation between sensory deficits falling, although reduced vision, hearing, proprioceptor sensitivity increase risk Fear can develop physically well-functioning individuals high levels anxiety, depression secondary The presence pronounced character accentuations contribute development even panic attacks. Parkinson`s disease, increases cognitively intact patients, associated catastrophizing. Alzheimer`s disease mild cognitive impairment, indicators are almost indistinguishable from those healthy individuals. Data across clinical groups heterogeneous, requires more thorough investigation. could be beneficial developing psychocorrection programs for patients reducing falling.</p>

Language: Английский

Citations

0
Deep Learning-Based Detection and Integrity Assessment of Cataract Microsurgical Instruments DOI

Yadan Shen,

Chunxiu Li, Hui Cheng

et al.

Published: Jan. 1, 2025

Language: Английский

Citations

0
Impact of mental health comorbidities on the effect of cataract surgery on dementia risk: a real-world retrospective cohort study DOI
Steven Kao,

Ming-Pei Yueh,

Huan-Jui Yeh

et al.

British Journal of Ophthalmology, Journal Year: 2025, Volume and Issue: unknown, P. bjo - 327134

Published: April 28, 2025

Background Cataract surgery has been shown to reduce the risk of developing dementia in future; however, its impact on different subtypes, including vascular dementia, remains unknown. Moreover, dementia-protecting effect among cataract patients with common mental disorder (CMD) unclear. Methods Patients aged 65 or older diagnosed between 2012 and 2021 were included grouped based whether they underwent within 1 year diagnosis. Propensity-score matching was used balance baseline characteristics, Cox proportional hazards models applied assess incidence 5 years post-cataract groups. Subgroup analyses performed CMD status. Results After propensity-score matching, 75 757 both control significantly reduced (HR=0.677, 95% CI =0.638 0.719, p<0.001), particularly for Alzheimer’s disease (HR=0.643, CI=0.576 0.716, no significant (HR=0.968, CI=0.851 1.101, p=0.621). showed a reduction without (HR=0.666, CI=0.624 0.710, but protective those CMD, regardless Conclusion is linked lower especially disease, cataract. However, this diminished CMD.

Language: Английский

Citations

0
Comparison of Cost-Utility, Visual Acuity, and Humanistic Outcomes of Cataract Surgery Performed in the United States Versus International Outreach Campaigns DOI Open Access
Lauren E. Chen,

Ryka Vahidi,

Anna Kesler-Diaz

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(9), P. 3037 - 3037

Published: April 28, 2025

Background: This study compares the cost-utility, visual acuity, and humanistic outcomes of phacoemulsification surgery performed during international outreach campaigns to in U.S. Objective: Humanitarian organizations frequently perform cataract surgeries underserved regions, yet these settings remain unexplored. aims compare acuity outcomes, quality-of-life cost with those Methods: retrospective review analyzed 344 cases from Women for World Health (W4WH) missions 305 consecutive academic practice lead surgeon W4WH US. The pre-operative (pre-op) post-operative (post-op) at day 1, best-corrected (BCVA) post-op month 1 were compared baseline. change was between two groups. Complication rates, per case, measures evaluated mission group developed world. Results: cohort had worse baseline than (1.36 logMAR vs. 0.50 logMAR, p < 0.0001) showed greater mean improvement (1.24 0.35 0.0001). Both cohorts achieved similar BCVA (0.13 logMAR). USD 276 surgery. A total 93.94% patients a 20/40 or better, which is comparable outcomes. Conclusions: dramatic impact, immediacy, enduring effect using phacoemusification on quality life, mental health, economic return investment make it ideal procedure humanitarian settings. Considering all available metrics, our data support continued expansion efforts by worldwide.

Language: Английский

Citations

0
A Randomized Clinical Trial Comparing the Effects of Educational Video and Operating Room Visit on Preoperative Anxiety in Older Adults Undergoing Cataract Surgery DOI

Akram Nami,

Mahdi Basiri Moghadam,

S. Reza Jafarzadeh

et al.

SN Comprehensive Clinical Medicine, Journal Year: 2025, Volume and Issue: 7(1)

Published: May 14, 2025

Language: Английский

Citations

0
Age-related eye diseases and subsequent risk of mental disorders in older adults: A real-world multicenter study DOI

Gyubeom Hwang,

So Hee Lee,

Dong Yun Lee

et al.

Journal of Affective Disorders, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

0
Depressive symptoms and its influencing factors of older people with cataracts in China: a national cross-sectional survey DOI Creative Commons

Tengfei Niu,

Shiwei Cao, Xiaoyu Wang

et al.

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: Jan. 29, 2025

Background Depressive symptoms are a common complication in patients with cataracts and may exacerbate cataract symptoms. Therefore, it is important to focus on depressive their influencing factors older people cataracts. The purpose of this study was investigate the prevalence rate Chinese Methods Descriptive analyses were used report sociodemographic characteristics, lifestyle, health status, old China. chi-square test compare differences between subjects different demographic characteristics. Binary logistic regression analyze that influenced patients. Meanwhile, random forest model developed rank importance factors. Results Three hundred six (25.27%) 1,211 included suffered from Logistic analysis suggested poor economic situation (AOR = 3.162, 95%CI: 1.719–5.817), social participation 1.530, 1.053–2.222), having hearing disorder 1.445, 1.040–2.008), self-reported status 2.646, 1.705–4.106), life satisfaction 3.586, 1.652–7.784) risk for consumption fresh fruits 0.587, 0.369–0.933) protective factor results showed most other factors, order importance, satisfaction, situation, fruits, disorder, participation. Conclusion development by various Medical staff should monitor these more closely when treating caring

Language: Английский

Citations

0
Effect of different incisions on dry eye symptoms after cataract surgery in diabetic patients DOI Creative Commons
Yang Xiao, Lijuan Li, Huiping Shen

et al.

BMC Ophthalmology, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 13, 2025

Language: Английский

Citations

0