Cognitive and anxiety-depressive disorders in patients with age-related macular degeneration and cataracts

Agarkov, N. M.; Михайлович, Агарков Николай; Yablokov, M.M.; Михайлович, Яблоков Максим; Konyaev, D.A.; Александрович, Коняев Дмитрий; Попова, Н. В.; Викторовна, Попова Наталия

doi:10.17816/brmma71307

Cited by 2 publications

(1 citation statement)

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“…Нарушение зрения вследствие катаракты существенно ухудшает гериатрический статус пациентов и особенно в старческом возрасте, способствуя из-за развития сенсорной депривации формированию когнитивных нарушений и ССА [11][12][13][14].…”

Section: таблица 2 распределение пациентов пожилого возраста с ядерно...unclassified

Prevalence of clinical geriatric syndromes in cataract patients

Osmanov,

Aksenov

2023

RR. in B.

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Background: The geriatric status of older people is influenced by various factors, including somatic pathology. However, the impact of cataract, as a leading ophthalmic disease and the cause of blindness, on the geriatric profile has not been analyzed. The aim of the study: To study the prevalence of clinical geriatric syndromes in patients with cataracts. Materials and methods: The prevalence of clinical geriatric syndromes was studied in 220 elderly patients with cataracts, 240 elderly patients with cataracts, and 200 75-89-year-old patients with no cataracts and other ophthalmopathology. The identification of geriatric syndromes was carried out on the basis of a comprehensive geriatric assessment. Cataract diagnostics was performed by optical coherence tomography. Results: It was found that among the large number of studied clinical geriatric syndromes in patients with cataracts, the most common syndrome is hypomobility, cognitive impairment and malnutrition syndrome. Moreover, their frequency is high not only in the old age group, but also in old age. In particular, hypomobility syndrome occurs, respectively, in 80.8±2.5 cases and 46.8±3.4 cases per 100 examined against 23.5±3.0 cases in the group without ophthalmopathology with a statistically significant difference not only in the indicated groups, but also in relation to other clinical geriatric syndromes. Cognitive impairment syndrome was detected in 64.2±3.1 cases and 33.2±3.2 cases per 100 people (p<0.001), malnutrition syndrome -in 60.4±3.2 and 26.8±3.0 cases (p<0.001). In the group of 75-89-year-old patients without ophthalmopathology, the syndrome of cognitive impairment and malnutrition was diagnosed in 21.5±2.9 cases and 16.5±2.6 cases per 100 people, respectively. The syndrome of sarcopenia, senile asthenia, falls, anxiety-depressive syndrome, sleep and urination disorders are much less common and, therefore, to a lesser extent affect the geriatric status of patients with cataracts in old and old age. Conclusion: In patients with cataracts, the most common syndrome is hypomobility, cognitive impairment and malnutrition, which must be taken into account when correcting their geriatric status.

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Section: таблица 2 распределение пациентов пожилого возраста с ядерно...unclassified

Prevalence of clinical geriatric syndromes in cataract patients

Osmanov,

Aksenov

2023

RR. in B.

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Social isolation in patients with age-related visual pathology

Popova

2024

Medical and Social Expert Evaluation and Rehabilitation

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BACKGROUND: Social isolation and loneliness can affect individuals of all ages, but in many countries, they are particularly prevalent among older adults. Despite this, the social isolation of patients with sensory impairments, especially visual deficits, has not been extensively studied. AIM: To study the social isolation in patients with age-related visual pathology. MATERIALS AND METHODS: 136 patients aged 60–74 with non-operated cataract and 136 age-matched individuals without any form of cataract were examined. When identifying the social isolation syndrome, a modified version of the social isolation index was used, consisting of five points: marital status or living situation, interaction with children, interaction with relatives, interaction with friends, and societal participation. Relative risk indicators (OR) and 95% confidence intervals (CI) were calculated to study the association with social isolation. RESULTS: Elderly patients with non-operated cataracts showed a significant increase in social isolation associated with the duration of the condition (OR=2.21; 95% CI 2.03–2.54; p 0.01), average per capita income of patients (OR=1.82; 95% CI 1.63–2.15; p 0.01), presence of arterial hypertension (OR=1.53; 95% CI 1.41–1.82; p 0.01), and type 2 diabetes mellitus (OR=1.47; 95% CI 1.38–1.69; p 0.01). A higher risk of social isolation in patients with non–operated cataracts is observed in severe visual impairment (OR=3.56; 95% CI 3.17–3.82; p 0.001). CONCLUSION: Social isolation among elderly patients with non-operated cataract is associated with the duration of age-related cataract and per capita income. The strongest association with social isolation was observed in patients with severe visual impairment caused by age-related cataracts.

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Cognitive and anxiety-depressive disorders in patients with age-related macular degeneration and cataracts

Cited by 2 publications

References 12 publications

Prevalence of clinical geriatric syndromes in cataract patients

Prevalence of clinical geriatric syndromes in cataract patients

Social isolation in patients with age-related visual pathology

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