Evaluation of the effect of cataract surgery on cognitive function in very elderly patients

Session Details

Session Title: Presented Poster Session: New & Interesting I

Venue: Poster Village: Pod 3

First Author: : T.Verdina ITALY

Co Author(s): :    F. Stiro   C. Ferrari   F. Bruni   G. Cavallini              

Abstract Details

Purpose:

To evaluate cognitive function, perioperative delirium and quality of life of very elderly patients undergoing cataract surgery .

Setting:

Institute of Ophthalmology of the University of Modena and Reggio Emilia (Modena, Italy)

Methods:

100 patients in line for cataract surgery for the first time and visual acuity <0.5 decimals in both eyes were included in the study and subdivided into 2 groups: 65-85 years (group A) and >85 years (group B). We excluded patients with Dementia and serious ocular co-pathologies. Six-Item Cognitive Imparement Test (6-CIT), CatQuest 9SF (CQ) and Barthel Index test were submitted pre- and postoperatively at 1 and 6 months. Confusion assessment method (CAM) was evaluated perioperatively at 2 and 24 hours post surgery.Best corrected visual acuity (BCVA),endothelial cell loss (ECL) and macular thickness (MT) were evaluated as secondary outcomes.

Results:

The 6-CIT improved significantly in group B, stable in group A. The CQ improved significantly in all groups while Barthel index remained stable. We did not registered any delirium episode at CAM test perioperatively. Visual acuity improved significantly in all groups, ECL and MT resulted to be higher in group B without a significant difference with younger patients.

Conclusions:

Cataract surgery improves the cognitive function of very elderly patients by providing greater autonomy and quality of life in a 6-month follow-up

Financial Disclosure:

None