Impact of cataract surgery on cognitive impairment in older people
Objectives To examine the impact of cataract surgery on mild cognitive impairment (MCI) and dementia in older people. Methods This prospective observational study included patients aged 75 years and older who underwent cataract surgery between 2019 and 2021. Mini‐mental state examination (MMSE) and...
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| Veröffentlicht in: | Acta ophthalmologica (Oxford, England) England), 2024-06, Vol.102 (4), p.e602-e611 |
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| container_title | Acta ophthalmologica (Oxford, England) |
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| creator | Yoshida, Yuto Ono, Koichi Sekimoto, Shinichiro Umeya, Reiko Hiratsuka, Yoshimune |
| description | Objectives
To examine the impact of cataract surgery on mild cognitive impairment (MCI) and dementia in older people.
Methods
This prospective observational study included patients aged 75 years and older who underwent cataract surgery between 2019 and 2021. Mini‐mental state examination (MMSE) and MMSE for the visually impaired (MMSE‐blind) were measured to evaluate cognitive function before and 3 months after cataract surgery. MMSE score at baseline was used to categorize patients into dementia (MMSE ≤ 23) and MCI groups (23 |
| doi_str_mv | 10.1111/aos.16607 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2906178436</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3046404991</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3487-6c38ad921c4ecb3bf95ff3ca0784a94f0d6737dea7bea7559066be1d4d7e9d823</originalsourceid><addsrcrecordid>eNp10E9LwzAYBvAgipvTg19ACl700C1Z0qQ9zuE_GOyggreQpm9HRtvUpFX27c3c3EEwEPIefnl4eRC6JHhMwpko68eEcyyO0JCIJImp4OnxYU7eB-jM-zXGPCh2igY0JYzjJBuiu-e6VbqLbBlp1Sm3nX3vVuA2kW0ibVeN6cwnRCY442pousg0ka0KcFELtq3gHJ2UqvJwsX9H6O3h_nX-FC-Wj8_z2SLWlKUi5pqmqsimRDPQOc3LLClLqhUWKVMZK3HBBRUFKJGHmyQZ5jwHUrBCQFakUzpCN7vc1tmPHnwna-M1VJVqwPZeTsMPEsIoD_T6D13b3jVhO0kx4wyzLCNB3e6UdtZ7B6VsnamV20iC5bZYGYqVP8UGe7VP7PMaioP8bTKAyQ58mQo2_yfJ2fJlF_kNVxSBqA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3046404991</pqid></control><display><type>article</type><title>Impact of cataract surgery on cognitive impairment in older people</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Yoshida, Yuto ; Ono, Koichi ; Sekimoto, Shinichiro ; Umeya, Reiko ; Hiratsuka, Yoshimune</creator><creatorcontrib>Yoshida, Yuto ; Ono, Koichi ; Sekimoto, Shinichiro ; Umeya, Reiko ; Hiratsuka, Yoshimune</creatorcontrib><description>Objectives
To examine the impact of cataract surgery on mild cognitive impairment (MCI) and dementia in older people.
Methods
This prospective observational study included patients aged 75 years and older who underwent cataract surgery between 2019 and 2021. Mini‐mental state examination (MMSE) and MMSE for the visually impaired (MMSE‐blind) were measured to evaluate cognitive function before and 3 months after cataract surgery. MMSE score at baseline was used to categorize patients into dementia (MMSE ≤ 23) and MCI groups (23 < MMSE ≤ 27). Logistic regression models were used to estimate associations between improvement in cognitive function and other factors.
Results
Of 132 patients screened for inclusion in the study, 88 met the inclusion criteria; 39 patients were assigned to the dementia group (mean age, 85.7 ± 4.2 years) and 49 to the MCI group (mean age, 84.2 ± 3.4 years). The MCI group showed significant improvement from before to after surgery in the MMSE score (25.65 ± 1.03 vs. 27.08 ± 1.99, respectively, p < 0.001) and MMSE‐blind score (18.04 ± 1.14 vs. 19.41 ± 2.01, respectively, p < 0.001). Cognitive function improved significantly in the MCI group compared with the dementia group (odds ratio, 2.85; 95% confidence interval, 1.02–7.97; and p = 0.046).
Conclusions
Cataract surgery significantly increases cognitive test scores in older patients with MCI. After cataract surgery, the likelihood of improvement in cognitive function may be highly dependent on a patient's preoperative cognitive state.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/aos.16607</identifier><identifier>PMID: 38146059</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Blindness ; cataract surgery ; Cataracts ; Cognitive ability ; Dementia ; Dementia disorders ; Eye surgery ; mild cognitive impairment ; mini‐mental state examination ; Older people ; Regression analysis ; Surgery</subject><ispartof>Acta ophthalmologica (Oxford, England), 2024-06, Vol.102 (4), p.e602-e611</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.</rights><rights>2023 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3487-6c38ad921c4ecb3bf95ff3ca0784a94f0d6737dea7bea7559066be1d4d7e9d823</cites><orcidid>0000-0002-7438-4380</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faos.16607$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faos.16607$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38146059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshida, Yuto</creatorcontrib><creatorcontrib>Ono, Koichi</creatorcontrib><creatorcontrib>Sekimoto, Shinichiro</creatorcontrib><creatorcontrib>Umeya, Reiko</creatorcontrib><creatorcontrib>Hiratsuka, Yoshimune</creatorcontrib><title>Impact of cataract surgery on cognitive impairment in older people</title><title>Acta ophthalmologica (Oxford, England)</title><addtitle>Acta Ophthalmol</addtitle><description>Objectives
To examine the impact of cataract surgery on mild cognitive impairment (MCI) and dementia in older people.
Methods
This prospective observational study included patients aged 75 years and older who underwent cataract surgery between 2019 and 2021. Mini‐mental state examination (MMSE) and MMSE for the visually impaired (MMSE‐blind) were measured to evaluate cognitive function before and 3 months after cataract surgery. MMSE score at baseline was used to categorize patients into dementia (MMSE ≤ 23) and MCI groups (23 < MMSE ≤ 27). Logistic regression models were used to estimate associations between improvement in cognitive function and other factors.
Results
Of 132 patients screened for inclusion in the study, 88 met the inclusion criteria; 39 patients were assigned to the dementia group (mean age, 85.7 ± 4.2 years) and 49 to the MCI group (mean age, 84.2 ± 3.4 years). The MCI group showed significant improvement from before to after surgery in the MMSE score (25.65 ± 1.03 vs. 27.08 ± 1.99, respectively, p < 0.001) and MMSE‐blind score (18.04 ± 1.14 vs. 19.41 ± 2.01, respectively, p < 0.001). Cognitive function improved significantly in the MCI group compared with the dementia group (odds ratio, 2.85; 95% confidence interval, 1.02–7.97; and p = 0.046).
Conclusions
Cataract surgery significantly increases cognitive test scores in older patients with MCI. After cataract surgery, the likelihood of improvement in cognitive function may be highly dependent on a patient's preoperative cognitive state.</description><subject>Blindness</subject><subject>cataract surgery</subject><subject>Cataracts</subject><subject>Cognitive ability</subject><subject>Dementia</subject><subject>Dementia disorders</subject><subject>Eye surgery</subject><subject>mild cognitive impairment</subject><subject>mini‐mental state examination</subject><subject>Older people</subject><subject>Regression analysis</subject><subject>Surgery</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp10E9LwzAYBvAgipvTg19ACl700C1Z0qQ9zuE_GOyggreQpm9HRtvUpFX27c3c3EEwEPIefnl4eRC6JHhMwpko68eEcyyO0JCIJImp4OnxYU7eB-jM-zXGPCh2igY0JYzjJBuiu-e6VbqLbBlp1Sm3nX3vVuA2kW0ibVeN6cwnRCY442pousg0ka0KcFELtq3gHJ2UqvJwsX9H6O3h_nX-FC-Wj8_z2SLWlKUi5pqmqsimRDPQOc3LLClLqhUWKVMZK3HBBRUFKJGHmyQZ5jwHUrBCQFakUzpCN7vc1tmPHnwna-M1VJVqwPZeTsMPEsIoD_T6D13b3jVhO0kx4wyzLCNB3e6UdtZ7B6VsnamV20iC5bZYGYqVP8UGe7VP7PMaioP8bTKAyQ58mQo2_yfJ2fJlF_kNVxSBqA</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Yoshida, Yuto</creator><creator>Ono, Koichi</creator><creator>Sekimoto, Shinichiro</creator><creator>Umeya, Reiko</creator><creator>Hiratsuka, Yoshimune</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7438-4380</orcidid></search><sort><creationdate>202406</creationdate><title>Impact of cataract surgery on cognitive impairment in older people</title><author>Yoshida, Yuto ; Ono, Koichi ; Sekimoto, Shinichiro ; Umeya, Reiko ; Hiratsuka, Yoshimune</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3487-6c38ad921c4ecb3bf95ff3ca0784a94f0d6737dea7bea7559066be1d4d7e9d823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Blindness</topic><topic>cataract surgery</topic><topic>Cataracts</topic><topic>Cognitive ability</topic><topic>Dementia</topic><topic>Dementia disorders</topic><topic>Eye surgery</topic><topic>mild cognitive impairment</topic><topic>mini‐mental state examination</topic><topic>Older people</topic><topic>Regression analysis</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshida, Yuto</creatorcontrib><creatorcontrib>Ono, Koichi</creatorcontrib><creatorcontrib>Sekimoto, Shinichiro</creatorcontrib><creatorcontrib>Umeya, Reiko</creatorcontrib><creatorcontrib>Hiratsuka, Yoshimune</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshida, Yuto</au><au>Ono, Koichi</au><au>Sekimoto, Shinichiro</au><au>Umeya, Reiko</au><au>Hiratsuka, Yoshimune</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of cataract surgery on cognitive impairment in older people</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><addtitle>Acta Ophthalmol</addtitle><date>2024-06</date><risdate>2024</risdate><volume>102</volume><issue>4</issue><spage>e602</spage><epage>e611</epage><pages>e602-e611</pages><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Objectives
To examine the impact of cataract surgery on mild cognitive impairment (MCI) and dementia in older people.
Methods
This prospective observational study included patients aged 75 years and older who underwent cataract surgery between 2019 and 2021. Mini‐mental state examination (MMSE) and MMSE for the visually impaired (MMSE‐blind) were measured to evaluate cognitive function before and 3 months after cataract surgery. MMSE score at baseline was used to categorize patients into dementia (MMSE ≤ 23) and MCI groups (23 < MMSE ≤ 27). Logistic regression models were used to estimate associations between improvement in cognitive function and other factors.
Results
Of 132 patients screened for inclusion in the study, 88 met the inclusion criteria; 39 patients were assigned to the dementia group (mean age, 85.7 ± 4.2 years) and 49 to the MCI group (mean age, 84.2 ± 3.4 years). The MCI group showed significant improvement from before to after surgery in the MMSE score (25.65 ± 1.03 vs. 27.08 ± 1.99, respectively, p < 0.001) and MMSE‐blind score (18.04 ± 1.14 vs. 19.41 ± 2.01, respectively, p < 0.001). Cognitive function improved significantly in the MCI group compared with the dementia group (odds ratio, 2.85; 95% confidence interval, 1.02–7.97; and p = 0.046).
Conclusions
Cataract surgery significantly increases cognitive test scores in older patients with MCI. After cataract surgery, the likelihood of improvement in cognitive function may be highly dependent on a patient's preoperative cognitive state.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38146059</pmid><doi>10.1111/aos.16607</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7438-4380</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta ophthalmologica (Oxford, England), 2024-06, Vol.102 (4), p.e602-e611 |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Blindness cataract surgery Cataracts Cognitive ability Dementia Dementia disorders Eye surgery mild cognitive impairment mini‐mental state examination Older people Regression analysis Surgery |
| title | Impact of cataract surgery on cognitive impairment in older people |
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