The occurrence of visual and cognitive impairment, and eye diseases in the super-elderly in Japan: a cross-sectional single-center studyReportar como inadecuado




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BMC Research Notes

, 8:619

Geriatrics

Abstract

BackgroundThe current state of eye diseases and treatments in the elderly as well as the relationships between dementia and systemic diseases remain unclear. Therefore, this study evaluated the prevalence of eye diseases, visual impairment, cognitive impairment, and falls which are an important health issue and are considered one of the Geriatric Giants in super-elderly people in Japan.

MethodsThe subjects were 31 elderly people 62 eyes; mean age: 84.6 ± 8.8 years; age range 61–98 years who were admitted to a geriatric health services facility. Eye treatment status, systemic diseases, dementia, and recent falls were investigated. Eye examinations including vision and intraocular pressure measurement, and slit-lamp biomicroscopy were conducted.

ResultsMean best corrected visual acuity logMAR was 0.51 ± 0.56, and mean intraocular pressure was 13.7 ± 3.5 mmHg. Approximately half of the subjects exhibited excavation of the optic nerve head including cataracts and glaucoma. Ten subjects had visual impairment i.e., visual acuity of the eye with the better vision <20-40. The mean Hasegawa dementia scale scores between the visually impaired and non-visually impaired groups were 10.2 ± 6 and 16 ± 8 points, respectively p < 0.05. Furthermore, 70 % of subjects with visual impairment experienced a fall in the past year compared to 48 % of those without visual impairment, although the difference was not significant. Regarding systemic diseases, there were 6, 5, and 15 cases of diabetes, hyperlipidemia, and hypertension, respectively. There was no significant difference between these systemic diseases and visual function after adjusted for age and gender.

ConclusionsThe percentages of patients with age-related eye diseases and poor visual acuity in a geriatric health services facility were extremely high. Compared to those without visual impairment, those with visual impairment had lower dementia scores and a higher rate of falls.

KeywordsAged Aging Eye disease Visual impairment Cognitive impairment Falls  Download fulltext PDF



Autor: Hideki Fukuoka - Masahiro Nagaya - Kenji Toba

Fuente: https://link.springer.com/







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