The impact of cataract surgery on visual functioning, vision‐related disability and psychological distress: a randomized controlled trial

Walker, Janine; Anstey, Kaarin J.; Hennessy, Michael; Lord, Stephen R.; Sanden, Chwee von

doi:10.1111/j.1442-9071.2006.01340.x

Cited by 33 publications

(38 citation statements)

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“…In comparison, less is known about the rates of anxiety in older adults with visual impairment (Evans et al, 2007; Li et al, 2011). In the context of eye disease, both depression and anxiety present significant impediments to patient recovery and rehabilitation (Tolman et al, 2005; Walker et al, 2006), increase levels of disability (Brody et al, 2001; Banerjee et al, 2008), and ultimately represent a social and economic health burden on the community Lotery et al, 2007; World Health Organization, 2012. Thus, a clear understanding of the contributors to depression and anxiety in older adults with visual impairment has implications for treatment and public health.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have examined the impact of cataract surgery on depression (McGwin et al, 2003; Mitsonis et al, 2006; Walker et al, 2006; Freeman et al, 2009; Meuleners et al, 2013) and anxiety (Mitsonis et al, 2006; Meuleners et al, 2013). Depressive symptoms in cataract patients awaiting surgery are higher in those with poorer visual acuity in the eye to be operated on (Freeman et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Co-morbidity of depression and anxiety in common age-related eye diseases: a population-based study of 662 adults

Eramudugolla¹,

Wood²,

Anstey³

2013

Front. Aging Neurosci.

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This study examined the prevalence of co-morbid age-related eye disease and symptoms of depression and anxiety in late life, and the relative roles of visual function and disease in explaining symptoms of depression and anxiety. A community-based sample of 662 individuals aged over 70 years was recruited through the electoral roll. Vision was measured using a battery of tests including high and low contrast visual acuity, contrast sensitivity, motion sensitivity, stereoacuity, Useful Field of View, and visual fields. Depression and anxiety symptoms were measured using the Goldberg scales. The prevalence of self-reported eye disease [cataract, glaucoma, or age-related macular degeneration (AMD)] in the sample was 43.4%, with 7.7% reporting more than one form of ocular pathology. Of those with no eye disease, 3.7% had clinically significant depressive symptoms. This rate was 6.7% among cataract patients, 4.3% among those with glaucoma, and 10.5% for AMD. Generalized linear models adjusting for demographics, general health, treatment, and disability examined self-reported eye disease and visual function as correlates of depression and anxiety. Depressive symptoms were associated with cataract only, AMD, comorbid eye diseases and reduced low contrast visual acuity. Anxiety was significantly associated with self-reported cataract, and reduced low contrast visual acuity, motion sensitivity and contrast sensitivity. We found no evidence for elevated rates of depressive or anxiety symptoms associated with self-reported glaucoma. The results support previous findings of high rates of depression and anxiety in cataract and AMD, and in addition show that mood and anxiety are associated with objective measures of visual function independently of self-reported eye disease. The findings have implications for the assessment and treatment of mental health in the context of late-life visual impairment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Co-morbidity of depression and anxiety in common age-related eye diseases: a population-based study of 662 adults

Eramudugolla¹,

Wood²,

Anstey³

2013

Front. Aging Neurosci.

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“…8 Andere onderzoekers zagen een verbeterd welbevinden na cataract operatie. 9 Ruim 80% van alle blindheid in de wereld is goed te behandelen of had met tijdige interventie voorkomen kunnen worden ('vermijdbare blindheid'). Wanneer nieuwe gegevens beschikbaar zijn worden die voor het jaar waarvoor zij gelden ingevoerd en vanaf dat jaar meegenomen in alle berekeningen.…”

Section: Introductieunclassified

Visuele beperkingen bij ouderen in Nederland – risicogroepen en mogelijkheden tot interventie

Limburg¹,

Keunen²,

Rens³

2009

GEEG

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“…It is possible that some people may have experienced a change in their visual function after the second assessment. A cognitive assessment was not conducted, and cognitive ability is a well-known confounder in research with an older population 44,48–52. A large number of participants (40%) were unable to return to the hospital to complete the second assessment, which may have increased the apparent effectiveness of cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

A longitudinal cohort study of the impact of first- and both-eye cataract surgery on falls and other injuries in Vietnam

To¹,

Meuleners²,

Bulsara³

et al. 2014

CIA

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AimLittle information exists on the impact of cataract surgery on falls and other injuries in Vietnam. The aim of this study was to determine the impact of first and both eye cataract surgery on the number of falls and other injuries among bilateral cataract patients in Ho Chi Minh City, Vietnam.Materials and methodsA longitudinal cohort study was conducted involving 413 bilateral cataract patients aged 50+ years. Participants were assessed at three time points: 1 week before, 1–3 months after, and 1 year after first-eye cataract surgery. Visual measures (visual acuity, contrast sensitivity and stereopsis) were taken, and self-reported falls and injury data were collected. A multilevel longitudinal Poisson regression model was used to investigate change in the number of falls after surgery.ResultsThe risk of falls decreased by 78% (incidence-rate ratio [IRR] 0.22, 95% confidence interval [CI] 0.06–0.77; P=0.018) in the year after cataract surgery for participants who had first-eye surgery only and 83% (IRR 0.17, 95% CI 0.04–0.69; P=0.012) for participants who had the second eye operated on compared to before surgery. The risk of falls was three times higher for females than males (IRR 3.13, 95% CI 1.53–6.40; P=0.002). Improved binocular contrast sensitivity was also associated with a decrease in falls (IRR 0.40, 95% CI 0.17–0.97; P=0.042). The prevalence of other injuries also decreased after cataract surgery.ConclusionCataract surgery reduced the number of falls and other injuries in Vietnam. Contrast sensitivity may be important for ophthalmologists to consider when prioritizing patients for surgery and assessing their fall risk.

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The impact of cataract surgery on visual functioning, vision‐related disability and psychological distress: a randomized controlled trial

Abstract: First eye cataract surgery is effective in improving outcomes in visual functioning and disability. Improved mood after surgery was related to less vision-related disability compared with unchanged or worse depression.

Cited by 33 publications

References 50 publications

Co-morbidity of depression and anxiety in common age-related eye diseases: a population-based study of 662 adults

Co-morbidity of depression and anxiety in common age-related eye diseases: a population-based study of 662 adults

Visuele beperkingen bij ouderen in Nederland – risicogroepen en mogelijkheden tot interventie

A longitudinal cohort study of the impact of first- and both-eye cataract surgery on falls and other injuries in Vietnam

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