The impact of visual deficit on the geriatric status of patients with cataracts

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Abstract

Objective. To study the prevalence of geriatric syndromes in patients with nuclear cataracts (NC) depending on uncorrected visual acuity.

Materials and methods. The study involved 660 patients, divided into 3 groups: 1st (n=220) – patients with NC aged 60–74 years; 2nd (n=240) – patients with NC aged 75–89 years; 3rd (n=200) – patients aged 75–89 years without NC. The presence of geriatric syndromes was studied using a comprehensive geriatric assessment.

Results. It was found that deterioration in visual acuity <0.3 without correction is accompanied by an increase in the prevalence of most geriatric syndromes in groups 1 and 2, especially in group 2: hypomobility syndrome - up to 91.7±2.4 cases per 100 examined, cognitive impairment – up to 87.2±2.9 cases, malnutrition – up to 88.3±3.2 cases, psychological problems – up to 80.9±3.8 cases. Moreover, these indicators in group 2 in patients with visual acuity <0.3 without correction were 2.0–2.4 times higher compared to patients with visual acuity >0.3 without correction. In group 2, a decrease in visual acuity <0.3 without correction contributed to an increase in the prevalence and average number of geriatric syndromes in comparison with patients with visual acuity >0.3 without correction: 8.2±1.0 and 3.9±0.8 syndromes per 1 patient, respectively (p<0.001).

Conclusion. The revealed dependence of the prevalence of geriatric syndromes on visual acuity indicates the need for its timely correction.

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About the authors

R. Osmanov

S.N. Fedorov National medical research center «MNTK Eye Microsurgery», Ministry of Health of Russia

Author for correspondence.
Email: vitalaxen@mail.ru
ORCID iD: 0000-0002-8658-4005

Candidate of Medical Sciences

Russian Federation, Tambov

N. Agarkov

Southwest State University, Ministry of Science and Higher Education of Russia

Email: vitalaxen@mail.ru
ORCID iD: 0000-0002-4821-3692

Professor, MD

Russian Federation, Kursk

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