Evaluation of Cataract Surgery Outcomes in Geriatric Population with Geriatric Depression Scale

Yıl 2024, Cilt: 7 Sayı: 1, 8 - 11, 11.03.2024

Gonca Ayşe Ünal , Ayşegül Barak , Emin Serbülent Güçlü , Ömer Özer , Zeki Baysal

https://doi.org/10.36516/jocass.1395860

Öz

Objective: The aim of this study was to show the changes in geriatric depression scale (GDS) scores in patients undergoing senile cataract surgery.
Methods: A total of 74 patients aged 60 years and older who underwent cataract surgery with phacoemulsification for senile cataract were included. All patients were evaluated with the GDS before cataract surgery and at the third month after surgery.
Results: The mean GDS in the preoperative period was 10.22 ± 5.01, while the mean GDS score in the postoperative period was 8.2 ± 4.92. There was a positive correlation (r=0.680 for preoperative and r=0.801 for postoperative) between visual acuity and GDS score in the preoperative period (p<0.001 for both).
Conclusion: In conclusion, screening for depression in senile cataract patients is important and cataract surgery has been reported to have a beneficial effect in reducing the risk of depression. It should be taken into consideration that older adults who are limited in daily tasks due to poor vision may be more functional after cataract surgery. Cataract surgery in these patients may potentially reduce the risk of depression or shorten the duration of depression.

Anahtar Kelimeler

Cataract, Depression, Elderly, Geriatric, Surgery

Kaynakça

• 1.Abraham AG, Condon NG, West Gower E. The new epidemiology of cataract. Ophthalmol Clin North Am. 2006 Dec;19(4):415-25. https://doi.org/10.1016/j.ohc.2006.07.008
• 2.Resnikoff S, Pascolini D, Etya'ale D, et al. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004 Nov;82(11):844-51.
• 3.GBD 2019 Blindness and Vision Impairment Collaborators; Vision Loss Ex¬pert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analy¬sis for the Global Burden of Disease Study. Lancet Glob Health. 2021 Feb;9(2):e144-e160. https://doi.org/10.1016/S2214-109X(20)30489-7
• 4.Lundeen EA, Saydah S, Ehrlich JR, et al. Self-Reported Vision Impairment and Psychological Distress in U.S. Adults. Ophthalmic Epidemiol. 2022 Apr;29(2):171-81. https://doi.org/10.1080/09286586.2021.1918177
• 5.Lampinen P, Heikkinen E. Reduced mobility and physical activity as pre-dictors of depressive symptoms among community-dwelling older adults: an eight-year follow-up study. Aging Clin Exp Res. 2003 Jun;15(3):205-11. https://doi.org/10.1007/BF03324501
• 6.Parker G, Brotchie H. Gender differences in depression. Int Rev Psychiatry. 2010;22(5):429-36. https://doi.org/10.3109/09540261.2010.492391
• 7.Schoevers RA, Smit F, Deeg DJ, et al. Prevention of late-life depression in primary care: do we know where to begin? Am J Psychiatry. 2006 Sep;163(9):1611-21. https://doi.org/10.1176/ajp.2006.163.9.1611
• 8.Chen PW, Liu PP, Lin SM, et al. Cataract and the increased risk of depression in general population: a 16-year nationwide population-based longitudinal study. Sci Rep. 2020 Aug 7;10(1):13421. https://doi.org/10.1038/s41598-020-70285-7
• 9.López Sánchez GF, Smith L, Jacob L, et al. Gender Differences in the Associ¬ation Between Cataract and Mental Health in Adults With Diabetes: A Cross-Sectional Analysis From the Spanish National Health Survey 2017. Front Public Health. 2021 Dec 7;9: 769155. https://doi.org/10.3389/fpubh.2021.769155
• 10.Ertan T, Eker E. Reliability, validity, and factor structure of the geriatric depression scale in Turkish elderly: are there different factor structures for different cultures? Int Psychogeriatr. 2000 Jun;12(2):163-72. https://doi.org/10.1017/s1041610200006293
• 11.Eramudugolla R, Wood J, Anstey KJ. Co-morbidity of depression and anx¬iety in common age-related eye diseases: a population-based study of 662 adults. Front Aging Neurosci. 2013 Oct 2;5:56. https://doi.org/10.3389/fnagi.2013.00056
• 12.Zheng Y, Wu X, Lin X, et al. The Prevalence of Depression and Depressive Symptoms among Eye Disease Patients: A Systematic Review and Meta-anal¬ysis. Sci Rep. 2017 Apr 12;7:46453. https://doi.org/10.1038/srep46453
• 13.Palagyi A, Rogers K, Meuleners L, et al. Depressive symptoms in older adults awaiting cataract surgery. Clin Exp Ophthalmol. 2016 Dec;44(9):789-96. https://doi.org/10.1111/ceo.12800
• 14.Kumar SGP, Ranpise D, Chavan S, et al. Depressive and generalized anxi-ety symptoms in adults awaiting cataract surgery in India. Natl Med J India. 2022 Nov-Dec;35(6):348-56. https://doi.org/10.25259/NMJI_35_6_348
• 15.Zhang D, Fan Z, Gao X, et al. Illness uncertainty, anxiety and depression in Chinese patients with glaucoma or cataract. Sci Rep. 2018 Aug 3;8(1):11671. https://doi.org/10.1038/s41598-018-29489-1
• 16.Pellegrini M, Bernabei F, Schiavi C, et al. Impact of cataract surgery on de¬pression and cognitive function: Systematic review and meta-analysis. Clin Exp Ophthalmol. 2020 Jul;48(5):593-601. https://doi.org/10.1111/ceo.13754.
• 17.Meuleners LB, Hendrie D, Fraser ML, et al. The impact of first eye cataract surgery on mental health contacts for depression and/or anxiety: a popula¬tion-based study using linked data. Acta Ophthalmol. 2013 Sep;91(6):e445-9. https://doi.org/10.1111/aos.12124
• 18.Freeman EE, Gresset J, Djafari F, et al. Cataract-related vision loss and de¬pression in a cohort of patients awaiting cataract surgery. Can J Ophthalmol. 2009 Apr;44(2):171-6. https://doi.org/10.3129/i09-001.
• 19.Pop-Jordanova N, Ristova J, Loleska S. Depression in ophthalmological pa¬tients. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2014;35(2):53-8. https://doi.org/10.2478/prilozi-2014-0007
• 20.Mylona I, Aletras V, Ziakas N, et al. Successful Cataract Surgery Leads to an Improvement in Depressive Symptomatology. Ophthalmic Res. 2021;64(1):50-4. https://doi.org/10.1159/000508954
• 21.Wang H, Sun HP, Wang P, et al. Cataract and Depressive Symptoms among Older Chinese Adults. Optom Vis Sci. 2016 Dec;93(12):1479-84. https://doi.org/10.1097/OPX.0000000000000960
• 22. To KG, Meuleners LB, Fraser ML, et al. The impact of cataract surgery on depressive symptoms for bilateral cataract patients in Ho Chi Minh City, Vi¬etnam. Int Psychogeriatr. 2014 Feb;26(2):307-13. https://doi.org/10.1017/S1041610213001907
• 23.Kheirkhah F, Roustaei G, Mohebbi Abivardi E, et al. Improvement in Cog¬nitive Status and Depressive Symptoms Three Months after Cataract Sur¬gery. Caspian J Intern Med. 2018 Fall;9(4):386-92. https://doi.org/10.22088/cjim.9.4.386