Senil Katarakta Sahip Hastalarda Cerrahi Öncesi ve Cerrahi Sonrası Görme Keskinliğinin Depresyon ile İlişkisinin İncelenmesi: Çok Merkezli Çalışma

Yıl 2021, , 154 - 158, 07.07.2021

Abdullah Beyoğlu , Muhammed Mustafa Beyoğlu , Selma Urfalıoglu , Dilek Avcı , Hüseyin Şahin , Serek Tekin

https://doi.org/10.17517/ksutfd.795291

Öz

Amaç: Senil kataraktı olan hastaların cerrahi operasyonu öncesi ve cerrahi sonrasında görme işlevine bağlı yaşam kalitesinin depresyonla ilişkisini değerlendirmek.
Gereç-Yöntemler: Yüzüncü Yıl Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı (1. Merkez) ve Karaman Devlet Hastanesi Göz Hastalıkları (2. Merkez) birimlerine başvuran senil katarakt tanısı ile cerrahi operasyon planlanan hastalara operasyon uygulanmadan önce ve operasyondan 1 ay sonra olmak üzere Geriatric Depression Scale (GDS) uygulandı. Hastaların tüm demografik verileri ile sistemik hastalıkları, operasyon öncesinde ve sonrasında en iyi düzeltilmiş görme keskinliği (EİDGK) kaydedildi. Verilerin değerlendirilmesinde SPSS 22.0 istatistik programı kullanıldı. P<0,05 anlamlı kabul edildi.
Bulgular: Hastaların 53’ü kadın (%53) ve 47’si erkekti (%47). Yaş ortalaması 68,32±9.20 (50-91 yaş) idi. Operasyon öncesi EİDGK Snellen eşeline göre 0,1±0,11 sıra (0,05-0,3), operasyon sonrası 0,80±0,16 sıra (0,05-1,0) idi (p<0.05). Operasyon öncesi GDS puan ortalaması 11,69±3,80 iken operasyon sonrasında 7,56±3,50’ e düştüğü tespit edildi (p<0,01). Cinsiyet, yaş ve kronik hastalık karşılaştırmasında operasyon öncesi ile operasyon sonrası GDS puan ortalamaları arasında anlamlı fark olmadığı görüldü. (Sırası ile, p=0.12/=0.32/=0.93) Ancak eğitim düzeyi sınıflamasında gruplar arasında anlamlı fark olduğu saptandı. (p<0.01).
Sonuç: Postoperatif senil katarakt hastalarının görme düzeylerindeki artışa bağlı olarak yaşam kalitesi artmış ve depresyona eğilim anlamlı bir şekilde azalmıştır. Bu azalma eğitim düzeyi arttıkça daha fazla gerçekleşmektedir.

Anahtar Kelimeler

Senil katarakt, görme işlevi, depresyon, geriatrik depresyon skalası

Investigation of the Relationship Between Visual Acuity and Depression Before and After Surgery in Patients with Senile Cataract: A Multicenter Study

Öz

Aim: To evaluate the relationship between quality of life associated with visual acuity and depression in patients with senile cataracts before and after surgery.
Methods: The Geriatric Depression Scale (GDS) was administered preoperatively and one month after surgery to patients scheduled for surgery with a diagnosis of senile cataract in Yüzüncü Yıl University Faculty of Medicine, Department of Ophthalmology and Karaman State Hospital ophthalmology clinic. All demographic and systemic diseases data of patients, and best corrected visual acuity (BCVA) results before and after the operation were recorded. SPSS 22.0 statistics program was used to evaluate the data. P value of less than 0.05 was considered significant.
Result: 53 of the patients were female (53%) and 47 of them were male (47%). The mean age was 68.32 ± 9.20 (50-91 years old). According to the Snellen scala, Preoperative BCVA was 0.1 ± 0.11 (0.05-0.3) and postoperative was 0.80 ± 0.16 (0.05-1.0) (p <0.05). While the average GDS score before the operation was 11.69 ± 3.80, decreased to 7.56 ± 3.50 after the operation (p <0.01). There was no significant difference between the pre-operative and postoperative GDS scores in the comparison of gender, age and chronic disease. (Respectively, p = 0.12 / = 0.32 / = 0.93). However, a significant difference was found between the groups in the classification of education level. (p <0.01).
Results: Postoperative senile cataract patients' quality of life increased due to the increase in visual levels and the tendency to depression decreased significantly. This decrease occurs more and more as the education level increases.

Anahtar Kelimeler

Senile cataract, visual function, depression, geriatric depression scale

Kaynakça

• 1. Wang H, Sun HP, Wang P, Xu Y, Pan CW. Cataract and Depressive Symptoms among Older Chinese Adults. Optom Vis Sci. 2016 Dec;93(12):1479-84.
• 2. Pellegrini M, Bernabei F, Schiavi C, Giannaccare G. Impact of Cataract Surgery on Depression and Cognitive Function: Systematic Review and Meta-analysis. Clin Exp Ophthalmol. 2020 Jul;48(5):593-601.
• 3. Gul HL, Evcili G, Karadaş O, Gul ES. Geriatric Depression and Associated Risk Factors: The Level of Depression Symptom at Elderly Living in Nursing Home. J Clin Anal Med. 2012;3(3):302-4.
• 4. Tel H, Tay BN, Canbay M, Akaya I, Yalçınkaya S. Disability and Depression among The Elderly People with Chronic Physical Disease. F. N. Hem. Derg 2014;22(2):69-75.
• 5. Miyata K, Toshikawa T, Morikawa M, Mine M, Okamoto N, Kurumatani N, et al. Effect of Cataract Surgery on Cognitive Function in Elderly: Results of Fujiwara-kyo Eye Study. PLoS One. 2018 Feb 20;13(2):e0192677.
• 6. Bayraktar S, Cebeci Z, Gozum N, Gucukoglu A. Assessment of Vision-Related Quality of Life Before and After Cataract Surgery Among Senile Cataract Patients. Clinical Research J Ist Faculty Med. 2016;79:2.
• 7. Kheirkhah F, Roustaei GA, Abivardi EM, Hamidia A, Kutenai SJ. Improvement in Cognitive Status and Depressive Symptoms Three Months after Cataract Surgery. Caspian J Intern Med. Fall 2018;9(4):386-92.
• 8. Zhang D, Fan Z, Gao X, Huang W, Yang Q, Li Z, et al. Illness Uncertainty, Anxiety and Depression in Chinese Patients with Glaucoma or Cataract. Sci Rep. 2018 Aug 3;8(1):11671.
• 9. Palagyi A, Rogers K, Meuleners L, McCluskey P, White A, Ng JQ, et al. Depressive Symptoms in Order Adults Awaiting Cataract Surgery. Clin Exp Ophthalmol. 2016 Dec;44(9):789-96.
• 10. Harwood RH, Foss AJ, Osborn F, Gregson RM, Zaman A, Masud T. Falls and Health Status in Elderly Women Following First Eye Cataract Surgery: A Randomised Controlled Trial. Br J Ophthalmol. 2005;89:53-9.
• 11. Kessel L, Lundeman JH, Herbst K, Andersen TV, Larsen M. Age-related Changes in The Transmission Properties of The Human Lens and Their Relevance to Circadian Entrainment. J Cataract Refract Surg. 2010;36(2):308-312.
• 12. Turner PL, Mainster MA. Circadian Photoreception: Ageing and The Eye’s Importent role in Systemic Health. Br J Ophthalmol. 2008;92(11):1439-44.
• 13. Ayaki M, Muramatsu M, Negishi K, Tsubota K. Improvements in Sleep Quality and Gait Speed After Cataract Surgery. Rejuvenation Res. 2013;16:35-42.
• 14. Nishi T, Saeki K, Miyata K, Yoshikawa T, Ueda T, Kurumatani N, et al. Effects of Cataract Surgery on Melatonin Secretion in Adults 60 Years and Older: A Randomized Clinical Trial. JAMA Ophthalmol. 2020 Mar 5. Doi: 10.1001/jamaophthalmol.2020.0206. Online ahead of print.
• 15. Maharani A, Dawes P, Nazroo J, Tampubolon G, Pendleton N, SENSE-Cog WP 1 Group. Cataract Surgery and Age-releted Cognitive Decline: A 13-year Follow-up of The English Longitudinal Study of Ageing. PLoS One. 2018; 13:e0204833.
• 16. Lin H, Zhang L, Lin D, Chen W, Zhu Y, Chen C, et al. Visual restoration after cataract surgery promotes functional and structural brain recovery. EBioMedicine. 2018;30:52-61.