ABSTRACT
OBJECTIVE: Cataract surgery for 50 Alzheimer patients (55 eyes). METHODS: Cinquante Alzheimer's patients with 0≤MMS≤25, with bilateral disabling cataracts were included for surgery. The surgical technique is analyzed. RESULTS AND CONCLUSION: The preoperative examination of Alzheimer's patients is time consuming and requires experience in this area, which is important to integrate into the practice of ophthalmology. The type of cataract is unusual, with a predilection for pseudoexfoliation syndrome and zonular fragility that has to be managed during surgery. The procedure may be performed under local anesthesia. Three months after surgery, Alzheimer's patients demonstrated improved visual acuity (P<0.001) with no worsening of their dementia.
Subject(s)
Alzheimer Disease/surgery , Cataract Extraction , Cataract/complications , Aged , Aged, 80 and over , Alzheimer Disease/complications , Cataract Extraction/rehabilitation , Exfoliation Syndrome/surgery , Female , Humans , Intraoperative Complications/etiology , Life Style , Male , Postoperative Complications/etiology , Visual AcuityABSTRACT
PURPOSE: Evaluation of neuropsychological benefits of cataract surgery for 46 Alzheimer patients on the basis of neuropsychiatric index (NPI), as the principal criterion of analysis of the VIVA study. METHODS: Prospective, monocentric neuropsychiatric study, performed from 2005 to 2011. All Alzheimer's patients with 10Subject(s)
Alzheimer Disease/complications
, Cataract Extraction/psychology
, Cataract/complications
, Mental Disorders/complications
, Vision Disorders/etiology
, Activities of Daily Living
, Aged
, Aged, 80 and over
, Alzheimer Disease/psychology
, Alzheimer Disease/surgery
, Caregivers/psychology
, Cataract/psychology
, Cataract/rehabilitation
, Cataract Extraction/rehabilitation
, Cataract Extraction/statistics & numerical data
, Cost of Illness
, Female
, Humans
, Male
, Mental Disorders/psychology
, Mental Disorders/surgery
, Neuropsychological Tests
, Vision Disorders/psychology
, Vision Disorders/surgery
, Visual Acuity
ABSTRACT
Acquired conjunctival implantation cysts of the orbit after oculo-orbital and palpebral surgery are benign tumors. The term (terminology) implies "mis-placement" of the conjunctival epithelium into the orbit. Till now they have been described after "enucleation surgery". In fact, they can follow "any kind" of oculo-orbital-palpebral surgery, our series shows. We report here seven cases of acquired implantation orbital cysts; we discuss pathogeny, diagnosis, and the different investigations. We insist upon curative and above all preventive treatment.