2658-6533Research Results in Biomedicine2658-653310.18413/2658-6533-2020-6-4-0-92184Medicine (miscellaneous)<strong>Psychoemotional status of elderly patients with cataracts</strong><br /> &nbsp;<strong>Psychoemotional status of elderly patients with cataracts</strong><br /> &nbsp;PopovaEugenia V.PopovaEugenia V.anton-titov-2001@mail.ru20206400

Background: Cataracts are highly prevalent among ophthalmic pathologies in old and senile age. In modern conditions, cataracts are the leading cause of vision loss in old age and can contribute to the development of anxiety-depressive disorders, which are practically not studied in this group of people. The aim of the study: To study anxiety and depressive disorders in elderly patients with cataracts. Materials and methods: 84 patients aged 60-74 with cataracts were examined at the Tambov branch of Fyodorov Eye Microsurgery State Institution. 85 patients of the same age without cataracts were monitored. Personal anxiety was assessed using the Spielberger-Hanin test, and depressive status was assessed using the Center for Epidemiologic Studies-Depression scale. The reliability of differences was determined by the U-Mann-Whitney criterion. Results: Development and formation of mature cataract in old age was found to be characterized by a more frequent occurrence of depressive disorders. The mean depressive status score in patients aged 60-74 with cataracts is 22.8&plusmn;1.2 points, while in patients of the same age without cataracts its value was significantly lower and was17.4&plusmn;0.9 points. In the group of elderly patients without cataracts, the absence of depressive disorders was observed in 85.9%, while in the group of elderly patients with cataracts, this indicator was significantly lower and amounted to 23.8%. At the same time, most 60-74-year-old patients with cataracts suffer from depression, namely, 20.2% versus 5.9% in the control group. Deterioration in the psychoemotional status of elderly patients with cataracts can be also explained by changes in personal anxiety. The level of personal anxiety is statistically significantly higher in the main group (45.9&plusmn;1.6 points) and corresponds to the average level, while in the age control group (32.2&plusmn;1.3 points) &ndash; to a low level. An in-depth analysis of elderly patients with cataracts revealed the predominance of persons with medium (45.2&plusmn;5.4%) and increased (30.9&plusmn;5.0%) personal anxiety. Conclusion: The obtained results indicate a significant impact of cataracts on the formation of anxiety-depressive disorders in the elderly, which should be taken into account when examining patients and prescribing therapeutic measures due to the possibility of reducing compliance, synergy and adverse reactions of the drugs used.

Background: Cataracts are highly prevalent among ophthalmic pathologies in old and senile age. In modern conditions, cataracts are the leading cause of vision loss in old age and can contribute to the development of anxiety-depressive disorders, which are practically not studied in this group of people. The aim of the study: To study anxiety and depressive disorders in elderly patients with cataracts. Materials and methods: 84 patients aged 60-74 with cataracts were examined at the Tambov branch of Fyodorov Eye Microsurgery State Institution. 85 patients of the same age without cataracts were monitored. Personal anxiety was assessed using the Spielberger-Hanin test, and depressive status was assessed using the Center for Epidemiologic Studies-Depression scale. The reliability of differences was determined by the U-Mann-Whitney criterion. Results: Development and formation of mature cataract in old age was found to be characterized by a more frequent occurrence of depressive disorders. The mean depressive status score in patients aged 60-74 with cataracts is 22.8&plusmn;1.2 points, while in patients of the same age without cataracts its value was significantly lower and was17.4&plusmn;0.9 points. In the group of elderly patients without cataracts, the absence of depressive disorders was observed in 85.9%, while in the group of elderly patients with cataracts, this indicator was significantly lower and amounted to 23.8%. At the same time, most 60-74-year-old patients with cataracts suffer from depression, namely, 20.2% versus 5.9% in the control group. Deterioration in the psychoemotional status of elderly patients with cataracts can be also explained by changes in personal anxiety. The level of personal anxiety is statistically significantly higher in the main group (45.9&plusmn;1.6 points) and corresponds to the average level, while in the age control group (32.2&plusmn;1.3 points) &ndash; to a low level. An in-depth analysis of elderly patients with cataracts revealed the predominance of persons with medium (45.2&plusmn;5.4%) and increased (30.9&plusmn;5.0%) personal anxiety. Conclusion: The obtained results indicate a significant impact of cataracts on the formation of anxiety-depressive disorders in the elderly, which should be taken into account when examining patients and prescribing therapeutic measures due to the possibility of reducing compliance, synergy and adverse reactions of the drugs used.

cataractold agedepressive disorderspersonal anxietycataractold agedepressive disorderspersonal anxietyСписок литературыVorobyeva IV. Monitoring of Separate Pathogenetically Significant Biochemical Markers in Lacrimal Fluid, Ophthalmological Parameters with Combined Pathology of Diabetic Retinopathy and Age-Related Macular Degeneration on the Background Angioprotective and Antioxidant Therapy. Ophthalmology in Russia. 2018;15(2):189-199. Russian. DOI: https://doi.org/10.18008/1816-5095-2018-2-189-199Polunina EG, Makarov IA, Markova EY, et al. Modern possibilities for prophylaxis of cataract progression. Ophthalmology in Russia. 2017;14(2):120-124. Russian. DOI: https://doi.org/10.18008/1816-5095-2017-2-120-124Daien V, Le Pape A, Heve D, et al. Incidence, Risk Factors, and Impact of Age on Retinal Detachment after Cataract Surgery in France: A National Population Study. Ophthalmology. 2015;122(11):2179-85. DOI: https://doi.org/10.1016/j.ophtha.2015.07.014Erichev VP, Kozlova IV, Kosova DV. Frequency and type of macular edema after cataract surgery in patients with glaucoma. The Russian Annals of Ophthalmology = Vestnik oftal&#39;mologii. Russian. https://doi.org/10.17116/oftalma2019135052241Kozhukhov AA, Kapranov DO. Comparative assessment of the quality of life of patients after phacoemulsification of cataracts complicated by violation of the capsule support of the lens, with various methods of fixation of the posterior chamber intraocular lens. RMJ &ldquo;Clinical ophthalmology&rdquo;. 2:81-84. Russian. DOI: https://doi.org/10.21689/2311-7729-2018-18-2-81-84Jonas JBWei WBZhu LP, et al. Cognitive Function and Ophthalmological Diseases: The Beijing Eye Study. Scientific Reports. 2018;8(1):4816. DOI: https://doi.org/10.1038/s41598-018-23314-5Khanin YuL. Research on anxiety in sports. Voprosy Psykhologii. 1978;6:92-99. Russian.Andriushchenko AV, Drobizhev MYu, Dobrovol&rsquo;skij AV. Comparative assessment of CESD, BDI and HADS (d) scale in diagnosis of depression in general medical practice. S.S. Korsakov Journal of Neurology and Psychiatry = Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2003;103(5):11-18. Russian.Lai SW, Lin CL, Liao KF, et al. Increased risk of Parkinson&rsquo;s disease in cataract patients: a population-based cohort study. Parkinsonism and Related Disorders. 2015;21(1):68-71. https://doi.org/10.1016/j.parkreldis.2014.11.005Yoon SP, Chan MM, Akshay ST, et al. Clinical Characteristics of Patients With CRVO in One Eye With Subsequent RVO in The Fellow Eye: A Retrospective Observational Study. Ophthalmic Surgery Lasers and Imaging Retina. 2019;50(7):444-449.Madsen HO, Shakoor BA, Henric LA, et al. Mood and Behavior Seasonality in Glaucoma; Assessing Correlations Between Seasonality and Structure and Function of the Retinal Ganglion Cells. PLoS ONE. 2020;15(3):e0229991.Lace I, Elksnis E, Laganovska G, et al. Tear Osmolarity After Cataract Surgery. Journal of Current Ophthalmology. 2018;31(1):31-35. DOI: https://doi.org/10.1016/j.joco.2018.08.006Auaki M, Kawashima M, Negishi K, et al. High Prevalence of Sleep and Mood Disorders in Dry Eye Patients: Survey of 1,000 Eye Clinic Visitors. Neuropsychiatric Disease and Treatment. 2015;11:889-894. DOI: https://doi.org/10.2147/ndt.s81515Milyutkina SO, Kovalevskaya MA. Macular function disturbance as a factor of social and psychological disadaptation in patients with age-related macular degeneration. Prikladnyye informatsionnyye aspekty meditsiny. 2014;17(1):128-136. Russian.