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[Cataract surgery among 50 Alzheimer's patient (55 eyes)]
B Girard1, B Chouard2, F Hardy3
1Service d'ophtalmologie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France; Service d'ophtalmologie V, centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France.
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.
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