title: [Neuropsychological benefit of cataract surgery among sight impaired Alzheimer's patient].
abstract: OBJECTIVE
  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 10<MMS<25, with bilateral disabling cataract scheduled for surgery were included. Data assessment one month prior to and three months after surgery was performed, involving the patients and their caregivers.
  
  
  CONCLUSIONS
  Three months after surgery, Alzheimer's patients' visual acuity had improved (P<0.001). Three sections of the NPI improved. Sleep improved significantly (P=0.01). Dysphoric behavior and anxiety also improved but not statistically significantly. However, agitation statistically increased (P=0.04). There was a positive correlation between behavioral improvement in Alzheimer's patients and the burden on the caregivers (P<0.001).
authors: Service d'ophtalmologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France; Service V, centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France. Electronic address: docteur.girard@orange.fr.
authors: B
authors: B
authors: Girard
authors: Service d'ophtalmologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France.
authors: B
authors: B
authors: Chouard
authors: Département de santé publique, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France; U 1136, Inserm, institut Pierre-Louis de santé publique, Paris, France; UMR S 1136, institut Pierre-Louis de santé publique, Sorbonne universités, université Pierre-et-Marie-Curie, Paris, France.
authors: P
authors: P
authors: Levy
authors: Hôpital gériatrique, Les Magnolias, 91160 Ballainvilliers, France.
authors: L
authors: L
authors: Luquel
authors: Service de gériatrie, hôpital Broca, AP-HP, 75013 Paris, France.
authors: M-L
authors: ML
authors: Seux
authors: Service de gériatrie, hôpital Bretonneau, AP-HP, 75018 Paris, France.
authors: O
authors: O
authors: Drunat
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000150:complications* / Q000523:psychology / Q000601:surgery; D017028:Caregivers / Q000523:psychology; D002386:Cataract / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation; D002387:Cataract Extraction / Q000523:psychology* / Q000534:rehabilitation / Q000706:statistics & numerical data; D017281:Cost of Illness; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000523:psychology / Q000601:surgery; D009483:Neuropsychological Tests; D014786:Vision Disorders / Q000209:etiology* / Q000523:psychology / Q000601:surgery; D014792:Visual Acuity
keywords: Alzheimer disease; Caregiver's burden; Cataract; Cataract surgery; Cataracte; Chirurgie de la cataracte; Dementia; Démence; Fardeau de l’aidant; Maladie d’Alzheimer; NPI; Neuropsychologic tests; Tests neuropsychologiques