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The impact of cataract surgery on depressive symptoms for bilateral cataract patients in Ho Chi Minh City, Vietnam

Published online by Cambridge University Press:  14 November 2013

Kien Gia To ,
Lynn B. Meuleners ,
Michelle L. Fraser ,
Dat Van Duong ,
Dung Van Do ,
Van-Anh Ngoc Huynh ,
Tien Duy Phi ,
Hoang Huy Tran  and
Nguyen Do Nguyen
Kien Gia To
Affiliation:
University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam Curtin Monash Accident Research Centre (C-MARC), Curtin University, Australia
Lynn B. Meuleners*
Affiliation:
Curtin Monash Accident Research Centre (C-MARC), Curtin University, Australia
Michelle L. Fraser
Affiliation:
Curtin Monash Accident Research Centre (C-MARC), Curtin University, Australia
Dat Van Duong
Affiliation:
United Nations Population Fund, Hanoi, Vietnam
Dung Van Do
Affiliation:
University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
Van-Anh Ngoc Huynh
Affiliation:
University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
Tien Duy Phi
Affiliation:
The Eye Hospital, Ho Chi Minh City, Vietnam
Hoang Huy Tran
Affiliation:
The Eye Hospital, Ho Chi Minh City, Vietnam
Nguyen Do Nguyen
Affiliation:
The Eye Hospital, Ho Chi Minh City, Vietnam
*
Correspondence should be addressed to: Lynn B. Meuleners, PhD, Associate Professor, Curtin Monash Accident Research Centre (C-MARC), School of Public Health, Curtin University, Perth, WA 6845, Australia. Phone: +61 8 9266 4636. Email: l.meuleners@curtin.edu.au.
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Abstract

Background:

Depression is common among older populations with cataract. However, the impact of cataract surgery on depression in both developed and developing countries remains unclear. The aim of this study is to determine the impact of cataract surgery on depressive symptoms and to examine the association between objective visual measures and change in depressive symptoms after surgery among a Vietnamese population in Ho Chi Minh City.

Methods:

A cohort of older patients with bilateral cataract were assessed the week before and one to three months after first eye surgery only or first- and second-eye cataract surgeries. Visual measures including visual acuity, contrast sensitivity, and stereopsis were obtained. Depressive symptoms were assessed using the 20-item Center for Epidemiological Studies-Depression Scale (CES-D). Descriptive analyses and a generalized estimating equations (GEE) analysis were undertaken to determine the impact of cataract surgery on depressive symptoms.

Results:

Four hundred and thirteen participants were recruited into the study before cataract surgery. Two hundred and forty-seven completed the follow-up assessment after surgery. There was a significant decrease (improvement) of one point in the depressive symptoms score (p = 0.04) after cataract surgery, after accounting for potential confounding factors. In addition, females reported a significantly greater decrease (improvement) of two points in depressive symptom scores (p = 0.01), compared to males. However, contrast sensitivity, visual acuity, and stereopsis were not significantly associated with change in depressive symptoms scores. First-eye cataract surgery or both-eye cataract surgery did not modify the change in depressive symptoms score.

Conclusion:

There was a small but significant improvement in depressive symptoms score after cataract surgery for an older population in Vietnam.

Keywords

cataract surgeryvisual measuresdepression

Information

Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 2 , February 2014 , pp. 307 - 313
Copyright
Copyright © International Psychogeriatric Association 2013 

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References

Brian, G. and Taylor, H. (2001). Cataract blindness: challenges for the 21st century. Bulletin of the World Health Organization, 79, 249–256.Google Scholar
Datta, S.et al. (2008). The importance of acuity, stereopsis, and contrast sensitivity for health-related quality of life in elderly women with cataracts. Investigative Ophthalmology & Visual Science, 49, 1–6. doi:10.1167/iovs.06-1073.CrossRefGoogle ScholarPubMed
Ferris, F. L., Kassoff, A., Bresnick, G. H. and Bailey, I. (1982). New visual acuity charts for clinical research. American Journal of Ophthalmology, 94, 91–96.CrossRefGoogle ScholarPubMed
Foss, A. J. E., Harwood, R. H., Osborn, F., Gregson, R. M., Zaman, A. and Masud, T. (2006). Falls and health status in elderly women following second eye cataract surgery: a randomised controlled trial. Age and Ageing, 35, 66–71. doi:10.1093/ageing/afj005.CrossRefGoogle ScholarPubMed
Franks, F. and Faux, S. A. (1990). Depression, stress, mastery, and social resources in four ethnocultural women's groups. Research in Nursing & Health, 13, 283–292.CrossRefGoogle ScholarPubMed
Freeman, E. E.et al. (2009). Cataract-related vision loss and depression in a cohort of patients awaiting cataract surgery. Canadian Journal of Ophthalmology, 44, 171–176. doi:10.3129/i09-001.CrossRefGoogle Scholar
General Statistics Office of Vietnam. (2010). The 2009 Vietnam Population and Housing Census: Completed Results [Online]. Hanoi. Available at: http://www.gso.gov.vn/default_en.aspx?tabid=617&ItemID=10804; last accessed 30 June 2013.Google Scholar
Holladay, J. T. (1997). Proper method for calculating average visual acuity. Journal of Refractive Surgery, 13, 388–391.CrossRefGoogle ScholarPubMed
Horowitz, A. (2004). Prevalence and consequences of age-related vision impairment. Topics in Geriatric Rehabilitation, 20, 185–195.CrossRefGoogle Scholar
Harwood, R. H., Foss, A. J. E., Osborn, F., Gregson, R. M., Zaman, A. and Masud, T. (2005). Falls and health status in elderly women following first eye cataract surgery: a randomised controlled trial. British Journal of Ophthalmology, 89, 53–59. doi:10.1136/bjo.2004.049478.CrossRefGoogle ScholarPubMed
Ishii, K., Kabata, T. and Oshika, T. (2008). The impact of cataract surgery on cognitive impairment and depressive mental status in elderly patients. American Journal of Ophthalmology, 146, 404–409.CrossRefGoogle ScholarPubMed
Leggett, A., Zarit, S. H., Nguyen, N. H., Hoang, C. N. and Nguyen, H. T. (2012). The influence of social factors and health on depressive symptoms and worry: a study of older Vietnamese adults. Aging Mental and Health, 16, 780–6. doi:10.1080/13607863.2012.667780.CrossRefGoogle ScholarPubMed
McGwin, G., Li, J., McNeal, S. and Owsley, C. (2003). The impact of cataract surgery on depression among older adults. Ophthalmic Epidemiology, 10, 303–313. doi:10.1076/opep.10.5.303.17323.CrossRefGoogle ScholarPubMed
McGwinG., Jr. G., Jr., Gewant, H. D., Modjarrad, K., Hall, T. A. and Owsley, C. (2006). Effect of cataract surgery on falls and mobility in independently living older adults. Journal of the American Geriatrics Society, 54, 1089–1094. doi:10.1111/j.1532-5415.2006.00770.x.CrossRefGoogle ScholarPubMed
Meuleners, L. B., Lee, A. H., Ng, J. Q., Morlet, N. and Fraser, M. L. (2012). First eye cataract surgery and hospitalization from injuries due to a fall: a population-based study. Journal of the American Geriatrics Society, 60, 1730–1733. doi:10.1111/j.1532-5415.2012.04098.x.CrossRefGoogle ScholarPubMed
ORBIS. (2008). Eliminating Blindness in Vietnam [Online]. USA. Available at: http://www.orbis.org/Default.aspx?cid=8242&lang=1&pre=view; last accessed 2 March 2012.Google Scholar
Owsley, C., McGwinG., Jr. G., Jr., Scilley, K., Meek, G. C., Seker, D. and Dyer, A. (2007). Impact of cataract surgery on health-related quality of life in nursing home residents. British Journal of Ophthalmology, 91, 1359–1363. doi:10.1136/bjo.2007.118547.CrossRefGoogle ScholarPubMed
Pelli, D. G., Robson, G. J. and Wilkins, A. J. (1988). The design of a new letter chart for measuring contrast sensitivity. Clinical Vision Sciences, 2, 187–199.Google Scholar
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi:10.1177/014662167700100306.CrossRefGoogle Scholar
Stereo Optical Co., Inc. (2009). Stereo Fly Test: Instructions for Stereotests. Chicago, IL: Stereo Optical Co., Inc.Google Scholar
Tran, T. V., Ngo, D. and Conway, K. (2003). A cross-cultural measure of depressive symptoms among Vietnamese Americans. Social Work Research, 27, 56–64.CrossRefGoogle Scholar
Vietnam Vision Project. (2013). Vietnam Vision Project: Background [Online]. Cabramata: Vietnam Vision. Available at: http://www.vietnamvision.org.au/default.asp?fid=5&lang=en&lstID=1; last accessed 30 June 2013.Google Scholar
Wada, T.et al. (2005). Depression, activities of daily living, and quality of life of community-dwelling elderly in three Asian countries: Indonesia, Vietnam, and Japan. Archives of Gerontology and Geriatrics, 41, 271–280. doi:10.1016/j.archger.2005.03.003.CrossRefGoogle ScholarPubMed
Walker, J. G., Anstey, K. J., Hennessy, M. P., Lord, S. R. and Von Sanden, C. (2006). The impact of cataract surgery on visual functioning, vision-related disability and psychological distress: a randomized controlled trial. Clinical & Experimental Ophthalmology, 34, 734–742. doi:10.1111/j.1442-9071.2006.01340.x.CrossRefGoogle ScholarPubMed