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认知衰退、双重感官丧失与老年人视觉辅助工具的使用——一篇叙述性综述。

Cognitive decline, dual sensory loss and the use of visual aids in elderly - A narrative review.

作者信息

Karmakar Sourav, Mondal Animesh, Bhowmick Pampa, Bhardwaj Gaurav Kumar

机构信息

Department of Optometry and Vision Science, Amity Medical School, Amity University, Gurugram, Haryana, India.

出版信息

Oman J Ophthalmol. 2025 Jun 24;18(2):113-120. doi: 10.4103/ojo.ojo_177_23. eCollection 2025 May-Aug.

Abstract

The relationships between visual acuity, contrast sensitivity, stereo acuity, and cognition varied, implying that domain-specific cognitive loss patterns exist. This review aims to learn how visual aids help patients with visual impairment and cognitive decline. The electronic searches had no language restrictions or research design filters. However, from 2016 forward, searches were restricted, and the electronic databases were last examined in 2022. There were 537 papers discovered in PubMed and 18,000 articles found in Google Scholar, of which ten articles fit the criteria. Patients who participated in the trials had an average age of 81-82 years. Patients with self-reported vision difficulties had a higher incidence of dementia. The majority were female populations. Auditory and visual loss was detected in 5.5% of dementia cases versus 4.9% of nondementia subjects. Early-stage cognitive impairment raises the chance of dementia later in the disease. Along with motor dysfunction, impairments in visual memory, verbal fluency, and executive functions, as well as increased depressive symptoms, predicted worse Parkinsonian disability, highlighting the critical role of nonmotor factors such as cognitive and visual dysfunction, as well as depression, in disability, even in the early stages of Parkinsonian disability.

摘要

视力、对比敏感度、立体视敏度与认知之间的关系各不相同,这意味着存在特定领域的认知丧失模式。本综述旨在了解视觉辅助工具如何帮助视力受损和认知能力下降的患者。电子检索没有语言限制或研究设计筛选条件。然而,从2016年起,检索范围受到限制,电子数据库最近一次审查是在2022年。在PubMed中发现了537篇论文,在谷歌学术搜索中找到了18000篇文章,其中有10篇文章符合标准。参与试验的患者平均年龄为81 - 82岁。自我报告有视力困难的患者患痴呆症的发生率更高。大多数是女性人群。在5.5%的痴呆症病例中检测到听觉和视觉丧失,而非痴呆症受试者中这一比例为4.9%。早期认知障碍会增加疾病后期患痴呆症的几率。除了运动功能障碍外,视觉记忆、语言流畅性和执行功能的损害,以及抑郁症状的增加,预示着帕金森病残疾情况更糟,这突出了认知和视觉功能障碍以及抑郁等非运动因素在残疾中的关键作用,即使在帕金森病残疾的早期阶段也是如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c91/12258848/fc842888878e/OJO-18-113-g001.jpg

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