June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Association between the Cognitive Performance of Elderly Patients Measured by the Mini-Mental State Examination and the Reliability of Humphrey Standard Automated Perimetry in Patients with Glaucoma
Author Affiliations & Notes
  • Lucas ALMEIDA Santana
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • Maurício Paolera
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • Mateus Matuoka
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • Alessandra Kussabara
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • Niro Kasahara
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • Diego Tebaldi
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • João Figueiredo
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • Bruno Rocha
    Ophthalmology, Irmandade Santa Casa de São Paulo, SAO PAULO, SAO PAULO, Brazil
  • Footnotes
    Commercial Relationships   Lucas Santana, None; Maurício Paolera, None; Mateus Matuoka, None; Alessandra Kussabara, None; Niro Kasahara, None; Diego Tebaldi, None; João Figueiredo, None; Bruno Rocha, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 2839. doi:
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      Lucas ALMEIDA Santana, Maurício Paolera, Mateus Matuoka, Alessandra Kussabara, Niro Kasahara, Diego Tebaldi, João Figueiredo, Bruno Rocha; Association between the Cognitive Performance of Elderly Patients Measured by the Mini-Mental State Examination and the Reliability of Humphrey Standard Automated Perimetry in Patients with Glaucoma. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2839.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Humphrey Standard Automated Perimetry (SAP) is an exam of difficult comprehension and execution by patients. In clinical practice the prevalence of non-reliable tests is high, especially for elderly patients with glaucoma. This study tested the hypothesis that patients with low cognitive performance measured by the Mini-Mental Estate Examination (MMEE) have more difficulty to perform Humphrey Standard Automated Perimetry

Methods : Thirty patients over 65 years old from the Department of Ophthalmology of Santa Casa de São Paulo Hospital underwent the MMEE right after doing the Humphrey Standard Automated Perimetry, 24-2 SITA standard strategy. Only eyes with at least Visual Acuity (VA) of 20/200 were included. Patients were divided into two 2 groups: Non-reliable SAP tests (fixation loss [FL] > 20% or false positive [FP] responses > 15% or false negative [FN] responses > 15%) and reliable SAP tests (FL ≤ 20% or FP ≤ 15% or FN ≤ 15%). The student's t test (demographic data) and Mann-Whitney U test (MMEE score) were used for statistical comparisons.

Results : The non-reliable tests included 22 patients and the reliable tests comprised 28 subjects. There was no statistical difference between the groups when comparing age (non-reliable: 74.2 + 3.2, reliable: 71.9 + 5.7, P = 0.08), Mean Deviation (MD) (non-reliable: -8.9 + 7.2, reliable: -9.8 + 7.3, P = 0.669) and VA (non-reliable: 0.60 + 0.46, reliable: 0.55 + 0.22, P = 0.466). When MMEE score was compared between groups, the non-reliable group had lower mini-mental score as compared to the reliable group. The difference, however, failed to reach statistical significance (non-reliable: 22.6 + 4.3, reliable: 24.7 + 4.1 with P = 0.06)

Conclusions : Patients with lower cognitive performance shows a tendency of performing worse SAP tests when compared to those with better MMEE scores

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

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