June 2020
Volume 61, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2020
DEPRESSION, ANXIETY AND STRESS IN PATIENTS WITH NEURO-OPHTHALMIC DISORDERS
Author Affiliations & Notes
  • lucas Barasnevicius quagliato
    penido burnier, Campinas, Sao Paulo, Brazil
  • pietro dechichi
    penido burnier, Campinas, Sao Paulo, Brazil
  • ELIZABETH QUAGLIATO
    penido burnier, Campinas, Sao Paulo, Brazil
  • MILENA ARRUDA
    penido burnier, Campinas, Sao Paulo, Brazil
  • GUNTER GABECKEDORFF
    penido burnier, Campinas, Sao Paulo, Brazil
  • THAISY BATISTEL
    penido burnier, Campinas, Sao Paulo, Brazil
  • VALDEZ FILHO
    penido burnier, Campinas, Sao Paulo, Brazil
  • Footnotes
    Commercial Relationships   lucas quagliato, None; pietro dechichi, None; ELIZABETH QUAGLIATO, None; MILENA ARRUDA, None; GUNTER GABECKEDORFF, None; THAISY BATISTEL, None; VALDEZ FILHO, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science June 2020, Vol.61, 5427. doi:
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      lucas Barasnevicius quagliato, pietro dechichi, ELIZABETH QUAGLIATO, MILENA ARRUDA, GUNTER GABECKEDORFF, THAISY BATISTEL, VALDEZ FILHO; DEPRESSION, ANXIETY AND STRESS IN PATIENTS WITH NEURO-OPHTHALMIC DISORDERS. Invest. Ophthalmol. Vis. Sci. 2020;61(7):5427.

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

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Abstract

Purpose : Assess the presence of anxiety, depression and stress in a group of patients with neuro-ophthalmicdisorders who were treated in a specialized clinic in Campinas, SP, Brazil
Evaluate the relationship between the severity of visual impairment and the intensity of psychic symptoms
Correlate psychic disorders with neuro-ophthalmicdiagnoses

Methods : Cross-sectional study with the application of a questionnaire on the relationship between the psychological and neuro-ophthalmic disorders (Depression and Anxiety Scales (DASS-21) in 30 patients diagnosed with neuro-ophthalmic disorder.
The results were analyzed individually, through the same application.

Results : 14 patients did not return their answers, although insistently requested
Within the 16 patients (12 women and 4 men) that answered the questionnaire, 12 (75%) presented depression symptoms, 13 (81%) anxiety and 8 (50%) stress
9 patients presented optical neuritis, 4 NAION, 1 Ischemic Stroke and 1 Devic disease
Depression was mild in 1 patient (6%), moderate in 2(12%), severe in 2 (12%) and very severe in 7 patients (44%)
Anxiety was moderate in 4(25%) and very severe in 9 (56%) cases
Stress was mild in 1 case (6%), moderate in 3 (19%) and very severe in 4 cases (25%).

RELATIONSHIP BETWEEN VISUAL ACUITY IN THE AFFECTED EYE AND PSYCHIC SYMPTOMS
100% of patients with visual acuity below 20/40 in the affected eye presented very severe depression and anxiety and stress.
80% of patients with visual acuity between 20/40 and 20/30 in the affected eye presented psychic symptoms with intensities from mild to very severe
75% of patients with satisfactory visual acuity (20/25 - 20/20 )presented symptoms of depression, anxiety and stress from mild to very severe.

Conclusions : 81.2% of neuro-ophthalmic patients presented symptoms of depression, anxiety and/or stress.
A positive correlation was observed between the severity of visual impairment, incidence and severity of psychic symptoms. However, even in the group of patients with satisfactory vision, 75% had symptoms of depression, anxiety and stress, from mild to very severe.
70% of patients with optical neuritis and 100% of patients with Devic disease, ischemic stroke and non-arteritic anterior ischemic optic neuropathy(NAION) presented some degree of depression, anxiety and/or stress.

This is a 2020 ARVO Annual Meeting abstract.

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