Vertaisarvioitu alkuperäisartikkeli tai data-artikkeli tieteellisessä aikakauslehdessä (A1)

Exploring the effect of glaucomatous visual field defects of current drivers on a neuropsychological test battery




Julkaisun tekijätTigchelaar Iris, de Waard Dick, Jansonius Nomdo M., Leinonen Markku T.

KustantajaWILEY

Julkaisuvuosi2022

JournalActa Ophthalmologica

Lehden akronyymiACTA OPHTHALMOL

Volyymi100

Julkaisunumero2

Aloitussivu463

Lopetussivun numero469

Sivujen määrä7

ISSN1755-375X

eISSN1755-3768

DOIhttp://dx.doi.org/10.1111/aos.14975

Verkko-osoitehttps://onlinelibrary.wiley.com/doi/10.1111/aos.14975

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/67207855


Tiivistelmä

Purpose This study explores the effect of glaucomatous visual field defects on several neuropsychological tests that are often used in research and in clinical settings.

Methods Nineteen glaucoma patients and nineteen healthy participants, which are current drivers and older than 65 years old were included. All participants completed the Montreal Cognitive Assessment (MoCA), the Trail Making Test (TMT), the Benton Visual Retention Test (BVRT), the Snellgrove Maze Task (SMT) and the Digit Span Test (DST). All participants were also tested on contrast sensitivity and near and far visual acuity. For the glaucoma patients, visual field tests were downloaded from hospital servers.

Results On the MoCA test, glaucoma patients scored lower than the healthy group, but not significantly. On the MoCA-Blind, the difference was statistically significant. Glaucoma patients also had lower percentile scores on the TMT, with a significant difference in the TMT-A, but this difference largely disappeared in the calculated TMT B-A index, which isolates the cognitive component. The BVRT and SMT showed no significant differences between both groups. In the only non-visual test, the DST, glaucoma patients outperformed the healthy group. Glaucoma severity did not influence results, except for the BVRT on which the moderate/severe group has better scores.

Conclusion Using visual items might lead to conclusions about cognition when it should be one about vision. Therefore, careful selection of tests is needed when examining cognition in glaucoma patients.


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Last updated on 2023-30-06 at 11:16