Ophthalmologic Screening in 25 Consecutive Geriatric Psychiatric Inpatient Admissions
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
In the aging process, people are at increasing risk of visual abnormalities such as cataracts, glaucoma, age-related macular degeneration, and other retinal defects. This holds true for geriatric psychiatric patients as well. These ophthalmic problems may increase risk of falls or increase the comorbidity from dementing processes and depression. Geriatric patients presenting for psychiatric treatment may also be misdiagnosed or under-diagnosed as a result of these visual problems. This quality assurance review of 25 consecutive geriatric psychiatric inpatients demonstrated discrepancies between chart documentation and actual ophthalmologic pathology present in the patients. Doing a simple but complete ophthalmologic screening as part of the general physical examination on admission to an inpatient psychiatric unit can identify those patients who will need more in depth examination of their eyes and promote more accurate differential diagnoses for the patients.
- Eichenbaum JW: Geriatric vision loss due to cataracts, macular degeneration, and glaucoma. Mount Sinai Journal of Medicine 79:276–94, 2012. CrossRef
- Jackson GR, Owsley C: Visual dysfunction, neurodegenerative diseases, and aging. Neurologic Clinics 21:709–28, 2003. CrossRef
- Pelletier AL, Thomas J, Shaw FR: Vision loss in older persons. American Family Physician 79:963–70, 2009.
- Salonen L, Kivelä SL: Eye diseases and impaired vision as possible risk factors for recurrent falls in the aged: A systematic review. Current Gerontology and Geriatrics Research 2012:271481, 2012. CrossRef
- Menon GJ: Complex visual hallucinations in the visually impaired: a structured history taking approach. Archives of Ophthalmology 123:349–55, 2005. CrossRef
- Katz B, Rimmer S: Ophthalmologic manifestations of Alzheimer’s disease. Survey of Ophthalmology 34:31–43, 1989. CrossRef
- Jefferis JM, Collerton J, Taylor JP, Jagger C, Kingston A, Davies K, Kirkwood T, Clarke MP: The impact of visual impairment on Mini-Mental State Examination Scores in the Newcastle 85+ study. Age and Ageing 41:565–8, 2012. CrossRef
- Huang CQ, Dong BR, Lu ZC, Yue JR, Liu QX: Chronic diseases and risk for depression in old age: A meta-analysis of published literature. Ageing Research Reviews 9:131–41, 2010. CrossRef
- Bickley LS, Szilagyi PG: Bates Guide to Physical Examination and History Taking, 8th ed., Philadelphia, Lippincott Williams & Wilkins, pp. 144–55, 2003.
- Weinstock, FJ: When to refer to an ophthalmologist. Geriatrics 38:117–24, 1983.
- Kaplan HI, Sadock BJ: Comprehensive Textbook of Psychiatry/VI. Baltimore, Williams & Wilkins, 1995.
- Yanoff M, Duker JS: Ophthalmology. London, Mosby, 1999.
- American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th edn., Text Revision. Washington, D.C., American Psychiatric Association, 2000.
- Ophthalmologic Screening in 25 Consecutive Geriatric Psychiatric Inpatient Admissions
Volume 85, Issue 1 , pp 49-56
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Visual problems
- Eye exam
- Quality assurance