Simulated Visual Impairment Leads to Cognitive Slowing in Older Adults

Date

2010

Authors

Wood, Joanne
Chaparro, Alex
Anstey, Kaarin
Lacherez, Philippe
Chidgey, Aaron
Eisemann, Jared
Gaynor, Alison
La, Peter

Journal Title

Journal ISSN

Volume Title

Publisher

Lippincott Williams & Wilkins

Abstract

Purpose.: To investigate the impact of different levels of simulated visual impairment on the cognitive test performance of older adults and to compare this with previous findings in younger adults. Methods.: Cognitive performance was assessed in 30 visually normal, community-dwelling older adults (mean = 70.2 ± 3.9 years). Four standard cognitive tests were used including the Digit Symbol Substitution Test, Trail Making Tests A and B, and the Stroop Color Word Test under three visual conditions: normal baseline vision and two levels of cataract simulating filters (Vistech), which were administered in a random order. Distance high-contrast visual acuity and Pelli-Robson letter contrast sensitivity were also assessed for all three visual conditions. Results.: Simulated cataract significantly impaired performance across all cognitive test performance measures. In addition, the impact of simulated cataract was significantly greater in this older cohort than in a younger cohort previously investigated. Individual differences in contrast sensitivity better predicted cognitive test performance than did visual acuity. Conclusions.: Visual impairment can lead to slowing of cognitive performance in older adults; these effects are greater than those observed in younger participants. This has important implications for neuropsychological testing of older populations who have a high prevalence of cataract.

Description

Keywords

Keywords: aging; Cognitive functions; Cognitive performance; Cognitive tests; Contrast sensitivity; High contrast; Individual Differences; Neuropsychological; Older adults; Older population; Visual acuity; Visual condition; Visual impairment; Brain; Ophthalmology; aging; cognitive function; contrast sensitivity, cataract; visual impairment

Citation

Source

Optometry and Vision Science

Type

Journal article

Book Title

Entity type

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Restricted until

2037-12-31