Corneal Graft and Cataract Surgery in Patients with Moderate to Severe Intellectual Disability

Autor/inn/en	Cooke, C. A.; Frazer, D. G.; Jackson, A. J.
Titel	Corneal Graft and Cataract Surgery in Patients with Moderate to Severe Intellectual Disability
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 19 (2006) 4, S.383-390 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/j.1468-3148.2006.00271.x
Schlagwörter	Mental Retardation; Surgery; Ophthalmology; Visual Acuity; Interpersonal Relationship; Patients; Interaction; Clinics; Severe Mental Retardation; Outcomes of Treatment; Risk; At Risk Persons + Suchen Sie Ihr Suchwort? Geistige Behinderung; Chirurgie; Augenheilkunde; Optisches Differenzierungsvermögen; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Patient; Interaktion; Risiko; Risikogruppe
Abstract	Background: Intraocular surgery in patients with intellectual disability can be hazardous. Our aim was to determine the outcomes of surgery on all such patients seen in a consultant-led service, and to assess the overall risks and benefits. Materials and Methods: A retrospective chart review of patients with moderate to severe intellectual disability, operated upon over a 9-year period was undertaken. Thirty-four eyes of 21 patients were operated upon and procedures included four penetrating keratoplasties, five combined penetrating keratoplasties with cataract extractions, and 25 cataract extractions alone. Results: Most patients achieved a beneficial outcome, noted by their carers, such as better mobility and social interaction. Three patients had major post-operative complications, all associated with corneal grafts. Only seven patients were, within the context of conventional busy outpatient clinics, deemed capable of co-operating with a formal visual acuity assessment either pre- or post-operatively. Conclusions: Cataract and corneal graft surgery in individuals with intellectual disability is beneficial, and referral to an ophthalmologist should be considered as intellectual disability need not necessarily be a contraindication for surgery. The authors recommend that these patients should be assessed in a dedicated ophthalmology clinic setting for the intellectually disabled, where there should be better facilities for appropriate visual assessment tailored to the patients' abilities. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10