Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0086543 (cataract)
 29,165 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors define the delirium seen after cataract surgery on the basis of Dupuytren's original description and review studies using the criteria they set up on this basis. They then present prospective data on 2 patients with postcataractectomy delirium and 25 patients who did not experience this delirium. The data suggest that delirium after cataract surgery represents anticholinergic toxicity.
 ...
PMID:Delirium after cataract surgery: review and two cases. 42 2

Delirium was demonstrated after cataract surgery in a 64-year-old man (case 1). The patient struck his head against the floor; thereafter an extradural hematoma was found and extracted. Postoperative delirium was also noted in a 58-year-old woman (case 2) and in a 26-year-old woman (case 3) with rhegmatogenous retinal detachment. All 3 patients recovered from their psychiatric complications within 1 month.
 ...
PMID:Psychiatric complications after ocular surgery. 790 7

A prospective study of 350 consecutive in-patients undergoing cataract extraction revealed the incidence of postcataract extraction delirium to be 1.7%. While in one case the delirium was due to anticholinergic toxicity, in the remaining 5 cases no organic cause was evident. Sensory deprivation was present in 3 patients. In addition to organic causes sensory deprivation was found to be an important cause of postcataract extraction delirium.
 ...
PMID:Delirium after cataract extraction: a prospective study. 796 16

A 36-year-old man was stung by a wasp OD. He became delirious and had dyspnea, ocular pain, and severely decreased visual acuity OD. A broken stinger was found in the central deep cornea. Additional ocular findings were keratitis, iritis, cataract, secondary glaucoma, and unrecordable electroretinographic responses.
 ...
PMID:Wasp sting-induced retinal damage. 848 60

Around half of people aged 65 years and above will undergo surgery due to various indications. Several common types of surgery in the elderly are cataract extraction, joint replacement, cholecystectomy, and revascularization procedures. Elderly patients planned for surgery are at risk of having substandard or even terrible outcome due to decreased ability to maintain or recover physiologic homeostasis during surgery. Thorough preoperative assessment is important for the elderly. Preoperative assessment should be stressed on identification of risk factors or bad predictors after the surgery. Common comorbidities in the elderly need comprehensive assessment. Special attention should be given for postoperative management in the elderly. The elderly might need longer time to recover compared to young patients, and management programs might be needed such as sub acute management, rehabilitation unit, or home-care treatment. In general the postoperative treatments consists of the use of analgesic agents, early mobilization, proper use of urine catheter, prevention and management of delirium, and use of anticoagulants.
 ...
PMID:Perioperative assessment and management of the elderly. 1838 59

A 31-year-old man Charles Bonnet syndrome is a condition usually seen in the visually-impaired elderly, causing complex visual hallucinations in the absence of any delirium, dementia or psychiatric illness. We report an elderly man, with blindness in one eye and a cataract in the other, from the Iban tribe, which is indigenous to the island of Borneo. He presented with a three-week history of vivid hallucinations of burglars intruding on his living quarters in the longhouse where he lived.
 ...
PMID:Charles Bonnet syndrome in a Borneo Iban tribesman. 1922 72

Atropine is an anticholinergic drug which is used in both parental and topical routes. Topical eye-drops of atropine sulfate are used as mydriatic and cycloplegics. Parental atropine-induced delirium is well known but topical atropine eye-drop-induced delirium cases are very limited in literature. In this case report, an elderly man underwent cataract surgery and developed delirium after the use of 1% atropine sulfate eye-drops as prescribed. This case supports the notion that even atropine eye-drops can cause delirium in patients at therapeutic doses in elderly.
 ...
PMID:Atropine eye-drop-induced acute delirium: a case report. 3247 85