Postoperative cognitive decline is a recognized complication following anesthesia and surgery in older adults; however, its incidence after ambulatory cataract surgery performed under sedation is not well understood. This prospective observational study aims to determine the proportion of patients aged 65 years and older who develop postoperative cognitive decline at 3 weeks and 3 months following ambulatory cataract surgery.
Participants will complete a baseline Tele-Montreal Cognitive Assessment (T-MoCA) before surgery and repeat the assessment remotely at 3 weeks and 3 months after surgery. Demographic, medical, anesthetic, and procedural data will also be collected. The findings will improve understanding of postoperative cognitive outcomes in elderly patients undergoing ambulatory cataract surgery and help identify patients who may be at increased risk for postoperative cognitive decline.
None
Inability to understand instructions in English
Lack of access to a computer, tablet, smartphone, or internet access
Patients with established cognitive deficit diagnoses (e.g. Alzheimer's, traumatic brain injury (TBI), stroke)
Patients with known psychiatric diagnoses
Patients undergoing ambulatory cataract surgery at the Kensington Eye Institute (KEI).
Cohort
Prospective
Not listed
Proportion of patients with postoperative cognitive decline following sedation for ambulatory cataract surgery
The proportion of participants who demonstrate postoperative cognitive decline, defined as a decline of one standard deviation or greater from their baseline Tele-Montreal Cognitive Assessment (T-MoCA) score, assessed at 3 weeks and 3 months following ambulatory cataract surgery performed under sedation.
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Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Lead sponsor
Mount Sinai Hospital, Canada
Collaborator
Kensington Eye Institute
Collaborator
This trial is not recruiting at the moment. You can still explore other options:
