Visual Impairment 7- Dementia Flashcards

(33 cards)

1
Q

What does dementia effect?

A
Memory 
Thinking 
Congniton 
Orientation 
Learning 
Language 
Judgement
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2
Q

What are the risk factors for dementia?

A
AGE!
Depression
Isolation 
Low education attainment 
Air pollution  
Cognitive activity
Down syndrome
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3
Q

How can we reduce or prevent the risk of dementia?

A
Keep active 
Cognitive activities 
No smoking 
Harmful alcohol use 
Control weight 
Eat healthy diet 
Healthy BP, cholesterol and blood sugar
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4
Q

What can dementia give rise to?

A
Alzheimaer disease 
Vascular dementia 
Mixed dementia
Lewy bodies 
Picks disease (rare form)
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5
Q

What biological changes would occur in dementia?

A

Brain changes- protein plaques, thickened meninges
Tau proteins- occur naturally, protein altered, microtubules destroyed
Lewy bodies- abnormal aggregation of protein

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6
Q

Why are down syndrome patients more susceptible to early alzhaeimers disease?

A

Extra copy of chrom 21

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7
Q

What causes alzhaeimers?

A

Brain cell due to neurofibrilly tangles and senile plaques

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8
Q

Where in the brain does alzheimers effects the patient?

A

Occipital and parietal lobe

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9
Q

What is the onset of alzheimers?

A

Mid 50s to early 60s

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10
Q

What difficulties can people with AD face?

A

Faces and objects

Numeracy and literacy

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11
Q

What are AD risk factors?

A

Age
Gender- F>M (2x)
Health- DM, HT, Stroke, CV probs, high cholesterol, obesity

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12
Q

What are the AD sxs?

A

Memory loss
Language problems
Confusion
Personality changes

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13
Q

What leads to vascular dementia AKA Subcortical dementia?

A

Brain circulation changes

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14
Q

What can cause VD?

A

Stroke/TIA

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15
Q

What are the risk factors of VD?

A

Age >65yrs (2x)
M>F
Health- DM, HT, prev. troke, CVD, high cholesterol, obesity
Ethnicity- SE asians and afro caribbeans

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16
Q

What sxs are u likely to encounter with VD?

A
Memory probs
Language probs
Visuospatial- 3D concept 
Concentration /confusion 
Depression
17
Q

What is the 4th most common form of dementia?

18
Q

What are LB associated with

A

Parkinsons disease

19
Q

What are LB a result of?

A

Loss of connection b/w nerve cells

20
Q

What are the 2 positions of lewy bodies?

A

Base of brain- movement difficulties

Outer brain layers- cognitive function

21
Q

What are the risk factors of LB?

A

Age
>65yrs common
M=F

22
Q

What are the main sxs of LB?

A

Attention and alertness

Hallucination and delusions

23
Q

What is mixed dementia?

A

A combo of AD and VD

Common >75yrs

24
Q

WhR cause picks disease AKA Fronto temp dementia?

A

Lobes shrink (less common)

25
What 2 areas of the brain are effected with picks disease and what are their functions?
Frontal lobe- behavior/emotional control | Temporal lobe- Left= words meaning/obj names, Right= facial recognition
26
Once dx eith dementia, what meds licensed in the UK are possibly taken? (Mild to mod and mod to severe)
Mild to mod: Donepezil Galantamine Rivastigmine Mod to severe Memantine
27
What visual changes maybe presented?
``` CV Loss Reduced VA Reduced CS Reduced Stereoacuity Reduced motion detection Visual hallucinations ```
28
In severe cases of dementia, how is VA assessed?
Teller acuity grating
29
What test may indicate the strongest and weakest associations to severity of dementia?
Strongest associaton= Stereoacuity and motion detection | Weakest association= colour vision test
30
Which form of dementia effects 3D vision more?
Vascular dementia
31
Which form of dementia is it likely to experience hallucinations?
Lewy bodies
32
What can optometrists do to help those c dementia?
Advise on spec use, lighting, contrast
33
What 3 things that are included in the college guidelines about dementia and optometrists?
Prescribing Supply and after care Regerall and support