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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 3 of 382 rows for Vision impairment / cataract surgery. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Vision impairment / cataract surgery Hearing and vision | Prevention |
Benefit
whyAgainst untreated cataract. People who had surgery ended up at about the same risk as controls who never had cataracts (HR 0.84, 95% CI 0.66-1.06), and there was no short-term gain in those already cognitively impaired. |
Long-term cognitive decline / dementia | meta-analysis | 558,276 | HR 0.75 (95% CI 0.72-0.78) for cognitive decline with surgery |
Ophthalmology
2024 ✓ Peer-reviewed PMID 38336283 |
| Vision impairment / cataract surgery Hearing and vision | Prevention |
Harm
whyDirection is for having a vision impairment. Single vision impairment raised all-cause dementia risk but not Alzheimer's specifically; having both hearing and vision impairment carried the highest risk. |
All-cause and cause-specific dementia | meta-analysis | 937,908 | UK Biobank cohort: vision impairment and all-cause dementia HR 1.55 (95% CI 1.18-2.04) and non-Alzheimer non-vascular dementia HR 1.51 (1.07-2.13). Meta-analysis of 31 cohorts: single vision impairment and all-cause dementia HR 1.43 (95% CI 1.16-1.71), not significant for Alzheimer's. Mendelian randomisation: vision impairment and non-AD non-VD OR 1.62 (95% CI 1.13-2.33). Dual sensory impairment: all-cause dementia HR 1.63 (1.14-2.12) |
BMC Medicine
2024 ✓ Peer-reviewed PMID 39506811 |
| Vision impairment / cataract surgery Hearing and vision | Prevention |
Harm
whyDirection is for having cataracts or myopia. A Mendelian randomisation analysis supported the cataract-vascular dementia link. |
Incident dementia and brain volume | cohort study | 304,953 | Cataracts HR 1.18 (95% CI 1.07-1.29) for dementia; MR OR 1.92 (1.26-2.92) for vascular dementia |
JAMA Network Open
2024 ✓ Peer-reviewed PMID 39078629 |