Cognitive dysfunction and the 25-item National Eye Institute Visual Function Questionnaire

Alzheimers Dement (Amst). 2022 Nov 15;14(1):e12378. doi: 10.1002/dad2.12378. eCollection 2022.

Abstract

Introduction: Visual function and cognitive impairment are interrelated; however, little is known about the impact of modifying treatable vision impairment on the development of cognitive dysfunction. This study examines the relationship between cognition and self-reported visual function using the National Eye Institute's Visual Function Questionnaire (NEI VFQ).

Methods: Participants completed the NEI VFQ 25-Item questionnaire as well as the Mini-Mental State Examination (MMSE). Additionally, all participants were assigned a consensus clinical diagnosis based on established criteria. We used a general linear model and analysis of variance approach to compare means between multiple groups.

Results: A significant association between overall composite score on the NEI VFQ and total MMSE score was revealed (P = 0.04). On average, for every 1-point increase in MMSE score, the overall composite score increased by 0.40 units (95% confidence interval: 0.03-0.77).

Discussion: Reduced visual function should raise concerns about cognitive decline and prompt additional assessment.

Keywords: Alzheimer's disease; Mini‐Mental State Examination; National Eye Institute Visual Function Questionnaire; cognitive dysfunction; visual function.