AimThe aim of our study was to retrospectively evaluate the effectiveness and safety of cataract surgery and intraocular lens implantation (IOL) for patients aged 90 years or older, whom we define as “very elderly.”MethodsThe study involved a total number of 122 patients (122 eyes) with senile cataracts. The mean age of patients was 91.2 ± 2.3 years (range 90–100 years old). Phacoemulsification (phaco) was done on 113 of 122 eyes, and 9 of 122 eyes had extracapsular cataract extraction (ECCE). Postoperative visual acuity and intraocular pressure (IOP) were analyzed on the first postoperative day, 3 months after surgery, and 6 months after surgery.ResultsBest corrected visual acuity (BCVA) improved in 100 of 122 eyes (82.0%). BCVA remained the same in 20 of 122 eyes (16.4%) and decreased in 2 of 122 eyes (1.6%), mainly because of coexisting age-related macular degeneration (AMD). The BCVA 3 months after surgery was ≥0.8 in 23 of 122 eyes (18.9%), between 0.5 and 0.7 in 28 of 122 eyes (22.3%), and between 0.2 and 0.4 in 33 of 122 eyes (27.1%). We found significant implications of cataract surgery on decreasing IOP in the studied group of patients suffering from glaucoma compared to the patients without glaucoma.ConclusionAdvanced age is not a contraindication for cataract surgery. The results of the study showed that when systemic conditions are stable, both phaco and ECCE with IOL for very elderly patients are effective and safe.

Introduction: There are many reports on the association of various psychiatric disorders with visual impairment. The association of dry eye syndrome with depressive disorders has been particularly well documented. In the context of keratoconus patients group, data on similar relationships are inconclusive. Attempts have also been made to assess the personality of patients suffering from keratoconus, and the first study in this area was produced as early as 1976. Material and methods: For the literature review, full-text medical databases, such as PubMed and Embase, were searched for articles on the association of keratoconus with depressive-anxiety disorder and personality disorder. Articles published within the last 30 years were considered. Results: The personality of patients with keratoconus has been a research issue for many years, but research to date has not clearly defined what personality traits characterise this particular group of patients. Research into the relationship between keratoconus and depressive-anxiety disorders has only recently been conducted, and the results - although inconclusive - suggest a co-occurrence of depressive symptoms with keratoconus. A different and interesting field for further research is the association of keratoconus with schizophrenia, as these diseases may have a common background. Conclusions: A review of the literature does not identify a 'keratoconus personality', but there are reports of specific functioning in patients with keratoconus. There are isolated reports in the literature regarding the co-occurrence of keratoconus and depressive-anxiety disorder. Keywords: depression, personality, anxiety, psychiatric disorders, keratoconus

No abstract

Purpose The aim of our study was retrospectively evaluate the effect and safety of cataract surgery and intraocular lens implantation (IOL) for patients aged 90 years or older. Methods In the study we involved a total of 122 patients (122 eyes) with senile cataract between the ages of 90 and 100 (mean age 91,22±2,28 years and the gender distribution was 79 females and 43 males). 113 of 122 eyes had phacoemulsification (Phaco) and 9 of 122 eyes had extracapsular extraction (ECCE). Postoperative visual acuity and intraocular pressure (IOP) were observed and analysed on the first day, three months, and six months after surgery. In analysed group there were 26 of 122 patients (21,31%) with glaucoma and 54 of 122 patients (44,26%) with degeneration of the central retina. Results The best uncorrected preoperative visual acuity was ≤ 0,1 in 94 of 122 eyes (77,05%), between 0,2‐0,4 in 24 of 122 eyes (19,67%) and between 0,5‐0,7 in 4 of 122 eyes (3,28%). Visual acuity improved in 102 of 122 eyes (84%) and remained the same in 20 of 122 eyes (16,39%). In our investigations we have also found statistically significant implications of cataract surgery on decreasing IOP (intraocular pressure) in the studied group of patients suffering from glaucoma, which were not found in patients without glaucoma. The most important cause of visual impairment after cataract surgery was AMD in the studied group. The central degeneration of retina was found in 54 of 122 patients (44,26%). Conclusion We concluded that advanced age isn’t a contraindication for cataract removal and we have found that cataract surgery with IOL implantation is an effective procedure in aged patients.