Cataract surgery in the very elderly

Lundström, Mats; Stenevi, Ulf; Thorburn, William

doi:10.1016/s0886-3350(99)00418-6

Cited by 67 publications

(60 citation statements)

References 14 publications

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“…The results were consistent with previous studies. 5,6 We obtained better postoperative visual acuity levels in patients with higher preoperative visual acuities. Lundstrom and colleagues 5 suggest that the outcome of cataract surgery in the very elderly should be considered to be very good.…”

Section: Discussionmentioning

confidence: 69%

“…5,6 We obtained better postoperative visual acuity levels in patients with higher preoperative visual acuities. Lundstrom and colleagues 5 suggest that the outcome of cataract surgery in the very elderly should be considered to be very good. Their findings indicate that visual outcomes after cataract surgery are worse in older patients compared with that achieved by younger ones, but that certain subgroups of elderly patients may attain an excellent outcome.…”

Section: Discussionmentioning

confidence: 69%

“…10,11 It is difficult to recommend cataract surgery to an elderly patient, owing to additional difficulties like a higher incidence of hard nucleus, smaller pupil sizes, high rates of exfoliation syndrome, and difficult patient cooperation during surgery. 5 The surgeon's experience is another factor that influences surgical outcomes. Disagreement remains as to what the benefits of surgery in elderly patients and further investigations are needed to determine the effectiveness of the surgery.…”

Section: Discussionmentioning

confidence: 99%

“…14 Coexisting ocular abnormalities have been shown to have a negative effect on postoperative visual results. 5 The increased risk of progression of diabetic retinopathy and development of macular oedema after cataract surgery in high risk patients is well known 15 . In our study, the ocular comorbidities that resulted in decreased VA were ARMD, degenerative myopia, diabetic retinopathy, hypertensive retinopathy, and central retinal vein occlusion.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 In cataract patients over 80 years old, there is a relationship between postoperative VA and the ability to enjoy activities of daily life. [4][5][6] In this study, we aim to evaluate the outcomes of cataract surgery in very elderly subjects. Accordingly, we analyzed retrospectively the postoperative VA, the effect of VA on the patient's ability to participate in their daily living activities, and the frequency of surgical complications.…”

Section: Introductionmentioning

confidence: 99%

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Results of Cataract Surgery in the Very Elderly Population

Borazan

Gündüz²

2009

Journal of Optometry

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PURPOSE:The aim of this study was to retrospectively evaluate the effect of cataract surgery on visual acuity (VA) and daily living activities in participants aged over 80 years. METHODS: For eighty-three eyes from eighty three eligible patients aged 80 or above who had undergone cataract surgery between 2000 and 2005, preoperative and postoperative best-corrected visual acuity (BCVA), satisfaction score for daily living activities, surgical complications, and retinal pathologies affecting vision were recorded from the patient's file. RESULTS: The mean age of the patients was 86.80±5.24 years (range, 80-98). VA improved in the operated eye for patients aged 80 to 89 and for those over 90 years. Postoperative VA of 0.5 or better was more frequently observed in those aged 80 to 89 than in those aged over 90 years (90.6% and 73.4%, respectively). Mean postoperative scores for the daily living activities scale were significantly better in both groups as compared to preoperative levels, and were better in the 80 to 89-year age group than for those older than 90. Intraoperative posterior capsule perforation occurred in two participants, cystoid macular edema in one, iridodialysis in one and postoperative refractory stromal edema occurred in one case. CONCLUSIONS: Our results showed that better VA levels for daily living activities can be obtained after cataract surgery in elderly patients aged over 80 years, thereby suggesting that cataract removal is effective removal in this population. RESUMEN OBJETIVO:El objetivo de este estudio es evaluar de manera retrospectiva los efectos de la cirugía de cataratas sobre la agudeza visual (AV) y sobre las actividades de la vida diaria en pacientes mayores de 80 años. MÉTODOS: Se incluyeron en el estudio 83 ojos de 83 pacientes mayores de 80 años que cumplían todos los criterios de inclusión y que se habían sometido a una intervención quirúrgica de cataratas entre los años 2000 y 2005. Para cada paciente, se tomó de su historia clínica la agudeza visual con la mejor corrección (o sus siglas en inglés, BCVA) tanto pre-como posquirúrgica, el índice de satisfacción relativo a las actividades de la vida diaria, las complicaciones derivadas de la intervención, y las patologías de la retina que padecía dicho paciente y que afectaban a su capacidad visual. RESULTADOS: La edad media de los paciente fue de 86 años (rango: entre 80 y 98). La AV en el ojo operado mejoró, tanto para los pacientes con edades comprendidas entre los 80 y los 89 años como para los mayores de 90 años. Se obtuvieron más casos de AV posquirúrgica igual o mejor que 0.5 en el grupo de pacientes de entre 80 y 89 años que en el grupo de mayores de 90 años (90,6% de los casos frente a un 73,4%). El lo que respecta a la escala de actividades de la vida diaria, las puntuaciones promedio obtenidas tras la intervención fueron, para ambos grupos, significativamente mejores que los valores prequirúrgicos. Esta mejora observada tras la intervención fue más acusada en el grupo de pacientes de entre 80 y 89 años que ...

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Section: Discussionmentioning

confidence: 69%