Clinical outcome following cataract surgery in very elderly patients

Syam, P P; Eleftheriadis, Haralabos; Casswell, A G; Brittain, G. P. H.; McLeod, B K; Liu, C S C

doi:10.1038/sj.eye.6700521

Cited by 37 publications

(35 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cataract surgery is one of the most common and safe surgical procedures worldwide [1]. Phacoemulsification and recent advances in cataract surgery techniques led to improved postoperative outcomes [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Toric Intraocular Lens Implantation for Correction of Astigmatism in Cataract Patients with Corneal Ectasia

Parikakis¹,

Chatziralli²,

Peponis³

et al. 2013

Case Rep Ophthalmol

View full text Add to dashboard Cite

Our purpose was to examine the long-term efficacy of toric intraocular lens (IOL) implantation in cataract patients with high astigmatism due to corneal ectasia, who underwent phacoemulsification cataract surgery. Five eyes of 3 cataract patients with topographically stable keratoconus or pellucid macular degeneration (PMD), in which phacoemulsification with toric IOL implantation was used to correct high astigmatism, are reported. Objective and subjective refraction, visual acuity measurement and corneal topography were performed in all cases before and after cataract surgery. In all cases, there was a significant improvement in visual acuity, as well as refraction, which remained stable over time. Specifically, in subjective refraction, all patients achieved visual acuity from 7/10 to 9/10 with up to -2.50 cyl. Corneal topography also remained stable. Postoperative follow-up was 18-28 months. Cataract surgery with toric IOL implantation seems to be safe and effective in correcting astigmatism and improving visual function in cataract patients with topographically stable keratoconus or PMD.

show abstract

Section: Introductionmentioning

confidence: 99%

“…Phacoemulsification and recent advances in cataract surgery techniques led to improved postoperative outcomes [1]. Nowadays, along with the improvement in biometry and corneal topography in preoperative examination, patients presenting with cataract can be diagnosed with corneal ectasias, i.e.…”

Section: Introductionmentioning

confidence: 99%

Toric Intraocular Lens Implantation for Correction of Astigmatism in Cataract Patients with Corneal Ectasia

Parikakis¹,

Chatziralli²,

Peponis³

et al. 2013

Case Rep Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Although cataract surgery is the most effective, common, and safe ophthalmic procedure to treat cataract, [1][2][3] the complications of cataract surgery may result in blindness and thus ruin the patient's quality of life. For the safety of patients, it is very important to monitor and improve the quality of cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

Association of hospital and surgeon operation volume with the incidence of postoperative endophthalmitis: Taiwan experience

Fang

Chien²,

et al. 2005

Eye

View full text Add to dashboard Cite

Purpose To determine the association between hospital and surgeon volume with the incidence of postoperative endophthalmitis. Methods A prospective cohort study was conducted to analyse the national health insurance claims data of those patients receiving cataract surgery in 2000 in Taiwan. A total of 108 705 patients who received cataract surgery by 1004 surgeons at 494 hospitals were followed to the end of 2002. Stepwise Cox regression was used to analyse the effects of hospital and surgeon volume of cataract surgery on postoperative endophthalmitis after adjustment for patient's age, gender, education, ophthalmic comorbidities, general comorbidities, and surgical factors including operative methods, different types of intraocular lenses, and surgeon's age. Results The 2-year incidence of postoperative endophthalmitis at high-volume hospitals (0.90%) was lower than low-volume hospitals (1.16%). The incidence of postoperative endophthalmitis by highvolume surgeons (0.59%) was lower than those by middle-high-volume (0.73%), middle-lowvolume (0.80%), or low-volume surgeons (1.16%). After controlling for case mix, the risk of postoperative endophthalmitis of the lowvolume hospitals (hazard ratio (HR) ¼ 1.39) was higher than that of the high-volume hospitals. The risk of postoperative endophthalmitis of low-volume surgeons (HR ¼ 1.67) was higher than that of the highvolume surgeons. ConclusionsThe provider volume (hospital and surgeon volume) is associated with the risk of postoperative endophthalmitis. The patients who receive cataract surgery at lowvolume hospitals or by low-volume surgeons have significantly higher risk of postoperative endophthalmitis than at high-volume hospitals or by high-volume surgeons. Provider volume can be considered in further postoperative endophthalmitis study as a risk factor. Eye (2006) 20, 900-907.

show abstract

“…4,12 In the present study, only a few patients (6%) did not have expected VA levels because of posterior capsule perforation, postoperative cystoid macular edema and corneal stromal edema. Syam and colleagues 13 reported that surgeons should not be deterred from offering cataract surgery to the very elderly, as successful visual rehabilitation is the norm. Nonetheless, they suggest that a further prospective multicentre study is required to confirm the benefits and to assess the risks of cataract surgery in this age group.…”

Section: Discussionmentioning

confidence: 99%

Results of Cataract Surgery in the Very Elderly Population

Borazan

Gündüz²

2009

Journal of Optometry

View full text Add to dashboard Cite

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 ...

show abstract

Clinical outcome following cataract surgery in very elderly patients

Abstract: Surgeons should not be deterred from offering cataract surgery to the very elderly as successful visual rehabilitation is the norm. A further prospective multicentre study is required to confirm the benefits and assess the risks of cataract surgery in this age group.

Cited by 37 publications

References 18 publications

Toric Intraocular Lens Implantation for Correction of Astigmatism in Cataract Patients with Corneal Ectasia

Toric Intraocular Lens Implantation for Correction of Astigmatism in Cataract Patients with Corneal Ectasia

Association of hospital and surgeon operation volume with the incidence of postoperative endophthalmitis: Taiwan experience

Results of Cataract Surgery in the Very Elderly Population

Contact Info

Product

Resources

About