Vitrectomy in patients over 90 years of age

Vitrectomy in patients over 90 years of age

Tetsuya Muto, Tomoyuki Ide, Makoto Chikuda, Shigeki Machida Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan Purpose: The aim of this study was to evaluate vitrectomy procedures performed in patients over 90 years of age at the Dokkyo Medical Uni...

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Autores principales: Muto T, Ide T, Chikuda M, Machida S
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
vitrectomy
underlying vitreoretinal disease
transient hypertension
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/088c201e305e4fc6ab7dae125a409f46
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spelling oai:doaj.org-article:088c201e305e4fc6ab7dae125a409f462021-12-02T04:18:42ZVitrectomy in patients over 90 years of age1177-5483https://doaj.org/article/088c201e305e4fc6ab7dae125a409f462016-01-01T00:00:00Zhttps://www.dovepress.com/vitrectomy-in-patients-over-90nbspyears-of-age-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Tetsuya Muto, Tomoyuki Ide, Makoto Chikuda, Shigeki Machida Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan Purpose: The aim of this study was to evaluate vitrectomy procedures performed in patients over 90 years of age at the Dokkyo Medical University Koshigaya Hospital (Koshigaya, Japan).Patients and methods: Vitrectomies were performed in nine eyes of nine patients who were over 90 years of age between May 2010 and March 2015. Factors such as the underlying vitreoretinal disease, preoperative and postoperative best-corrected visual acuity (BCVA), surgical time, postoperative body position, need for a second surgery, systemic disease, and intraoperative changes in systemic conditions have been evaluated.Results: The most common cause of the underlying vitreoretinal disease was vitreous hemorrhage derived from age-related macular degeneration and posterior dislocation of the lens secondary to a posterior capsular rupture (two cases each). The mean values for the logarithm of the minimum angle of resolution BCVA were 2.15 preoperatively and 1.46 postoperatively (P=0.020, Wilcoxon signed-rank test). The mean surgical time was 109 minutes. Prone position was needed in two cases, and no second surgeries were needed. The most common cause of systemic disease was hypertension, which was found in six cases. Transient hypertension was found in two cases during surgery, and these patients were treated using intravenous calcium blocker injections.Conclusion: Patients over 90 years of age who underwent vitrectomy procedures did not have serious problems, except transient hypertension during surgery. The BCVA significantly improved. These results indicated that vitrectomies could be performed successfully in patients over 90 years of age. Keywords: vitrectomy, underlying vitreoretinal disease, transient hypertensionMuto TIde TChikuda MMachida SDove Medical Pressarticlevitrectomyunderlying vitreoretinal diseasetransient hypertensionOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 239-242 (2016)
institution DOAJ
collection DOAJ
language EN
topic vitrectomy
underlying vitreoretinal disease
transient hypertension
Ophthalmology
RE1-994
spellingShingle vitrectomy
underlying vitreoretinal disease
transient hypertension
Ophthalmology
RE1-994
Muto T
Ide T
Chikuda M
Machida S
Vitrectomy in patients over 90 years of age
description Tetsuya Muto, Tomoyuki Ide, Makoto Chikuda, Shigeki Machida Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan Purpose: The aim of this study was to evaluate vitrectomy procedures performed in patients over 90 years of age at the Dokkyo Medical University Koshigaya Hospital (Koshigaya, Japan).Patients and methods: Vitrectomies were performed in nine eyes of nine patients who were over 90 years of age between May 2010 and March 2015. Factors such as the underlying vitreoretinal disease, preoperative and postoperative best-corrected visual acuity (BCVA), surgical time, postoperative body position, need for a second surgery, systemic disease, and intraoperative changes in systemic conditions have been evaluated.Results: The most common cause of the underlying vitreoretinal disease was vitreous hemorrhage derived from age-related macular degeneration and posterior dislocation of the lens secondary to a posterior capsular rupture (two cases each). The mean values for the logarithm of the minimum angle of resolution BCVA were 2.15 preoperatively and 1.46 postoperatively (P=0.020, Wilcoxon signed-rank test). The mean surgical time was 109 minutes. Prone position was needed in two cases, and no second surgeries were needed. The most common cause of systemic disease was hypertension, which was found in six cases. Transient hypertension was found in two cases during surgery, and these patients were treated using intravenous calcium blocker injections.Conclusion: Patients over 90 years of age who underwent vitrectomy procedures did not have serious problems, except transient hypertension during surgery. The BCVA significantly improved. These results indicated that vitrectomies could be performed successfully in patients over 90 years of age. Keywords: vitrectomy, underlying vitreoretinal disease, transient hypertension
format article
author Muto T
Ide T
Chikuda M
Machida S
author_facet Muto T
Ide T
Chikuda M
Machida S
author_sort Muto T
title Vitrectomy in patients over 90 years of age
title_short Vitrectomy in patients over 90 years of age
title_full Vitrectomy in patients over 90 years of age
title_fullStr Vitrectomy in patients over 90 years of age
title_full_unstemmed Vitrectomy in patients over 90 years of age
title_sort vitrectomy in patients over 90 years of age
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/088c201e305e4fc6ab7dae125a409f46
work_keys_str_mv AT mutot vitrectomyinpatientsover90nbspyearsofage
AT idet vitrectomyinpatientsover90nbspyearsofage
AT chikudam vitrectomyinpatientsover90nbspyearsofage
AT machidas vitrectomyinpatientsover90nbspyearsofage
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