Results of cataract surgery in the very elderly population

Katarzyna Michalska-Małecka,1 Mariusz Nowak,2 Piotr Gościniewicz,1 Jacek Karpe,3 Ludmiła Słowińska-Łożyńska,4 Agnieszka Łypaczewska,1 Dorota Romaniuk11Department of Ophthalmology, University Hospital No 5, Medical University of Silesia, Katowice, 2Pathophysiology Division, Department of Pathophysiol...

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Autores principales:	Michalska-Małecka K, Nowak M, Gościniewicz P, Karpe J, Słowińska-Łożyńska L, Łypaczewska A, Romaniuk D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	very elderly patients cataract surgery postoperative best corrected visual acuity intraocular pressure Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/561ff2c653be4184936ed0fd8661047a
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spelling	oai:doaj.org-article:561ff2c653be4184936ed0fd8661047a2021-12-02T00:53:37ZResults of cataract surgery in the very elderly population1178-1998https://doaj.org/article/561ff2c653be4184936ed0fd8661047a2013-08-01T00:00:00Zhttps://www.dovepress.com/results-of-cataract-surgery-in-the-very-elderly-population-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Katarzyna Michalska-Małecka,1 Mariusz Nowak,2 Piotr Gościniewicz,1 Jacek Karpe,3 Ludmiła Słowińska-Łożyńska,4 Agnieszka Łypaczewska,1 Dorota Romaniuk11Department of Ophthalmology, University Hospital No 5, Medical University of Silesia, Katowice, 2Pathophysiology Division, Department of Pathophysiology and Endocrinology, Medical University of Silesia, Zabrze, 3Department of Anesthesiology and Intensive Therapy, Medical University of Silesia, Zabrze, 4Department of Biophysics, Faculty of Medicine in Zabrze, Medical University of Silesia, Katowice, Silesia, PolandAim: The 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.”Methods: The 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.Results: Best 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.Conclusion: Advanced 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.Keywords: very elderly patients, cataract surgery, postoperative best corrected visual acuity, intraocular pressureMichalska-Małecka KNowak MGościniewicz PKarpe JSłowińska-Łożyńska LŁypaczewska ARomaniuk DDove Medical Pressarticlevery elderly patientscataract surgerypostoperative best corrected visual acuityintraocular pressureGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1041-1046 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	very elderly patients cataract surgery postoperative best corrected visual acuity intraocular pressure Geriatrics RC952-954.6
spellingShingle	very elderly patients cataract surgery postoperative best corrected visual acuity intraocular pressure Geriatrics RC952-954.6 Michalska-Małecka K Nowak M Gościniewicz P Karpe J Słowińska-Łożyńska L Łypaczewska A Romaniuk D Results of cataract surgery in the very elderly population
description	Katarzyna Michalska-Małecka,1 Mariusz Nowak,2 Piotr Gościniewicz,1 Jacek Karpe,3 Ludmiła Słowińska-Łożyńska,4 Agnieszka Łypaczewska,1 Dorota Romaniuk11Department of Ophthalmology, University Hospital No 5, Medical University of Silesia, Katowice, 2Pathophysiology Division, Department of Pathophysiology and Endocrinology, Medical University of Silesia, Zabrze, 3Department of Anesthesiology and Intensive Therapy, Medical University of Silesia, Zabrze, 4Department of Biophysics, Faculty of Medicine in Zabrze, Medical University of Silesia, Katowice, Silesia, PolandAim: The 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.”Methods: The 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.Results: Best 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.Conclusion: Advanced 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.Keywords: very elderly patients, cataract surgery, postoperative best corrected visual acuity, intraocular pressure
format	article
author	Michalska-Małecka K Nowak M Gościniewicz P Karpe J Słowińska-Łożyńska L Łypaczewska A Romaniuk D
author_facet	Michalska-Małecka K Nowak M Gościniewicz P Karpe J Słowińska-Łożyńska L Łypaczewska A Romaniuk D
author_sort	Michalska-Małecka K
title	Results of cataract surgery in the very elderly population
title_short	Results of cataract surgery in the very elderly population
title_full	Results of cataract surgery in the very elderly population
title_fullStr	Results of cataract surgery in the very elderly population
title_full_unstemmed	Results of cataract surgery in the very elderly population
title_sort	results of cataract surgery in the very elderly population
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/561ff2c653be4184936ed0fd8661047a
work_keys_str_mv	AT michalskamałeckak resultsofcataractsurgeryintheveryelderlypopulation AT nowakm resultsofcataractsurgeryintheveryelderlypopulation AT gosciniewiczp resultsofcataractsurgeryintheveryelderlypopulation AT karpej resultsofcataractsurgeryintheveryelderlypopulation AT słowinskałozynskal resultsofcataractsurgeryintheveryelderlypopulation AT łypaczewskaa resultsofcataractsurgeryintheveryelderlypopulation AT romaniukd resultsofcataractsurgeryintheveryelderlypopulation
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Results of cataract surgery in the very elderly population

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