Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases

Sivan Elyashiv,1,2 Miri Fogel Levin,1,2 Ofira Zloto,1,2 Eli Neimark,3 Riham Najjar,4 Joseph Moisseiev,1,2 Orit Vidne-Hay1,2 1Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel; 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 3Ben Gurion University of the Negev...

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Autores principales:	Elyashiv S, Fogel Levin M, Zloto O, Neimark E, Najjar R, Moisseiev J, Vidne-Hay O
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	aged epidemiology pars plana vitrectomy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/7f38995b2e0141c697b8cee5f56bc130
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spelling	oai:doaj.org-article:7f38995b2e0141c697b8cee5f56bc1302021-12-02T15:50:41ZEpidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases1178-1998https://doaj.org/article/7f38995b2e0141c697b8cee5f56bc1302021-06-01T00:00:00Zhttps://www.dovepress.com/epidemiology-of-pars-plana-vitrectomy-in-the-elderly-a-retrospective-1-peer-reviewed-fulltext-article-CIAhttps://doaj.org/toc/1178-1998Sivan Elyashiv,1,2 Miri Fogel Levin,1,2 Ofira Zloto,1,2 Eli Neimark,3 Riham Najjar,4 Joseph Moisseiev,1,2 Orit Vidne-Hay1,2 1Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel; 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 3Ben Gurion University of the Negev, Beer Sheba, Israel; 4The Technion ─ Israel Institute of Technology, Ruth and Bruce Rappaport Faculty of Medicine, Haifa, IsraelCorrespondence: Sivan ElyashivGoldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, IsraelTel +972 3530 2874Fax +972 3530 2822Email sivan.elyashiv@sheba.gov.ilPurpose: To report the epidemiology of the surgical indications of pars plana vitrectomy in patients aged 75 years or older.Patients and Methods: The medical records of patients who underwent vitrectomy surgery in a single center between 2008 and 2018 were evaluated retrospectively for demographics, medical background, and surgical indications. Data on patients aged 75– 85 were compared to those of patients older than 85 years and those recorded between 2008– 2013 and 2014– 2018.Results: A total of 592 patients were included, of whom 55% were males. The mean±standard deviation age of the cohort at presentation was 80.4± 4.60 years, and the mean visual acuity was 1.3± 0.93 logMAR. The main indications for surgery were retinal detachment (n=117, 19.7%), epiretinal-membrane/vitreomacular traction (n=140, 23.6%), dropped intraocular lens/retained lens (n=89, 15%), macular hole (n=64, 11%), submacular hemorrhage (n=40, 6.7%), diagnostic vitrectomy (n=37, 6.2%), non-diabetic vitreous hemorrhage (n=30, 5.1%), and diabetic vitreous hemorrhage and other diabetic complications (n=33, 5.6%). Patients aged 85 years and older had higher rates of urgent surgeries (65%), such as for submacular hemorrhage and trauma (p=0.0000039 and p=0.001, respectively), and lower rates of non-urgent surgeries, such as for epiretinal membrane and macular hole (p=0.000032 and p=0.02, respectively), compared to patients aged 75– 84 years. Additionally, the surgical rate for submacular hemorrhage decreased during 2008– 2014 compared to 2014– 2018 (p=0.000014).Conclusion: Understanding the unique distribution of indications for vitrectomy among elderly patients is essential for appropriate management and treatment. Urgent cases represent 65% of the surgeries performed in the older population.Keywords: aged, epidemiology, pars plana vitrectomyElyashiv SFogel Levin MZloto ONeimark ENajjar RMoisseiev JVidne-Hay ODove Medical Pressarticleagedepidemiologypars plana vitrectomyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 1007-1012 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aged epidemiology pars plana vitrectomy Geriatrics RC952-954.6
spellingShingle	aged epidemiology pars plana vitrectomy Geriatrics RC952-954.6 Elyashiv S Fogel Levin M Zloto O Neimark E Najjar R Moisseiev J Vidne-Hay O Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases
description	Sivan Elyashiv,1,2 Miri Fogel Levin,1,2 Ofira Zloto,1,2 Eli Neimark,3 Riham Najjar,4 Joseph Moisseiev,1,2 Orit Vidne-Hay1,2 1Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel; 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 3Ben Gurion University of the Negev, Beer Sheba, Israel; 4The Technion ─ Israel Institute of Technology, Ruth and Bruce Rappaport Faculty of Medicine, Haifa, IsraelCorrespondence: Sivan ElyashivGoldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, IsraelTel +972 3530 2874Fax +972 3530 2822Email sivan.elyashiv@sheba.gov.ilPurpose: To report the epidemiology of the surgical indications of pars plana vitrectomy in patients aged 75 years or older.Patients and Methods: The medical records of patients who underwent vitrectomy surgery in a single center between 2008 and 2018 were evaluated retrospectively for demographics, medical background, and surgical indications. Data on patients aged 75– 85 were compared to those of patients older than 85 years and those recorded between 2008– 2013 and 2014– 2018.Results: A total of 592 patients were included, of whom 55% were males. The mean±standard deviation age of the cohort at presentation was 80.4± 4.60 years, and the mean visual acuity was 1.3± 0.93 logMAR. The main indications for surgery were retinal detachment (n=117, 19.7%), epiretinal-membrane/vitreomacular traction (n=140, 23.6%), dropped intraocular lens/retained lens (n=89, 15%), macular hole (n=64, 11%), submacular hemorrhage (n=40, 6.7%), diagnostic vitrectomy (n=37, 6.2%), non-diabetic vitreous hemorrhage (n=30, 5.1%), and diabetic vitreous hemorrhage and other diabetic complications (n=33, 5.6%). Patients aged 85 years and older had higher rates of urgent surgeries (65%), such as for submacular hemorrhage and trauma (p=0.0000039 and p=0.001, respectively), and lower rates of non-urgent surgeries, such as for epiretinal membrane and macular hole (p=0.000032 and p=0.02, respectively), compared to patients aged 75– 84 years. Additionally, the surgical rate for submacular hemorrhage decreased during 2008– 2014 compared to 2014– 2018 (p=0.000014).Conclusion: Understanding the unique distribution of indications for vitrectomy among elderly patients is essential for appropriate management and treatment. Urgent cases represent 65% of the surgeries performed in the older population.Keywords: aged, epidemiology, pars plana vitrectomy
format	article
author	Elyashiv S Fogel Levin M Zloto O Neimark E Najjar R Moisseiev J Vidne-Hay O
author_facet	Elyashiv S Fogel Levin M Zloto O Neimark E Najjar R Moisseiev J Vidne-Hay O
author_sort	Elyashiv S
title	Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases
title_short	Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases
title_full	Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases
title_fullStr	Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases
title_full_unstemmed	Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases
title_sort	epidemiology of pars plana vitrectomy in the elderly: a retrospective 10-year survey of 592 cases
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/7f38995b2e0141c697b8cee5f56bc130
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Epidemiology of Pars Plana Vitrectomy in the Elderly: A Retrospective 10-Year Survey of 592 Cases

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