Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years
Abstract Background Visual acuity (VA) outcomes after phacoemulsification cataract surgery in the very elderly (≥90 years) compared to those in younger patients remain unclear till date. Methods We retrospectively investigated 138 (group 1) and 152 (group 2) eyes in patients aged ≥90 and < 80 yea...
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0950-8 |
| _version_ | 1818248453416812544 |
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| author | Taku Toyama Takashi Ueta Masato Yoshitani Rei Sakata Jiro Numaga |
| author_facet | Taku Toyama Takashi Ueta Masato Yoshitani Rei Sakata Jiro Numaga |
| author_sort | Taku Toyama |
| collection | DOAJ |
| description | Abstract Background Visual acuity (VA) outcomes after phacoemulsification cataract surgery in the very elderly (≥90 years) compared to those in younger patients remain unclear till date. Methods We retrospectively investigated 138 (group 1) and 152 (group 2) eyes in patients aged ≥90 and < 80 years, respectively, with senile cataracts who underwent phacoemulsification and intraocular lens implantation between 2014 and 2016. Four highly experienced ophthalmic surgeons performed the procedures. Intra- and post-operative complications were compared between the two groups. To investigate the effectiveness of cataract surgery in improving best-corrected VA (BCVA) at 1 and 3 months postoperatively, multiple regression analysis was performed with variables of age, cataract grades, sex, and history of diabetes mellitus (DM) and hypertension. Results The intra- and post-operative complication rates were similar between the two groups. After adjusting for the difference in cataract grades, multiple regression analysis indicated that BCVA improvement was equally favorable in both groups at 1 and 3 months postoperatively but was less favorable in patients with a history of DM at 3 months postoperatively (P = 0.042). Conclusion Phacoemulsification in patients aged ≥90 years improves VA as effectively and safely as it does in younger patients, at least when performed by experienced surgeons. |
| first_indexed | 2024-12-12T15:20:50Z |
| format | Article |
| id | doaj.art-0da70eb5cb064b0e8a33e4ac5568154e |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-12T15:20:50Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-0da70eb5cb064b0e8a33e4ac5568154e2022-12-22T00:20:23ZengBMCBMC Ophthalmology1471-24152018-10-011811610.1186/s12886-018-0950-8Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 yearsTaku Toyama0Takashi Ueta1Masato Yoshitani2Rei Sakata3Jiro Numaga4Department of Ophthalmology, Tokyo Metropolitan Geriatric Hospital and Institute of GerontologyDepartment of Ophthalmology, Graduate School of Medicine and Faculty of Medicine, The University of TokyoDepartment of Ophthalmology, Tokyo Metropolitan Geriatric Hospital and Institute of GerontologyDepartment of Ophthalmology, Tokyo Metropolitan Geriatric Hospital and Institute of GerontologyDepartment of Ophthalmology, Tokyo Metropolitan Geriatric Hospital and Institute of GerontologyAbstract Background Visual acuity (VA) outcomes after phacoemulsification cataract surgery in the very elderly (≥90 years) compared to those in younger patients remain unclear till date. Methods We retrospectively investigated 138 (group 1) and 152 (group 2) eyes in patients aged ≥90 and < 80 years, respectively, with senile cataracts who underwent phacoemulsification and intraocular lens implantation between 2014 and 2016. Four highly experienced ophthalmic surgeons performed the procedures. Intra- and post-operative complications were compared between the two groups. To investigate the effectiveness of cataract surgery in improving best-corrected VA (BCVA) at 1 and 3 months postoperatively, multiple regression analysis was performed with variables of age, cataract grades, sex, and history of diabetes mellitus (DM) and hypertension. Results The intra- and post-operative complication rates were similar between the two groups. After adjusting for the difference in cataract grades, multiple regression analysis indicated that BCVA improvement was equally favorable in both groups at 1 and 3 months postoperatively but was less favorable in patients with a history of DM at 3 months postoperatively (P = 0.042). Conclusion Phacoemulsification in patients aged ≥90 years improves VA as effectively and safely as it does in younger patients, at least when performed by experienced surgeons.http://link.springer.com/article/10.1186/s12886-018-0950-8CataractPhacoemulsificationVisual acuitySurgical outcomes |
| spellingShingle | Taku Toyama Takashi Ueta Masato Yoshitani Rei Sakata Jiro Numaga Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years BMC Ophthalmology Cataract Phacoemulsification Visual acuity Surgical outcomes |
| title | Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years |
| title_full | Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years |
| title_fullStr | Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years |
| title_full_unstemmed | Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years |
| title_short | Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years |
| title_sort | visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years |
| topic | Cataract Phacoemulsification Visual acuity Surgical outcomes |
| url | http://link.springer.com/article/10.1186/s12886-018-0950-8 |
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