Literature DB >> 10713238

Cataract surgery in the very elderly.

M Lundström1, U Stenevi, W Thorburn.   

Abstract

OBJECTIVE: To analyze the outcome of cataract extraction in patients aged 85 years and older (>/=85 group) and to compare their outcome with that of patients younger than 85 years (</=84 group).
SETTING: Cataract surgeons participating in the Swedish National Cataract Outcome Study during 1995 to 1997.
METHODS: A prospective observational study was performed that evaluated patients' self-assessed visual function before and 6 months after cataract extraction. Mean age of the 4819 patients having cataract extraction at participating clinics during March 1995, 1996, and 1997 with complete follow-up data was 75.6 years; 67. 5% were women. Preoperative and intraoperative data were reported at the time of surgery. Final postoperative visual acuity, refraction, and keratometry were recorded. Each study period closed 6 months after surgery. The Catquest questionnaire was completed before surgery and 6 months after surgery.
RESULTS: Of those with complete data, 757 patients (15.7%) were in the >/=85 group. In this group, visual acuity in the operative eye improved in 84.3% and a visual acuity of 0.5 or better was achieved in 71.4%. A no-benefit outcome, as defined by the Catquest questionnaire, was found in 12.7% of the >/=85 group and 8.4% of the </=84 group.
CONCLUSION: Elderly patients on average had a good outcome, although not as good as that in younger patients. Certain groups were identified as having an excellent result and others of having a high risk of an adverse outcome.

Entities:  

Mesh:

Year:  2000        PMID: 10713238     DOI: 10.1016/s0886-3350(99)00418-6

Source DB:  PubMed          Journal:  J Cataract Refract Surg        ISSN: 0886-3350            Impact factor:   3.351


  9 in total

Review 1.  Effect of increasing age on cataract surgery outcomes in very elderly patients.

Authors:  T Y Wong
Journal:  BMJ       Date:  2001-05-05

2.  Cornea procurement from very old donors: post organ culture cornea outcome and recipient graft outcome.

Authors:  P Gain; G Thuret; C Chiquet; P Rizzi; J L Pugniet; S Acquart; J J Colpart; J C Le Petit; J Maugery
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3.  Bilateral same day phacoemulsification: 220 cases retrospectively reviewed.

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Review 4.  Vision-specific instruments for the assessment of health-related quality of life and visual functioning: a literature review.

Authors:  Mary Kay Margolis; Karin Coyne; Tessa Kennedy-Martin; Timothy Baker; Oliver Schein; Dennis A Revicki
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5.  Cost-utility of routine cataract surgery.

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Journal:  Health Qual Life Outcomes       Date:  2006-09-29       Impact factor: 3.186

6.  A methodological approach to identify external factors for indicator-based risk adjustment illustrated by a cataract surgery register.

Authors:  Ursula Hahn; Irmingard Neuhann; Stefanie Schmickler; Frank Krummenauer
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7.  Results of cataract surgery in the very elderly population.

Authors:  Katarzyna Michalska-Małecka; Mariusz Nowak; Piotr Gościniewicz; Jacek Karpe; Ludmiła Słowińska-Łożyńska; Agnieszka Łypaczewska; Dorota Romaniuk
Journal:  Clin Interv Aging       Date:  2013-08-07       Impact factor: 4.458

8.  Outcomes of Cataract Surgery at a Referral Center.

Authors:  Seyed-Farzad Mohammadi; Hassan Hashemi; Arash Mazouri; Nazanin Rahman-A; Elham Ashrafi; Hadi Z Mehrjardi; Ramak Roohipour; Akbar Fotouhi
Journal:  J Ophthalmic Vis Res       Date:  2015 Jul-Sep

9.  Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥90 years.

Authors:  Taku Toyama; Takashi Ueta; Masato Yoshitani; Rei Sakata; Jiro Numaga
Journal:  BMC Ophthalmol       Date:  2018-10-29       Impact factor: 2.209

  9 in total

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