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S.J. Robbie, M. Muhtaseb, C. Bunce, K. Qureshi, A. Ionides; Intraoperative Complications of Cataract Surgery Are More Common in the Elderly . Invest. Ophthalmol. Vis. Sci. 2005;46(13):757.
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Purpose: To establish whether intraoperative complications of cataract surgery are more common in the elderly. Methods: We studied 1441 consecutive patients having phakoemulsification cataract surgery performed by experienced surgeons. Data were prospectively collected on the occurrence of intraoperative complications and entered into a computerised database. Patients were subdivided into 6 different age–groups and the overall rate of complications established for each group. In addition, the rate of specified complications was also calculated. Results:The rates of complications with greater significance for visual outcome such as posterior capsule rupture, vitreous loss, zonular dehiscence and dropped nucleus were higher in those >80 years of age compared to those <80years of age (p<0.05). Conclusions: Our results suggest that complications of phakoemulsification which may significantly affect visual outcome are more common in the elderly. This has implications for counselling on the chances of intraoperative complications and selection of cases suitable for instruction, as well as implications for the management of cataracts in an ageing population.
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