Purchase this article with an account.
PP Syam, CS Liu, H Eleftheriadis, AG Casswell, G Brittain, BK McLeod; Cataract Surgery in Very Elderly Patients . Invest. Ophthalmol. Vis. Sci. 2002;43(13):393.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose: The number of very elderly patients requiring cataract surgery is predicted to increase. The aim of our study was to determine the clinical outcome and patient satisfaction following cataract surgery in this age group. Methods: In this retrospective study, patients aged 96 years and above, who underwent cataract surgery between June 1993 and January 2001, were identified. Living patients were invited for interview and clinical examination. Results: 34 eyes of 21 patients (20 females) were identified. Six patients were deceased. 30/34eyes had phacoemulsification and remaining four eyes had extracapsular extraction. Pre-operative vision was <6/36 in 24/34 eyes (70.59%) and 6/60 in 25/34 eyes (73.53%), ≷ 6/18 in 21/34 eyes (61.76%) and ≷ 6/9 in 10/34 eyes (29.41%). Visual acuity improved in 24/34eyes (70.59%) and remained same in 6/34 eyes. Complications included anterior capsule tear (2), zonular dialysis with vitreous loss (1), posterior capsule rupture with vitreous loss (1), incarceration of iris to paracentesis wound (2), post operative uveitis (2), and anterior capsular fibrosis (6/34). 7/34 eyes had undergone YAG capsulotomy. All living patients interviewed were satisfied with their cataract surgery and outcome. Conclusion: Surgeons should not be deterred from offering surgery, as successful visual rehabilitation is the norm for the very elderly undergoing planned cataract surgery. Further prospective multi-centre study is required to confirm benefits and assess risks of cataract surgery in this age group.
This PDF is available to Subscribers Only