Cataract surgery in very old patients : A case-control study

Näytä kaikki kuvailutiedot



Pysyväisosoite

http://hdl.handle.net/10138/335884

Lähdeviite

Nussinovitch , H , Tsumi , E , Tuuminen , R , Malyugin , B , Lior , Y , Rosenblatt , H N , Boyko , M , Achiron , A & Knyazer , B 2021 , ' Cataract surgery in very old patients : A case-control study ' , Journal of clinical medicine , vol. 10 , no. 20 , 4658 . https://doi.org/10.3390/jcm10204658

Julkaisun nimi: Cataract surgery in very old patients : A case-control study
Tekijä: Nussinovitch, Hanan; Tsumi, Erez; Tuuminen, Raimo; Malyugin, Boris; Lior, Yotam; Rosenblatt, Hadar Naidorf; Boyko, Matthew; Achiron, Asaf; Knyazer, Boris
Tekijän organisaatio: Clinicum
HUS Head and Neck Center
University of Helsinki
Department of Ophthalmology and Otorhinolaryngology
Kymsote – Social and Health Services in Kymenlaakso
HYKS erva
Päiväys: 2021-10-01
Kieli: eng
Sivumäärä: 7
Kuuluu julkaisusarjaan: Journal of clinical medicine
ISSN: 2077-0383
DOI-tunniste: https://doi.org/10.3390/jcm10204658
URI: http://hdl.handle.net/10138/335884
Tiivistelmä: Advancements in surgical techniques and increased life expectancy have made cataract surgery more common among very old patients. However, surgical outcomes seem impaired in patients older than 90 years, especially with ocular comorbidities. A retrospective case-control study of 53 eyes of 53 very old patients (mean 92.6 ± 3.0) and 140 eyes of 140 matched patients (mean 75.2 ± 7.6) was undertaken. Groups were matched in terms of gender and systemic and ocular comorbidities. In very old patients, higher phacoemulsification energy (cumulative dissipated energy [CDE], 25.0 ± 22.4 vs. 16.1 ± 10.7, p = 0.01) and rate of intraoperative floppy iris syndrome (IFIS, 9.4% vs. 1.4%, p = 0.02) were observed compared to controls. Uncorrected (UCVA) and best-corrected distance visual acuity (BCVA) gains were significantly poorer among the very old patients than among the control at postoperative day 30 (0.20 ± 0.70 vs. 0.56 ± 0.61 logMAR, p < 0.001 and 0.27 ± 0.64 vs. 0.55 ± 0.62 logMAR, p = 0.006, respectively). Even after including CDE and IFIS as covariates, age remained an independent factor for poor visual gain at 30 days (p < 0.001). Cataract surgery in very old patients may demand more experienced surgeons due to higher nuclear density and the rates of IFIS. Expectations in visual acuity gains should be aligned with the patient’s age.
Kuvaus: Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Avainsanat: 3125 Otorhinolaryngology, ophthalmology
3126 Surgery, anesthesiology, intensive care, radiology
Cataract surgery
Very old patients
Visual acuity gain
VISUAL-ACUITY
EXTRACTION
AGED 90 YEARS
RISK
visual acuity gain
OUTCOMES
cataract surgery
very old patients
Vertaisarvioitu: Kyllä
Tekijänoikeustiedot: cc_by
Pääsyrajoitteet: openAccess
Rinnakkaistallennettu versio: publishedVersion


Tiedostot

Latausmäärä yhteensä: Ladataan...

Tiedosto(t) Koko Formaatti Näytä
jcm_10_04658_v2.pdf 221.1KB PDF Avaa tiedosto

Viite kuuluu kokoelmiin:

Näytä kaikki kuvailutiedot