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

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dc.contributor.author Nussinovitch, Hanan
dc.contributor.author Tsumi, Erez
dc.contributor.author Tuuminen, Raimo
dc.contributor.author Malyugin, Boris
dc.contributor.author Lior, Yotam
dc.contributor.author Rosenblatt, Hadar Naidorf
dc.contributor.author Boyko, Matthew
dc.contributor.author Achiron, Asaf
dc.contributor.author Knyazer, Boris
dc.date.accessioned 2021-11-01T06:43:02Z
dc.date.available 2021-11-01T06:43:02Z
dc.date.issued 2021-10-01
dc.identifier.citation 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
dc.identifier.other PURE: 169959112
dc.identifier.other PURE UUID: 2d261aba-7680-4e73-96d0-d3142d241e8d
dc.identifier.other Scopus: 85117011671
dc.identifier.other WOS: 000715459500001
dc.identifier.uri http://hdl.handle.net/10138/335884
dc.description Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
dc.description.abstract 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. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Journal of clinical medicine
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3125 Otorhinolaryngology, ophthalmology
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.subject Cataract surgery
dc.subject Very old patients
dc.subject Visual acuity gain
dc.subject VISUAL-ACUITY
dc.subject EXTRACTION
dc.subject AGED 90 YEARS
dc.subject RISK
dc.subject visual acuity gain
dc.subject OUTCOMES
dc.subject cataract surgery
dc.subject very old patients
dc.title Cataract surgery in very old patients : A case-control study en
dc.type Article
dc.contributor.organization Clinicum
dc.contributor.organization HUS Head and Neck Center
dc.contributor.organization University of Helsinki
dc.contributor.organization Department of Ophthalmology and Otorhinolaryngology
dc.contributor.organization Kymsote – Social and Health Services in Kymenlaakso
dc.contributor.organization HYKS erva
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.3390/jcm10204658
dc.relation.issn 2077-0383
dc.rights.accesslevel openAccess
dc.type.version publishedVersion
dc.identifier.url http://www.scopus.com/inward/record.url?scp=85117011671&partnerID=8YFLogxK

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