Outcomes of cataract surgeries performed in 8 eyes of centenarians.
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
26 Jul 2024
26 Jul 2024
Historique:
medline:
26
7
2024
pubmed:
26
7
2024
entrez:
26
7
2024
Statut:
ppublish
Résumé
Cataract surgery outcomes in centenarian patients have not previously been explored. This study aimed to examine characteristics and report clinical results of people aged ≥100 years undergoing cataract surgery. This was a retrospective observational study, including patients aged ≥100 years who underwent cataract surgery between 2003 and 2021 at Miyata Eye Hospital in Japan. Medical charts were reviewed for information on cataract severity, surgery type, anesthesia, as well as ocular and medical comorbidities. Using Mann-Whitney test, visual acuity, intraocular pressure, and corneal endothelial cell density were compared before and after surgery. Eight eyes of 5 patients were included in the study (mean age, 101.5 ± 1.2 years). Seven of these eyes (87.5%) belonged to women. All surgeries were performed under topical anesthesia using phacoemulsification and insertion of the intraocular lens fixed in the bag. All patients had multiple preoperative medical comorbidities; however, there were no intraoperative, postoperative ocular, or general complications. The postoperative best-corrected visual acuity was significantly improved compared to that before surgery (1.18 ± 0.74 and 0.29 ± 0.52, respectively, P = .004). Neither intraocular pressure nor corneal endothelial cell density demonstrated a significant difference postoperatively. Cataract surgery can be safely performed under topical anesthesia in centenarians without complications using proper perioperative medical control and preparation.
Identifiants
pubmed: 39058839
doi: 10.1097/MD.0000000000039108
pii: 00005792-202407260-00039
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e39108Informations de copyright
Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no funding and conflicts of interest to disclose.
Références
Reis T, Lansingh V, Ramke J, Silva JC, Resnikoff S, Furtado JM. Cataract as a cause of blindness and vision impairment in Latin America: progress made and challenges beyond 2020. Am J Ophthalmol. 2021;225:1–10.
Lee CM, Afshari NA. The global state of cataract blindness. Curr Opin Ophthalmol. 2017;28:98–103.
Tabin G, Chen M, Espandar L. Cataract surgery for the developing world. Curr Opin Ophthalmol. 2008;19:55–9.
McCarty CA, Keeffe JE, Taylor HR. The need for cataract surgery: projections based on lens opacity, visual acuity, and personal concern. Br J Ophthalmol. 1999;83:62–5.
Muramatsu N, Akiyama H. Japan: super-aging society preparing for the future. Gerontologist. 2011;51:425–32.
Theodoropoulou S, Grzeda MT, Donachie PHJ, Johnston RL, Sparrow JM, Tole DM. The Royal College of Ophthalmologists’ National ophthalmology Database Study of cataract surgery. Report 5: clinical outcome and risk factors for posterior capsule rupture and visual acuity loss following cataract surgery in patients aged 90 years and older. Eye (Lond). 2021;33:1161–70.
Toyama T, Ueta T, Yoshitani M, Sakata R, Numaga J. Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥ 90 years. BMC Ophthalmol. 2018;18:280.
Mutoh T, Isome S, Matsumoto Y, Chikuda M. Cataract surgery in patients older than 90 years of age. Can J Ophthalmol. 2012;47:140–4.
Bernth-Petersen P, Ehlers N. Cataract extraction in the ‘nineties’. Acta Ophthalmol (Copenh). 1983;61:392–6.
Lundström M, Stenevi U, Thorburn W. Cataract surgery in the very elderly. J Cataract Refract Surg. 2000;26:408–14.
Syam PP, Eleftheriadis H, Casswell AG, Brittain GP, McLeod BK, Liu CS. Clinical outcome following cataract surgery in very elderly patients. Eye (Lond). 2004;18:59–62.
Tseng VL, Greenberg PB, Wu WC, et al. Cataract surgery complications in nonagenarians. Ophthalmology. 2011;118:1229–35.
Mönestam E, Wachmeister L. Impact of cataract surgery on the visual ability of the very old. Am J Ophthalmol. 2004;137:145–55.
Nussinovitch H, Tsumi E, Tuuminen R, et al. Cataract surgery in very old patients: a case-control study. J Clin Med. 2021;10:4658.
Irwin MG, Ip KY, Hui YM. Anaesthetic considerations in nonagenarians and centenarians. Curr Opin Anaesthesiol. 2019;32:776–82.
Wolkow N, Weinberg DA, Bersani TA, et al. Ophthalmic plastic surgery in patients 100 years and older. Ophthalmic Plast Reconstr Surg. 2019;35:71–6.
Foster GJL, Allen QB, Ayres BD, et al. Phacoemulsification of the rock-hard dense nuclear cataract: options and recommendations. J Cataract Refract Surg. 2018;44:905–16.
Sella R, Chou L, Schuster AK, Gali HE, Weinreb RN, Afshari NA. Accuracy of IOL power calculations in the very elderly. Eye (Lond). 2020;34:1848–55.
Rosado-Adames N, Afshari NA. The changing fate of the corneal endothelium in cataract surgery. Curr Opin Ophthalmol. 2012;23:3–6.
Ong HS, Ang M, Mehta J. Evolution of therapies for the corneal endothelium: past, present and future approaches. Br J Ophthalmol. 2021;105:454–67.
Mangione CM, Lee PP, Gutierrez PR, Spritzer K, Berry S, Hays RD. National eye institute visual function questionnaire field test investigators. development of the 25-item national eye institute visual function questionnaire. Arch Ophthalmol. 2001;119:1050–8.