Objective: To analyze the outcome of cataract extraction in patients aged 85 years and older (>/=85 group) and to compare their outcome with that of patients younger than 85 years (=84 group).
Setting: Cataract surgeons participating in the Swedish National Cataract Outcome Study during 1995 to 1997.
Methods: A prospective observational study was performed that evaluated patients' self-assessed visual function before and 6 months after cataract extraction. Mean age of the 4819 patients having cataract extraction at participating clinics during March 1995, 1996, and 1997 with complete follow-up data was 75.6 years; 67. 5% were women. Preoperative and intraoperative data were reported at the time of surgery. Final postoperative visual acuity, refraction, and keratometry were recorded. Each study period closed 6 months after surgery. The Catquest questionnaire was completed before surgery and 6 months after surgery.
Results: Of those with complete data, 757 patients (15.7%) were in the >/=85 group. In this group, visual acuity in the operative eye improved in 84.3% and a visual acuity of 0.5 or better was achieved in 71.4%. A no-benefit outcome, as defined by the Catquest questionnaire, was found in 12.7% of the >/=85 group and 8.4% of the =84 group.
Conclusion: Elderly patients on average had a good outcome, although not as good as that in younger patients. Certain groups were identified as having an excellent result and others of having a high risk of an adverse outcome.
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http://dx.doi.org/10.1016/s0886-3350(99)00418-6 | DOI Listing |
Clinics (Sao Paulo)
January 2025
Horta Institute, Rio de Janeiro, Brazil.
Purpose: This study aimed to evaluate the accuracy and quality of healing of main corneal incisions in femtosecond laser procedures in cataract surgery.
Methods: It was a prospective, non-randomized, investigator-masked study. A total of 37 eyes of 37 patients with indication for cataract surgery were separated into two groups in this prospective, nonrandomized study: Femto group, with incisions automated by femtosecond laser (18 eyes), and Phaco group, with incisions made using a keratome (19 eyes).
J AAPOS
January 2025
Johns Hopkins University Wilmer Eye Institute, Baltimore, Maryland. Electronic address:
Background Recommendations regarding long-term postoperative activity are intended to prevent adverse events, but no common policy or best practice exists among ophthalmologists for pediatric patients. We surveyed ophthalmologists on their postoperative guidelines after the one-month postoperative period following childhood cataract and glaucoma surgeries. Methods A 28-question anonymous Qualtrics survey was distributed via listservs and social media.
View Article and Find Full Text PDFLife (Basel)
January 2025
University Clinical Centre named after Prof. K. Gibiński, Medical University of Silesia, 40-514 Katowice, Poland.
Background: This study aimed to evaluate mydriasis stability during cataract surgery in patients with systemic comorbidities such as diabetes mellitus (DM) and pseudoexfoliation syndrome (PXF) after a standardised combination of intracameral mydriatics and anaesthetic (SCIMA). Stable mydriasis is crucial for safe and effective phacoemulsification.
Methods: Patients were included if they achieved pupil dilation ≥6.
Life (Basel)
January 2025
Centro Oftalmológico Charles, Buenos Aiers C1116, Argentina.
Background: The aim of this study was to evaluate visual outcomes and patient satisfaction after bilateral implantation of a new hydrophobic acrylic intraocular lens called Clareon (Alcon) using the mini-monovision technique.
Methods: A single-center, prospective, nonrandomized study was conducted in Tandil (Buenos Aires, Argentina), including patients scheduled for cataract surgery. To achieve mini-monovision, the spherical equivalent was calculated between -0.
Life (Basel)
January 2025
Institute for Research in Ophthalmology, Foundation for Ophthalmology Development, 61-553 Poznan, Poland.
To compare the accuracy of seven artificial intelligence (AI)-based intraocular lens (IOL) power calculation formulas in medium-long Caucasian eyes regarding the root-mean-square absolute error (RMSAE), the median absolute error (MedAE) and the percentage of eyes with a prediction error (PE) within ±0.5 D. Data on Caucasian patients who underwent uneventful phacoemulsification between May 2018 and September 2023 in MW-Med Eye Center, Krakow, Poland and Kyiv Clinical Ophthalmology Hospital Eye Microsurgery Center, Kyiv, Ukraine were reviewed.
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