Purpose: To evaluate effect of age over 90-ty on cataract surgery course, perioperative period and final corrected visual acuity.
Material And Methods: A case series of 34 patients aged over 90 years (39 eyes) undergoing cataract extraction between 1993 - 2000 was studied. Detailed ophthalmological examination (best corrected visual acuity, tonometry, retinometry, anterior and posterior segment exmination, ultrasonography scan A and B), before and after operations was performed. Analyzed data was widen by internal physical examination.
Results: ECCE with posterior intraocular lens (IOL) in 38 eyes, and anterior IOL in 1 case (intraopertive posterior lens capsule rupture) implantation was performed. Postoperative course without complications in 35 eyes (89,7%), complications in 4 eyes (10,3%): keratopathy (2), exudative membrane (2). Improvement in visual acuity (defined as at least 2 lines in Snellen tables) was noted in 35 eyes (89,7%). Visual acuity over 0,3 was achieved in 23 eyes (58,9%), over 0,5 in 20 eyes (51,3%). Ocular comorbids: age related macular degeneration 7 eyes (17,9%), glaucomatous atrophy of optic nerve 5 eyes (12,8%), no diabetic retinopathy was diagnosed.
Conclusions: 1. Advance in years is not a contradiction for cataract extraction. 2. Cataract surgery improved visual acuity: to far in 89,7%, to near in 71,8% - comparing with preopertive status. 3. Restoration of visual function, especially in persons with severe visual acuity reduction, has good impact on psychological status of patients. 4. Accurate perioperative care protects patients from serious systemic complications.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Graft-repositioning technique using infusion and small bubbles during Descemet's membrane endothelial keratoplasty.
BMC Ophthalmol
January 2025
Department of Ophthalmology, Department of Visual Sciences, Nihon University School of Medicine, Itabashi, Tokyo, Japan.
Background: Descemet's membrane endothelial keratoplasty (DMEK) is a highly effective procedure for corneal endothelial dysfunction; however, once a DMEK graft is deployed, repositioning can be challenging. Therefore, this study aimed to evaluate the efficacy of a technique that utilizes infusion and small air bubbles to reposition a misaligned deployed graft.
Methods: This retrospective interventional case series enrolled patients who underwent DMEK between January 2022 and July 2023, including cases where the DMEK graft was attached and unfolded in off-center positions".
Background: To evaluate the associations between anatomical changes and visual outcomes after membrane peeling in eyes with different stages of idiopathic epiretinal membrane (iERM) using optical coherence tomography angiography (OCTA).
Methods: All iERM eyes were graded into four stages based on the presence of ectopic inner foveal layers (EIFL) and underwent 23-gauge vitrectomy combined with ERM and internal limiting membrane (ILM) peeling, while their fellow eyes were treated as the control group. OCTA was used to measure retinal thickness(RT), foveal avascular zone (FAZ)-related parameters and superficial and deep capillary plexus (SCP and DCP) layers using 6 × 6 mm scans before, 1 month and 3 months after surgery.
Congenital retinal folds.
J AAPOS
January 2025
Department of Ophthalmology and Visual Sciences and Pediatrics, Washington University School of Medicine, St. Louis, Missouri. Electronic address:
Congenital retinal folds (CRFs) are a rare entity, with an incompletely understood pathogenesis. They are often associated with ocular conditions such as familial exudative vitreoretinopathy (FEVR). We present a series of 5 patients with unilateral CRFs who underwent genetic testing.
View Article and Find Full Text PDFComparison of Unaided and Aided Visual Acuity in Adults With Down Syndrome.
Transl Vis Sci Technol
January 2025
The Ohio State University College of Optometry, Columbus, OH, USA.
Purpose: Individuals with Down syndrome (DS) have reduced visual acuity (VA), even when wearing refractive correction. The relationship between refractive error and VA in adults with DS is explored.
Methods: Thirty adults with DS (age = 29 ± 10 years) were enrolled in a trial comparing clinical and objectively determined refractions.
ABCA4 Deep Intronic Variants Contributed to Nearly Half of Unsolved Stargardt Cases With a Milder Phenotype.
Invest Ophthalmol Vis Sci
January 2025
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China.
Purpose: The purpose of this study was to investigate the contribution and natural progression of ABCA4 deep intronic variants (DIVs) among a Chinese Stargardt disease (STGD) cohort.
Methods: For unsolved STGD probands, DIVs in ABCA4 were detected by next-generation sequencing, and splicing effects were evaluated by in silico tools and validated through minigene experiments. Comprehensive ocular examinations, especially fundus changes, were carried out and analyzed.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!