Cataract Senile
Conditions
Keywords
geriatry, cataract surgery, advanced age
Brief summary
This study evaluates and compares clinical outcomes of \< 85 and ≥ 85 year old patients who underwent cataract surgeries.
Detailed description
The medical records of patients who were underwent cataract surgery between January 2014 and October 2017 were investigated retrospectively and patients 65 years and older were recruited. Two groups were made according to age: group1 composed of patients age range between 65 and 85 years and group 2 composed of patients 85 years and older. Gender, presence of diabetes mellitus (DM), hypertension (HT), drug use were noted. The results of best corrected visual acuity (BCVA) converted to LogMar, intraocular pressure (IOP) before and 3 months after operation, biomicroscopic and fundus examinations were investigated. Additional ocular diseases such as glaucoma, age related macular degeneration (AMD), pseudoexfoliation syndrome, retinopathies and maculopathies related to systemic diseases were noted. Pupil dilation properties were also noted as poor, mid or full pupil dilation. Cataract surgery techniques such as phacoemulsification, extra- and intracapsular lens extractions, peroperative complications, intracameral drug use were investigated. these aforementioned outcomes evaluated and compared between groups.
Interventions
PROCEDURECataract Surgery
Cataract surgery was performed by using phacoemulsification technique, routinely. But other techniques for instance extra or intracapsular cataract extraction (ECCE, ICCE) techniques were performed when needed. Phacoemulsification technique was performed by 2 experienced surgeon (G.A. and E.C.) under topical anesthesia, thorough limbal incision. Foldable single piece hydrophobic acrylic intraocular lens (IOL) was inserted in the bag. In the presence of complications related to anterior or posterior capsules, 3 pieces IOL was preferred. When ECCE technique was chosen, single piece polymethyl methacrylate IOL was inserted.
Sponsors
Sakarya University
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* patients aged 65 years and older patients who underwent cataract surgery
Exclusion criteria
* patients aged below 65 years who underwent cataract surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Best corrected visual acuity | Before cataract surgery | Best corrected visual acuity converted to LogMar |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| anterior vitrectomy | during surgery | number of participants who needed anterior vitrectomy during cataract surgery |
| presence of aphakia | 3 months after cataract surgery | number of participants who left aphakic after cataract surgery |
| intracameral adrenalin use | during surgery | number of participants who needed intracameral adrenalin use |
| presence of glaucoma | before cataract surgery | number of participants who have glaucoma |
| presence of pseudoexfoliation | before cataract surgery | number of participants who have pseudoexfoliation |
| presence of poor pupil dilation | During cataract surgery | number of participants who have poor pupil dilation |
| presence of zonule deficiency | During cataract surgery | number of participants who have zonule deficiency |
| presence of posterior capsule rupture | During cataract surgery | participants who had posterior capsule rupture during surgery |
| measurement of effective phacoemulsification time | During cataract surgery | measurement of effective phacoemulsification time in participants who underwent cataract surgery |
| presence of Diabetes Mellitus | Baseline (Before cataract surgery) | number of participants who have diabetes mellitus |
| presence of essential hypertension | before cataract surgery | number of participants who have essential hypertension |
| oral acetylsalicylic acid use | before cataract surgery | number of participants who have a history of acetylsalicylic acid use |
| oral flomax use | before cataract surgery | number of participants who have a history of oral flomax use |
| presence of age related macular degeneration | Baseline (Before cataract surgery) | number of participants who have age related macular degeneration |
| Cataract types in patients who underwent cataract surgery | Baseline (Before cataract surgery) | number of participants who have nuclear, posterior subcapsular, corticonuclear, mature, nigra, traumatic cataract |
Countries
Turkey (Türkiye)
Outcome results
None listed