| Factors Affecting the Visual Outcome of Cataract Surgery in the Very Elderly. |
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Cinoo Kim, Ji Won Kwon, Won Ryang Wee, Jin Hak Lee, Young Keun Han |
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. eye129@netian.com
2Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.
3Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.
4Department of Ophthalmology, Seoul National University Boramae Hospital, Seoul, Korea. |
| 초고령자의 백내장 수술시 술후 시력결과에 영향을 미치는 인자 |
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김신우1,2,권지원1,2,위원량1,2,이진학1-3,한영근1,2,4 |
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Department of Ophthalmology, Seoul National University College of Medicine1, Seoul, Korea Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital2, Seoul, Korea Department of Ophthalmology, Seoul National University Bundang Hospital3, Seongnam, Korea Department of Ophthalmology, Seoul National University Boramae Hospital4, Seoul, Korea |
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Correspondence:
한영근 |
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| Abstract |
PURPOSE
To analyze the outcome of cataract surgery and to determine factors influencing the postoperative visual acuity in patients aged 85 years and older. METHODS: The best corrected visual acuity before and 3 months after cataract surgery in patients aged 85 years and older was measured. Age, sex, diabetes mellitus, hypertension, astigmatism, corneal endothelial cell count, ocular comorbidity, and intraoperative complication were analyzed to determine which factors influence the postoperative visual acuity. RESULTS: The postoperative visual acuity improved in 87% of patients, and a visual acuity of 20/40 or better was achieved in 56% of patients. Posterior capsular rupture and zonular dialysis were found as intraoperative complications in 16% of patients. Multiple regression analysis was used to determine which factors influence the postoperative visual acuity; age(p=0.009), ocular comorbidity (p=0.009), and intraoperative complication (p=0.010) were significantly associated with postoperative visual acuity. CONCLUSIONS: The postoperative visual acuity following cataract surgery in patients aged 85 years and older improved in 87% of patients, and old age, ocular comorbidity, and intraoperative complication were predictors of a poorer visual outcome. |
| Key Words:
Cataract surgery;Elderly;Old age |
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