Visual function in octogenarian and nonagenarian patients operated on for cataract of the first eye
Keywords:
Cataract, cataract extraction, phacoemulsification, octogenarians, nonagenarians, visual function, quality of lifeAbstract
Introduction: In very old people, there is an increase in the incidenceof senile cataract and its consequent visual deterioration and quality of
life.
Objective: To compare the clinical and refractive results, as well as
the quality of life after cataract surgery of the first eye in octogenarian
and nonagenarian patients.
Material and Methods: A longitudinal, prospective, pre-experimental
case series investigation was carried out in 56 octogenarian and 32
nonagenarian patients operated on for cataract of the first eye. The
preoperative characteristics of the patient, pre- and postoperative visual
function and quality of life, the surgical technique used, intraoperative
and postoperative complications, as well as the postoperative ocular
comorbidities found were studied, which were presented in the form
of means, as well as absolute and relative frequencies in every separate
group and then statistically compared with each other.
Results: Visual function and self-perceived quality of life improved
significantly postoperatively in both groups of patients, although
octogenarians experienced quantitatively superior results in both
variables. Age-related macular degeneration was the main comorbidity
associated with postoperative visual difficulty in both age groups, but
with a higher prevalence in nonagenarians.
Conclusions: Cataract surgery of the first eye improves visual function
and vision-related quality of life in octogenarian and nonagenarian
patients, even in the presence of age-related macular degeneration
and other ocular comorbidities related to postoperative visual difficulty.
However, quantitatively inferior postoperative results are observed in
nonagenarians
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