Cataract Surgery In Patients With Advanced Age

Sakarya University152 enrolled

Overview

This study evaluates and compares clinical outcomes of \< 85 and ≥ 85 year old patients who underwent cataract surgeries.

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.

Study Type

OBSERVATIONAL

Enrollment

152

Conditions

Cataract Senile

Interventions

Cataract SurgeryPROCEDURE

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.

Eligibility

Sex: ALLMin age: 65 YearsMax age: 95 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients aged 65 years and older patients who underwent cataract surgery Exclusion Criteria: * patients aged below 65 years who underwent cataract surgery

Locations (1)

Sakarya University Ophthalmology Department

Sakarya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Best corrected visual acuity

Best corrected visual acuity converted to LogMar

Time frame: Before cataract surgery

Best corrected visual acuity

Best corrected visual acuity converted to LogMar

Time frame: three months after cataract surgery

Secondary Outcomes

presence of Diabetes Mellitus

number of participants who have diabetes mellitus

Time frame: Baseline (Before cataract surgery)

presence of essential hypertension

number of participants who have essential hypertension

Time frame: before cataract surgery

oral acetylsalicylic acid use

number of participants who have a history of acetylsalicylic acid use

Time frame: before cataract surgery

oral flomax use

number of participants who have a history of oral flomax use

Time frame: before cataract surgery

presence of age related macular degeneration

number of participants who have age related macular degeneration

Time frame: Baseline (Before cataract surgery)

presence of glaucoma

number of participants who have glaucoma

Time frame: before cataract surgery

Data from ClinicalTrials.gov

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