Posters
Outcome of cataract surgery in nonagenarians
Poster Details
First Author: I. Yip UNITED KINGDOM
Co Author(s): F. Mason S. Sandramouli
Abstract Details
Purpose:
Assessment of various risk factors affecting cataract surgery and final outcome in nonagenarians in comparison to both the National Ophthalmology Database (NOD) and Cataract National Database (CND). To assess which level of surgeon should carry out cataract surgery in nonagenarians.
Setting:
More patients are living into their nineties and remain suitable for cataract surgery. However, even with the NOD and CND there is very limited data on the specific risk factors and the outcome of cataract surgery on this cohort in the U.K.
Methods:
A retrospective study of 87 consecutive cataract operations in nonagenarians in one English centre was carried out. Measures included surgeon grade, ocular and systemic co-morbidities, anaesthetic type, perioperative and postoperative complication rates, and visual outcome.
Results:
Compared to the NOD, the prevalence of at least one ocular co-morbidity (74.7 % vs 36.9%) was higher in our study. The proportion of patients who had a pre-operative visual acuity of 6/12 or better was lower (12.6 % vs 36.2%). There was a higher rate of intra-operative complication (9.2 % vs 4.64%), including higher posterior capsule rupture rates (3.4 % vs 2.0%).
Post-operatively, direct comparison with the aged 90+ cohort from the CND, revealed fewer patients achieving a vision of 6/12 or better (55.2% vs. 80%), a greater proportion suffering a significant loss of visual acuity (≥0.3logMAR) (6.9% vs 1.5%) and more patients suffering post-operative complications (27.5% vs 14.4%).
Conclusions:
Our study which is specific for nonagenarians, highlights increased ocular co-morbidity, intra-operative complication rates and worse post-operative outcomes in nonagenarians as compared to the NOD and CND.
We recommend careful consideration of the experience of surgeon for the management of cataracts in nonagenarians.
Financial Disclosure:
NONE
