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NR 4-5/2004
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Zaćma u osób powyżej
90. roku życia
Cataract in persons over 90
years old
Robert Wasilewicz, Anna Dałkowska, Joanna
Siwiec-Prościńska
Z Kliniki i Katedry Okulistyki Akademii Medycznej im. K.
Marcinkowskiego w Poznaniu
Kierownik: prof. dr hab. n. med. Krystyna Pecold |
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| Summary: |
Purpose: To
evaluate effect of age over 90-ty on cataract surgery
course, perioperative period and final corrected visual
acuity.
Material and methods: A case series of 34
patients aged over 90 years (39 eyes) undergoing
cataract extraction between 1993 - 2000 was studied.
Detailed ophthalmological examination (best corrected
visual acuity, tonometry, retinometry, anterior and
posterior segment exmination, ultrasonography scan A and
B), before and after operations was performed. Analyzed
data was widen by internal physical examination.
Results: ECCE with posterior intraocular lens (IOL)
in 38 eyes , and anterior IOL in 1 case (intraopertive
posterior lens capsule rupture) implantation was
performed. Postoperative course without complications in
35 eyes (89,7%), complications in 4 eyes (10,3%):
keratopathy (2), exudative membrane (2). Improvement in
visual acuity (defined as at least 2 lines in Snellen
tables) was noted in 35 eyes (89,7%). Visual acuity over
0,3 was achieved in 23 eyes (58,9%), over 0,5 in 20 eyes
(51,3%). Ocular comorbids: age related macular
degeneration 7 eyes (17,9%), glaucomatous atrophy of
optic nerve 5 eyes (12,8%), no diabetic retinopathy was
diagnosed.
Conclusions: 1. Advance in years is not a
contradiction for cataract extraction.
2. Cataract surgery improved visual acuity: to far in
89,7%, to near in 71,8% - comparing with preopertive
status.
3. Restoration of visual function, especially in persons
with severe visual acuity reduction, has good impact on
psychological status of patients.
4. Accurate perioperative care protects patients from
serious systemic complications. |
| Słowa kluczowe: |
zaćma, osoby w
zaawansowanym wieku. |
| Key words: |
cataract, elderly people. |
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