PMID- 30055955
OWN - NLM
STAT- In-Data-Review
LR  - 20180831
IS  - 1873-4502 (Electronic)
IS  - 0886-3350 (Linking)
VI  - 44
IP  - 9
DP  - 2018 Sep
TI  - Cataract surgery outcomes in the very elderly.
PG  - 1144-1149
LID - S0886-3350(18)30476-0 [pii]
LID - 10.1016/j.jcrs.2018.05.025 [doi]
AB  - The prevalence of very elderly patients (aged 85 years and older) with visually
      significant cataracts continues to rise in the United States. We conducted a
      focused review of literature using Preferred Reporting Items for Systematic
      Reviews and Meta-Analyses guidelines to investigate the impact of very old age on
      cataract surgery outcomes. The studies suggest that very elderly patients,
      relative to their younger counterparts, had similar complication rates after
      adjusting for their higher rates of age-related ocular and systemic
      comorbidities. In addition, most very elderly patients gained improvement in
      visual acuity, enjoyed increased quality of life, and had survival rates that
      extend beyond 1 year after surgery. Although many of the studies were small and
      lacked statistical power to exclude clinically important differences in outcome, 
      findings generally supported cataract surgery in the very elderly. Further
      studies are required to augment evidence-based surgical decision-making in
      elderly persons with ocular comorbidities and visually significant cataracts.
CI  - Published by Elsevier Inc.
FAU - Li, Emily
AU  - Li E
AD  - From the Department of Ophthalmology and Visual Science (Li), Yale University
      School of Medicine, New Haven, Connecticut, Department of Ophthalmology and
      Pathology (Margo), Morsani College of Medicine, University of South Florida,
      Tampa, Florida, the Section of Ophthalmology (Greenberg), Providence Veterans
      Affairs Medical Center, and the Division of Ophthalmology (Greenberg), Warren
      Alpert Medical School of Brown University, Providence, Rhode Island, USA.
FAU - Margo, Curtis E
AU  - Margo CE
AD  - From the Department of Ophthalmology and Visual Science (Li), Yale University
      School of Medicine, New Haven, Connecticut, Department of Ophthalmology and
      Pathology (Margo), Morsani College of Medicine, University of South Florida,
      Tampa, Florida, the Section of Ophthalmology (Greenberg), Providence Veterans
      Affairs Medical Center, and the Division of Ophthalmology (Greenberg), Warren
      Alpert Medical School of Brown University, Providence, Rhode Island, USA.
FAU - Greenberg, Paul B
AU  - Greenberg PB
AD  - From the Department of Ophthalmology and Visual Science (Li), Yale University
      School of Medicine, New Haven, Connecticut, Department of Ophthalmology and
      Pathology (Margo), Morsani College of Medicine, University of South Florida,
      Tampa, Florida, the Section of Ophthalmology (Greenberg), Providence Veterans
      Affairs Medical Center, and the Division of Ophthalmology (Greenberg), Warren
      Alpert Medical School of Brown University, Providence, Rhode Island, USA.
      Electronic address: paul_greenberg@brown.edu.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20180725
PL  - United States
TA  - J Cataract Refract Surg
JT  - Journal of cataract and refractive surgery
JID - 8604171
EDAT- 2018/07/30 06:00
MHDA- 2018/07/30 06:00
CRDT- 2018/07/30 06:00
PHST- 2017/10/24 00:00 [received]
PHST- 2018/04/27 00:00 [revised]
PHST- 2018/05/02 00:00 [accepted]
PHST- 2018/07/30 06:00 [pubmed]
PHST- 2018/07/30 06:00 [medline]
PHST- 2018/07/30 06:00 [entrez]
AID - S0886-3350(18)30476-0 [pii]
AID - 10.1016/j.jcrs.2018.05.025 [doi]
PST - ppublish
SO  - J Cataract Refract Surg. 2018 Sep;44(9):1144-1149. doi:
      10.1016/j.jcrs.2018.05.025. Epub 2018 Jul 25.