초고령자의 백내장 수술시 술후 시력결과에 영향을 미치는 인자

• 영문명: Factors Affecting the Visual Outcome of Cataract Surgery in the Very Elderly
• 발행기관: 대한안과학회
• 저자명: 김신우 권지원 위원량 이진학- 한영근 ,Cinoo Kim, M.D.,, Ji Won Kwon, M.D.,, Won Ryang Wee, M.D.,, Jin Hak Lee, M.D.-, Young Keun Han, M.D.,,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number7, 905~910쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.07.31

영문 초록

Purpose: To analyze the outcome of cataract surgery and to determine factors influencing the postoperative visual acuity in patients aged 85 years and older. Methods: The best corrected visual acuity before and 3 months after cataract surgery in patients aged 85 years and older was measured. Age, sex, diabetes mellitus, hypertension, astigmatism, corneal endothelial cell count, ocular comorbidity, and intraoperative complication were analyzed to determine which factors influence the postoperative visual acuity. Results: The postoperative visual acuity improved in 87% of patients, and a visual acuity of 20/40 or better was achieved in 56% of patients. Posterior capsular rupture and zonular dialysis were found as intraoperative complications in 16% of patients. Multiple regression analysis was used to determine which factors influence the postoperative visual acuity; age(p=0.009), ocular comorbidity (p=0.009), and intraoperative complication (p=0.010) were significantly associated with postoperative visual acuity. Conclusions: The postoperative visual acuity following cataract surgery in patients aged 85 years and older improved in 87% of patients, and old age, ocular comorbidity, and intraoperative complication were predictors of a poorer visual outcome.

키워드

Cataract surgery, Elderly, Old age