{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:47:35Z","timestamp":1788281255533,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,11,26]],"date-time":"2013-11-26T00:00:00Z","timestamp":1385424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the clinical outcomes of cataract surgery elderly adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Two clustered hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Two hundred seven individuals aged 90 and older who underwent cataract surgery for primary senile cataracts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Best\u2010corrected preoperative and postoperative Snellen visual acuity, type of cataract, surgical techniques, preoperative systemic or ocular comorbidities, and intraoperative and postoperative complications were assessed. Improvement of visual acuity was defined as a decrease in log\n                      <jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content>\n                      acuity of 0.1. Factors associated with visual outcome within 6\u00a0months after surgery were identified using logistic regression modeling. The duration of postoperative survival was calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the 207 participants (mean age 92.0\u00a0\u00b1\u00a02.1), 79.7% achieved visual improvement after cataract surgery. Forty\u2010eight percent (mean age 97.4\u00a0\u00b1\u00a02.8) were alive on December 31, 2012. The most common systemic comorbidities were hypertension (66.2%), diabetes mellitus (25.1%), and myocardial infarction (19.8%). Age\u2010related macular degeneration (\n                      <jats:styled-content style=\"fixed-case\">AMRD<\/jats:styled-content>\n                      ) (15.9%), glaucoma (10.6%), and myopic degeneration (5.3%) were the three most common ocular comorbidities. Uncomplicated cataract surgery was performed in 87.0% cases. The most common complications were vitreous loss (8.2%), posterior capsular rupture (7.2%), and zonular rupture (4.8%). Participants with\n                      <jats:styled-content style=\"fixed-case\">AMRD<\/jats:styled-content>\n                      (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001, odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      )\u00a0=\u00a04.77, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      )\u00a0=\u00a01.86\u201312.26) and vitreous loss (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001,\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a012.86, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0=\u00a02.71\u201361.10) were less likely to achieve postoperative visual improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Despite a high prevalence of systemic and ocular comorbidities in very elderly adults, good clinical outcomes of cataract surgery were attainable.\n                      <jats:styled-content style=\"fixed-case\">ARMD<\/jats:styled-content>\n                      and vitreous loss were associated with a lower chance of postoperative visual improvement.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12590","type":"journal-article","created":{"date-parts":[[2013,11,26]],"date-time":"2013-11-26T11:05:48Z","timestamp":1385463948000},"page":"165-170","source":"Crossref","is-referenced-by-count":28,"title":["Clinical Outcomes of Cataract Surgery in Very Elderly Adults"],"prefix":"10.1111","volume":"62","author":[{"given":"Frank H. 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C.","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology &amp; Visual Sciences The Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvin L.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology &amp; Visual Sciences The Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,26]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"17","article-title":"Vision 2020: The cataract challenge","volume":"13","author":"Foster A","year":"2000","journal-title":"Community Eye Health"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2012.51"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2008.05.014"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.84.12.1380"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00418-6"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.84.1.4"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2010.07.023"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6703015"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2008.203"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3921\/joptom.2009.138"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6700521"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(03)00900-0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2012.01.009"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6700641"},{"key":"e_1_2_7_16_1","unstructured":"International classification of diseases ninth revision clinical modification. 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