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Effect of diabetes, hypertension, and obesity management on visual acuity in geriatric cataract surgery patients

  • Received : 2021.08.30
  • Accepted : 2021.09.08
  • Published : 2021.09.30

Abstract

Method : Using annual statistics of major surgeries provided by the National Health Insurance Corporation, it figured out what changes come in visual acuity by the number of cataract surgeries nationwide plus age, gender, and geriatric disease every 3 years from 2013 to 2019 through joint point regression for statistics. Objective : This study is intended to identify the relationship between geriatric diseases (diabetes, hypertension, obesity) and visual acuity in geriatric cataract surgery patients. Result : First, geriatric diseases of cataract surgery patients were closely related to diabetes, hypertension, obesity, smoking, and drinking. In particular, diabetes, hypertension, and smoking had a high prevalence rate. There was no difference in gender and age. Second, 72% of all geriatric cataract surgeries were performed at the clinic level, and intraocular lens that was used after geriatric cataract surgery accounted for the majority of monofocal intraocular lens as 96.6%. Third, the visual acuity in geriatric cataract surgery patients improved from an average of 0.40 before surgery to 0.06 after surgery, and visual acuity improvement was found in 95% of them. These results suggest that geriatric cataract patients can expect visual acuity stabilization and positive visual acuity improvement through early surgery.

Keywords

References

  1. Korea Institute for Health and Social Affairs, (2020), National Survey Results on the Elderly Life Conditions and Welfare Need.
  2. National Health Insurance Corporation, (2020), 「2020 Health Insurance Key Statistics」.
  3. Journal of the Korean ophthalmological society, (2007) "Prevalence Estimation of Cataract based on a Screening Test".
  4. H. J. Kim, (1994), The Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in Institutionalized Elderly. Ph.D. Thesis for Graduate School at Seoul National University.
  5. M. H. Kim, M. S. Kim and E. C. Kim, (2016) '(The)Safeness of Cataract Surgery in Older Subjects', Vol. 47, No. 7, pp. 1044 - 1049.
  6. S. H. Kim, (2020) Analysis of the change in the number of cataract surgeries, Journal of the Korean ophthalmological society, Vol. 61, No. 7, pp. 905-968. https://doi.org/10.3341/jkos.2020.61.8.905
  7. M. R. N. Jang, H. J. Lee, S. Y. Lee, J. Y. Kim, D. J. Ma and J. H. Jung, (2020), Comparison of clinical outcomes between swept-source optical coherence tomography biometer and partial coherence interferometer, Journal of the Korean ophthalmological society, Vol. 11, No. 8, pp. 905-910.
  8. H. S. Kim, J. S. Son and D. S. Yoo, (2013) 'Trends and Refractive Status of Cataract Surgery' Journal of the Korean ophthalmological society', Vol. 18, No. 2, pp. 143-148. https://doi.org/10.14479/jkoos.2013.18.2.143
  9. S. H. Jeon, H. W. Kim, H. S. Kim and K. S. Na, (2017) 'Cataract Surgical Rate in Korea from 2002 to 2013' Annals of Optometry and Contact Lens, Vol. 16, No. 2, pp. 64-47.
  10. E. Y. Kim, S. Y. Kim, Y. C. Lee and S. Y. Kim, (2015) 'Frequency of YAG Laser by Age Group and Risk Factors', Journal of the Korean ophthalmological society, Vol. 56, No. 5, pp. 868-874. https://doi.org/10.3341/jkos.2015.56.6.868
  11. H. J. Kim, E. C. Park, Y. J. Choi and H. G. Kang, (2001), Time Series Observations of Outcome Variables and the Factors Associated with the Improvement in the Patient Outcomes of Cataract Surgery, Journal of preventive medicine and public health, 34(2), pp. 175-181.
  12. E. J. Lee, J. H. Choi and Y. R. Heo, (2018) 'Intake of fruits and vegetables may modify the risk of cataract in Korean males' Health and Nutrition Society, Vol. 51, No. 2015, pp. 423-432. https://doi.org/10.4163/jnh.2018.51.5.423
  13. H. J. Lee, H. J. Oh and M. A. Jung, "Study on the Analysis of Cormeal Variation by Refractive Error," Journal of Dgital Convergence, Vol. 12, No 2, pp. 485-490, Feb.2016.
  14. Medical Insurance Management Corporation(2020) Medical Insurance Statistics Yearbook, Medical Insurance Management Corporation Physiol Opt, Vol. 21, No. 2, pp. 101-107, Mar.2001.
  15. J. H. Park, "Prevalence and Odds ratio analysis of Cataract related with Age, Sex, Regions and Social Status," the Korean Journal of Vision Science, Vol. 15, No. 1, pp. 83-92, Mar.2013.
  16. I. H. Hwang, Risk Factors analysis to effect cataracts in Korean Adults, seoul National University MA Thesis, 2014.
  17. H. J. Oh and M. A. Jung, (2016) 'Analysis of Refractive Errors of the before and after Cataract Surgery by Auto-refractor, Convergence Society for SMB, Vol. 206, No. 3, pp. 65-69.
  18. M. J. Ji, M. S. Kim, S. J. Lee and S. B. Han, (2016) 'Evaluation of Visual Outcome after Cataract Surgery in Patients Aged 85 Years or Older' Journal of the Korean ophthalmological society, Vol. 57, No. 2. pp. 214-220. https://doi.org/10.3341/jkos.2016.57.2.214
  19. Y. J. Hong, S. J. Im, K. R. Seo, H. J. Kim, E. C. Park, Y. J. Choi, K. H. Shin, H. B. Lee, H. M. Yoo, M. S. Kim, C. K. Joo and H. M. Kim, (2001) Variation in Cataract Surgery Practice and Clinical Outcomes, Journal of the Korean ophthalmological society, 42(3), pp. 420-427.
  20. E. A. Mellen, J. S. Wolffsohn, B. Gilmartin and S. Tsujimura, "Clinical evaluation of the Shin- Nippon SRW-5000 autorefractor in adult," Ophlhal.
  21. Michalska-Malecka K, Nowak M, Gosciniewicz P, et al. Results of cataract surgery in the very elderly population. Clin Interv Aging 2013;8:1041-6. https://doi.org/10.2147/CIA.S44834
  22. Heyworth P, Thompson GM, Tabandeh H, ,McGuigan S. The rela- tionship between clinical classification of cataract and lens hardness. Eye (Lond) 1993;7(Pt 6):726-30. https://doi.org/10.1038/eye.1993.169
  23. Berler DK. Intraoperative complications during cataract surgery in the very old. Trans Am Ophthalmol Soc 2000;98:127-30.
  24. Syam PP, Eleftheriadis H, Casswell AG, et al. Clinical outcome following cataract surgery in very elderly patients. Eye (Lond) 2004;18:59-62. https://doi.org/10.1038/sj.eye.6700521
  25. Park UC, Kwon V 邵, Han YK. Clinical results of posterior capsule ruptures in the first 1000 phacoemulsification cases. J Korean Ophthalmol Soc 2005;46:1270-5.
  26. Westcott MC, Tuft SJ, Minassian DC. Effect of age on visual out- come following cataract extraction. Br J Ophthalmol 2000;84: 1380-2. https://doi.org/10.1136/bjo.84.12.1380
  27. Monestam E, Wachmeister L. Impact of cataract surgery on the vis- ual ability of the very old. Am J Ophthalmol 2004;137:145-55. https://doi.org/10.1016/S0002-9394(03)00900-0