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Ophthalmic Plastic Surgery in Patients 100 Years and Older
Natalie Wolkow1,2, David A Weinberg3, Thomas A Bersani4
1David G. Cogan Laboratory of Ophthalmic Pathology, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School.
Ophthalmic Plastic and Reconstructive Surgery
|July 31, 2018
Summary
Ophthalmic plastic surgery is safe for select patients aged 100 and older, with most cases involving urgent lacrimal or eyelid issues. Further studies are recommended to enhance surgical care for this growing elderly population.
Area of Science:
- Ophthalmology
- Geriatric Medicine
- Plastic Surgery
Background:
- The centenarian population is rapidly increasing.
- Ophthalmic plastic surgeons are seeing more elderly patients.
- Outcomes for centenarians in ophthalmic plastic surgery are understudied.
Purpose of the Study:
- To review baseline characteristics of centenarian patients.
- To identify surgical problems encountered in this age group.
- To evaluate outcomes of ophthalmic plastic surgery in patients aged 100+.
Main Methods:
- Retrospective chart review of patients aged 100 years or older.
- Data collected from January 2000 to June 2016.
- Patients were members of the New England Oculoplastics Society.
Main Results:
- Fifteen patients met inclusion criteria; 66% were female.
- 60% presented with urgent surgical issues, primarily lacrimal system or eyelid disorders (trauma, infection).
- No orbital tumors or thyroid eye disease; no surgical/anesthesia complications; 80% had no dementia history; 33% had no light perception vision in at least one eye.
Conclusions:
- Ophthalmic plastic surgery can be safely performed in select centenarians.
- Urgent lacrimal and eyelid conditions are common in this population.
- Prospective studies are needed to optimize surgical care for patients aged 100 and older.
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