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Systemic diseases in age related cataract patients
J Ram1, S S Pandav, B Ram
1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
International Ophthalmology
|January 1, 1994
Summary
Cataract surgery patients often have underlying systemic diseases, with 17% affected. Pre-operative evaluation is crucial to prevent serious complications and reduce mortality risks in elderly individuals.
Area of Science:
- Ophthalmology
- Geriatrics
- Public Health
Background:
- Age-related cataract is a leading cause of global blindness.
- Elderly cataract patients frequently present with co-existing systemic diseases.
- Cataract surgery in this demographic is associated with higher reported mortality rates.
Purpose of the Study:
- To determine the prevalence of systemic diseases in patients undergoing age-related cataract surgery.
- To identify common systemic conditions associated with cataract.
- To assess the incidence of post-operative complications in patients with systemic diseases.
Main Methods:
- A large-scale, eye camp-based study.
- Inclusion of 6103 patients diagnosed with age-related cataract.
- Systematic screening for associated systemic diseases.
Main Results:
- 17% of patients exhibited systemic health problems.
- Prevalent conditions included pulmonary (4.3%), cardiovascular/hypertension (4.1%), and diabetes mellitus (3.8%).
- 1.27% experienced significant post-operative complications, with 46% requiring hospitalization.
Conclusions:
- A significant proportion of age-related cataract patients have co-existing systemic diseases.
- Pre-operative assessment for systemic conditions is vital.
- Comprehensive evaluation can mitigate pre-, intra-, and post-operative morbidity and mortality.