![]() Within the PRO database, we compared the presentations and outcomes of those over age 80 who underwent repair of RRD with patients between ages 40 and 79. To better understand the characteristics and treatment outcomes of RRD in elderly patients, our group analyzed data from the Primary Retinal Detachment Outcomes (PRO) study, a large, comprehensive, observational data set from all patients at six centers who underwent primary RRD repair. Higher anesthesia risk and medical comorbidities are also important considerations. Patients in their 80s and 90s also have a higher incidence of hearing impairment, which can lead to difficulties communicating in the OR and during postoperative care. For example, positioning after vitrectomy-based procedures may be difficult for those with cervical and lumbar issues, and following postoperative instructions may be challenging for those with Alzheimer disease and other dementias. Many factors can make RRD surgery challenging in the elderly patient. 2īut what about elderly patients? Octogenarians and nanogenarians are an increasingly important segment of our society and our clinical practices, yet there is little in the literature describing the presentation and outcomes of older adults with RRD. ![]() 1 The prevalence of RRD has a bimodal distribution: a peak at young ages (attributed to high myopia and trauma) and a greater peak between 60 and 69 years. 1 According to the AAO’s Committee on Aging, ophthalmologists are second only to geriatricians in the number of patients they see who are older than 65 years.ĪMD today accounts for the majority of a vitreoretinal specialist’s work with elderly patients, but other conditions are on the rise as the US population ages, including rhegmatogenous retinal detachment (RRD). And given that more than 46 million US adults are 65 and older-a number expected to grow to more than 90 million by 2050-this is no surprise. In elderly patients, the mean VA improved from preoperative 20/500 to postoperative 20/125, compared with 20/200 to 20/40 in younger patients.Īs you walk through the clinic of a vitreoretinal specialist, you often find a disproportionate number of older adults in the waiting room.Postoperative positioning is crucial to ensure a successful retinal detachment repair however, postoperative positioning may not be possible for some older adults because of concomitant musculoskeletal disorders.Rhegmatogenous retinal detachment surgery was often more complex in elderly patients and more likely to require membrane peeling, intraoperative perfluoro-n-octane, and silicone oil tamponade.Based on data from the Primary Retinal Detachment Outcomes Study, patients 80 years and older were more likely to present with macula-off detachments and preoperative proliferative vitreoretinopathy compared with patients 40 to 79 years old.
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