THE ANALYSIS STUDY OF MANAGEMENT OF CATARACT IN THE ADULT EYE: A CASE REPORT AND COMPREHENSIVE SYSTEMATIC REVIEW
DOI:
https://doi.org/10.61841/v6mgqb85Keywords:
Cataract, senile cataract, risk factors, cataract surgeryAbstract
Background: Cataracts significantly impact vision, mental well-being, quality of life, and increase mortality rates and economic burdens. Age-related cataracts, the most prevalent form, gradually evolve over time due to cumulative cellular changes within the lens. The aim of this study is to evaluate the risk factors, management strategies, and prognosis in patients with senile cataract by analyzing a case report of a 73-year-old male patient with senile cataract and conducting a systematic review of literatures on the last 10 years.
Methods: The study adhered to PRISMA 2020 standards, examining English literature from 2014 to 2024. It excluded editorials, reviews from the same journal, and submissions without a DOI. PubMed, SagePub, SpringerLink, and Google Scholar were utilized as literature sources.
Case Management: A 73-year-old male with controlled hypertension presented with worsening blurry vision, primarily in the left eye, diagnosed as immature senile cataract and presbyopia. Treatment includes lifestyle modifications and planned ECCE with phacoemulsification and IOL implantation, with a good prognosis.
Result and Discussion: Initially retrieving 500 articles from online databases (PubMed, SagePub, SpringerLink and Google Scholar) eight relevant papers were selected after three rounds of screening for full-text analysis. The literatures showed that age and hypertension in this case might be the contributing risk factors in senile cataract development.
Conclusion: Cataract management requires a comprehensive understanding of risk factors, personalized treatment approaches, and evidence-based interventions. By addressing modifiable risk factors, adopting appropriate surgical techniques, and providing adequate patient education and support, clinicians can optimize outcomes and improve the overall quality of life for patients with senile cataracts.
References
Hashemi M, Heshmat-ghahdarijani K, Zarean E, Baktash F, Mortazavi ZS. Evaluation of the effect of high-dose folic acid on endothelial dysfunction in pre-eclamptic patients: A randomized clinical trial. J Res Med Sci. 2016;21(1):114. doi:10.4103/1735-1995.193505
Cicinelli MV, Buchan JC, Nicholson M, Varadaraj V, Khanna RC. Cataracts. The Lancet. 2023;401(10374):377-389. doi:10.1016/S0140-6736(22)01839-6
Purola PKM, Nättinen JE, Ojamo MUI, et al. Prevalence and 11-Year Incidence of Cataract and Cataract Surgery and the Effects of Socio-Demographic and Lifestyle Factors. Clin Ophthalmol. 2022;16(null):1183-1195. doi:10.2147/OPTH.S355191
Deng R, Zhu Z, Han X, et al. Evaluation of Systemic Medications Associated With Surgically Treated Cataract Among US Adults. Am J Ophthalmol. 2023;249:126-136. doi:10.1016/j.ajo.2023.01.005
Hugosson M, Ekström C. Prevalence and risk factors for age-related cataract in Sweden. Ups J Med Sci. 2020;125(4):311-315. doi:10.1080/03009734.2020.1802375
Tan AG, Tham YC, Chee ML, et al. Incidence, progression and risk factors of age-related cataract in Malays: The Singapore Malay Eye Study. Clin Experiment Ophthalmol. 2020;48(5):580-592. doi:10.1111/ceo.13757
Garg P, Mullick R, Nigam B, Raj P. Risk factors associated with development of senile cataract. Ophthalmol J. 2020;5(0):17-24. doi:10.5603/OJ.2020.0005
Chen X, Xu J, Chen X, Yao K. Cataract: Advances in surgery and whether surgery remains the only treatment in future. Adv Ophthalmol Pract Res. 2021;1(1):100008. doi:10.1016/j.aopr.2021.100008
He L, Cui Y, Tang X, et al. Changes in visual function and quality of life in patients with senile cataract following phacoemulsification. Ann Palliat Med. 2020;9(6):3802809-3803809. doi:10.21037/apm-20-1709
Akpolat C, Demir M, Cevher S, Ozturk SZ, Yesiltas S. The impact of phacoemulsification surgery on vision-related quality of life in senile cataract patients. Ther Adv Ophthalmol. 2022;14:25158414211063293.
doi:10.1177/25158414211063293
Kohli P, Arya SK, Raj A, Handa U. Changes in ocular surface status after phacoemulsification in patients with senile cataract. Int Ophthalmol. 2019;39(6):1345-1353. doi:10.1007/s10792-018-0953-8
Shah S, Peris -Martinez Cristina, Reinhard T, Vinciguerra P. Visual Outcomes After Cataract Surgery: Multifocal Versus Monofocal Intraocular Lenses. J Refract Surg. 2015;31(10):658-666. doi:10.3928/1081597X-20150611-01
Mohanty P, Prasan VV, Vivekanand U. Conventional extracapsular cataract extraction and its importance in the present day ophthalmic practice. Oman J Ophthalmol. 2015;8(3):175. doi:10.4103/0974-620X.169906
Laxmiprasad G, Shori C, Shori R, Alli A. Comparative study between conventional extra capsular cataract extraction versus manual small incision cataract surgery. Int J Res Med Sci. 2017;5(3):996. doi:10.18203/23206012.ijrms20170650
Mylona I, Dermenoudi M, Ziakas N, Tsinopoulos I. Hypertension is the Prominent Risk Factor in Cataract Patients. Medicina (Mex). 2019;55(8):430. doi:10.3390/medicina55080430
Drinkwater JJ, Davis WA, Davis TME. A systematic review of risk factors for cataract in type 2 diabetes. Diabetes Metab Res Rev. 2019;35(1):e3073. doi:10.1002/dmrr.3073
Trott M, Smith L, Veronese N, et al. Eye disease and mortality, cognition, disease, and modifiable risk factors: an umbrella review of meta-analyses of observational studies. Eye. 2022;36(2):369-378. doi:10.1038/s41433-02101684-x
Marcos S, Martinez-Enriquez E, Vinas M, et al. Simulating Outcomes of Cataract Surgery: Important Advances in Ophthalmology. Annu Rev Biomed Eng. 2021;23(Volume 23, 2021):277-306. doi:10.1146/annurev-bioeng082420-035827
Grzybowski A, Kanclerz P. Recent Developments in Cataract Surgery. In: Grzybowski A, ed. Current Concepts in Ophthalmology. Springer International Publishing; 2020:55-97. doi:10.1007/978-3-030-25389-9_3
Rossi T, Romano MR, Iannetta D, et al. Cataract surgery practice patterns worldwide: a survey. BMJ Open Ophthalmol. 2021;6(1):e000464. doi:10.1136/bmjophth-2020-000464
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.