Investigating the Impact of Age and Sex on Cataract Surgery Complications and Outcomes

TL;DR

This study reveals that age and sex significantly influence cataract surgery outcomes, with specific age thresholds where visual improvements decline, highlighting the need for personalized preoperative assessments.

Contribution

It provides novel insights into how age and sex affect postoperative visual acuity and complications, informing tailored surgical planning.

Findings

Males aged 65-75 show higher postoperative BCVA than females.

BCVA improvements decline significantly beyond age 65 for females and 75 for males.

Age increases the risk of worsened BCVA after surgery.

Abstract

Background/Objectives: Cataract surgery, a very common and critical procedure for restoring vision, has outcomes that can vary based on patient demographics. This study aimed to elucidate the effects of age and sex on the risk factors, intraoperative complications, and postoperative outcomes of cataract surgery. Subjects/Methods: Conducted as a single-center retrospective cohort study, it analyzed 691 eyes from 589 individuals who underwent surgery at a tertiary referral center, utilizing data from electronic medical records to assess preoperative risk factors, intraoperative complications, and pre- and post-operative best corrected visual acuity (BCVA) along with demographic data. Results: The main results highlighted that males aged 65-75 years exhibited significantly higher rates of functional postoperative BCVA (91% for males vs. 79% for females, p=0.007), a disparity that is not explained by differences in surgical complications or risk factor prevalence. Furthermore, the study identified age-specific thresholds where BCVA improvements significantly declined beyond 65 years for females and 75 years for males. The likelihood of worsened BCVA post-surgery increased with age for both sexes, with a significant decline in BCVA improvement transitioning from 55-65 years to 65-75 years age groups. Conclusions: The findings underscore the critical influence of both sex and age on cataract surgery outcomes, revealing significant sex-specific age thresholds that signal lesser improvements in postoperative BCVA. These insights advocate for the integration of patient age and sex into preoperative evaluations to better tailor the timing and planning of cataract surgery, ultimately aiming to optimize clinical outcomes.