Is Cataract Surgery Safe for My 85-Year-Old Grandmother?

My grandmother is eighty-five years old. Is it still possible for her to undergo cataract surgery?

Hello Dr.
Hsia,
As mentioned in the subject, my grandmother is generally healthy and has a cheerful personality.
She loves to go out and have fun with us, her grandchildren.
However, recently her vision has deteriorated, and she has developed noticeable white spots in both eyes.
Our neighbors say it might be cataracts.
We took her to the Veterans General Hospital in Zhudong for an examination, and the doctor confirmed that it is cataracts.
However, considering her advanced age, they advised us to discuss it carefully.
A volunteer at the Zhudong hospital, Grandma Liu, mentioned that when you were serving there, you performed surgeries very well, and several elderly patients had successful cataract surgeries under your care.

May I ask where you are currently practicing? Also, do you think that at the age of eighty-five, she is not suitable for cataract surgery? (However, my grandmother is very lively and active, and now that she can hardly see, she is a bit depressed.
Her grandchildren all want to help her find a reassuring doctor for the surgery.) I found Dr.
Hsia Wei-Wei on the Hsinchu Hospital ophthalmology website; are you the same doctor who previously worked at Zhudong Hospital?
Thank you,
Zhang Mingliang

Zhang, 20~29 year old female. Ask Date: 2008/11/10

Dr. Xia Weiwei reply Ophthalmology

Dear Mr.
Chang,
Thank you for your kind words.
Several years ago, I indeed served at the Zhudong Veterans Hospital for two years, and I am currently working at the Hsinchu City Hospital.
Cataract surgery has advanced significantly, and if your grandmother does not have any specific health issues, being 85 years old should not be a barrier to surgery.
Furthermore, since both eyes are showing white spots, the cataracts are likely mature.
I recommend seeking medical attention as soon as possible for further examination and treatment.
Wishing your grandmother a speedy recovery.
Sincerely,
Dr.
Hsiao Wei-Wei

Reply Date: 2008/11/10

More Info

Cataract surgery is generally considered safe for elderly patients, including those who are 85 years old, provided they are in good overall health. Cataracts, which cause clouding of the lens in the eye, can significantly impair vision and affect the quality of life. Given that your grandmother is active and enjoys spending time with her family, addressing her cataracts could greatly enhance her daily activities and emotional well-being.

When evaluating the safety and appropriateness of cataract surgery for an elderly patient, several factors should be considered:
1. Overall Health: The patient's general health status is crucial. If your grandmother is otherwise healthy, with no significant comorbidities that could complicate surgery (such as severe heart or lung disease), she is likely a good candidate for the procedure. It's essential to have a thorough pre-operative assessment, including a review of her medical history and any medications she may be taking.

2. Vision Impairment: The degree of vision impairment caused by the cataracts is also a significant factor. If her vision is severely affected, leading to difficulties in daily activities such as reading, driving, or recognizing faces, surgery may be warranted to improve her quality of life.

3. Surgical Risks: While cataract surgery is one of the most common and safest surgical procedures performed today, risks do exist, especially in older patients. These risks include infection, bleeding, retinal detachment, and complications related to anesthesia. However, the overall complication rate is low, and most patients experience significant improvement in vision post-surgery.

4. Post-operative Care: After surgery, patients typically require follow-up visits to monitor healing and manage any potential complications. It's important to ensure that your grandmother has the necessary support for her recovery, including assistance with medications and transportation to follow-up appointments.

5. Patient's Wishes: Ultimately, the decision should also consider your grandmother's preferences. If she is eager to regain her vision and is mentally prepared for the surgery, this can positively influence her recovery and satisfaction with the outcome.

In terms of the specific surgeon you mentioned, Dr. Xia Weiwei, it would be beneficial to consult with her directly to discuss her experience with cataract surgeries, particularly in elderly patients. A surgeon with a good track record and experience in geriatric ophthalmology can provide reassurance and guidance throughout the process.

In conclusion, cataract surgery can be a safe and effective option for your 85-year-old grandmother, especially considering her active lifestyle and the potential benefits of improved vision. It is essential to have open discussions with her healthcare team, weigh the risks and benefits, and ensure that she feels comfortable and informed about the decision. With proper evaluation and care, cataract surgery could significantly enhance her quality of life.

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