<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2176</journal-id>
<journal-title><![CDATA[Revista Cubana de Oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Oftalmol]]></abbrev-journal-title>
<issn>0864-2176</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21762022000300005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados de la cirugía de catarata en pacientes longevos]]></article-title>
<article-title xml:lang="en"><![CDATA[Outcomes of Cataract Surgery in Long-lived Patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuan Aguilar]]></surname>
<given-names><![CDATA[Yoriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montero Díaz]]></surname>
<given-names><![CDATA[Eric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Martínez]]></surname>
<given-names><![CDATA[Judith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Candelaria]]></surname>
<given-names><![CDATA[Eneida C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Castillo]]></surname>
<given-names><![CDATA[Marieta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Cubano de Oftalmología &#8220;Ramón Pando Ferrer&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Universitario &#8220;Felipe I. Rodríguez Ramos&#8221;  ]]></institution>
<addr-line><![CDATA[San Antonio de los Baños ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>35</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21762022000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21762022000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21762022000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Evaluar los resultados clínico-quirúrgicos de la cirugía de catarata del primer ojo y su efecto en la calidad de vida de pacientes longevos.  Métodos:  Se realizó una investigación longitudinal prospectiva, del tipo series de casos en pacientes de 80 y más años de edad (longevos) sometidos a cirugía de catarata en un primer ojo con implante de lente intraocular. Se compararon los resultados visuales y la calidad de vida autopercibida, antes y después de la cirugía. Se identificaron las causas oculares en los casos con impedimento visual posoperatorio.  Resultados:  Se estudiaron 88 pacientes con una edad promedio de 87,97 años. Predominaron los pacientes femeninos (63,63 %), de color de piel blanca (75 %), con hipertensión arterial (61,36 %) y diabetes mellitus (23,86 %). El 18,18 % tenía antecedentes oculares de glaucoma. Se utilizó la facoemulsificación en el 52,27 % como técnica quirúrgica. El síndrome de iris fláccido intraoperatorio y la hipertensión ocular fueron las complicaciones intraoperatorias más frecuentes. El edema corneal predominó como complicación posquirúrgica (10,2 %). La función visual (agudeza visual sin corrección y agudeza visual mejor corregida), así como la calidad de vida autopercibida mejoraron significativamente en el posoperatorio (p &lt; 0,001). La degeneración macular asociada a la edad y la membrana epiretiniana fueron las principales causas, en ese orden, de impedimento visual posoperatorio.  Conclusiones:  La cirugía de catarata del primer ojo mejora la función visual y la calidad de vida autopercibida de pacientes longevos. La degeneración macular asociada a la edad es la principal causa del impedimento visual posoperatorio de estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To evaluate the clinical-surgical outcomes of cataract surgery of the first eye and its effect on quality of life in long-lived patients.  Methods:  A prospective, longitudinal, case series type investigation was performed in patients 80 years of age and older (long-lived) who underwent first eye cataract surgery with intraocular lens implantation. Visual outcomes and self-perceived quality of life before and after surgery were compared. Ocular causes were identified in cases with postoperative visual impairment.  Results:  We studied 88 patients with an average age of 87.97 years. Female patients predominated (63.63 %), with white skin color (75 %), with arterial hypertension (61.36 %) and diabetes mellitus (23.86 %). 18,18 % had an ocular history of glaucoma. Phacoemulsification was used as a surgical technique in 52.27 %. Intraoperative flaccid iris syndrome and ocular hypertension were the most frequent intraoperative complications. Corneal edema predominated as a postoperative complication (10.2 %). Visual function (uncorrected visual acuity and best corrected visual acuity) as well as self-perceived quality of life improved significantly postoperatively (p &lt; 0.001). Age-related macular degeneration and epiretinal membrane were the main causes, in that order, of postoperative visual impairment.  Conclusions:  First eye cataract surgery improves visual function and self-perceived quality of life in long-lived patients. Age-related macular degeneration is the main cause of postoperative visual impairment in these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía de catarata]]></kwd>
<kwd lng="es"><![CDATA[pacientes longevos]]></kwd>
<kwd lng="es"><![CDATA[función visual]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="en"><![CDATA[cataract surgery]]></kwd>
<kwd lng="en"><![CDATA[long-lived patients]]></kwd>
<kwd lng="en"><![CDATA[visual function]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
</kwd-group>
</article-meta>
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