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KMID : 1151620180030020057
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Journal of Retina
2018 Volume.3 No. 2 p.57 ~ p.63
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Patients’ Behavior during Treatment in Patients Older than 90 Years Who Were Diagnosed with Neovascular Age-related Macular Degeneration
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Han Sang-Youn
Kim Jong-Woo
Kim Chul-Gu
Lee Dong-Won
Han Jung-Il
Yoo Su-Jin
Kim Jae-Hui
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Abstract
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Purpose: To evaluate patient behavior during treatment in those over 90 years old diagnosed with neovascular age-related macular degeneration (AMD).
Methods: A retrospective review of medical records was performed of patients over 90 years old who were diagnosed with neovascular AMD. The reasons for delays of 2 months or longer in hospital visits and follow-up discontinuation were identified.
Results: Forty-four patients were included in the study. The mean age was 91.5 ± 1.5 years and the mean follow-up period was 26.9 ± 19.2 months. Delayed hospital visits were noted in 13 patients. The reasons included aggravation of systemic disease (n = 4), aggravation of physical frailty (n = 4), and fracture due to fall (n = 1). The reason was not identified in the remaining four patients. Follow-up discontinuation was noted in 20 patients. The reasons were aggravation of systemic disease (n = 4), aggravation of physical frailty (n = 3), dissatisfaction with treatment outcome (n = 2), and referral to another clinic (n = 4). The reason was not identified in the remaining 7 patients.
Conclusions: In patients over 90 years old, physical frailty was found to be one of the main reasons for delayed hospital visits and follow-up discontinuation. Since frequent hospital follow-up is required for appropriate treatment of neovascular AMD, management of physical frailty is needed in elderly patients.
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KEYWORD
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Attendance, Neovascular age-related macular degeneration
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