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Patients’ Behavior during Treatment in Patients Older than 90 Years Who Were Diagnosed with Neovascular Age-related Macular Degeneration
Journal of Retina 2018;3(2):57-62
Published online November 30, 2018
© 2018 The Korean Retina Society.

Sang Youn Han, Jong Woo Kim, Chul Gu Kim, Dong Won Lee, Jung Il Han, Su Jin Yoo, Jae Hui Kim

Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea
Correspondence to: Jae Hui Kim, MD
Kim’s Eye Hospital, Konyang University College of Medicine, #136 Yeongsin-ro, Yeongdeungpo-gu, Seoul 07301, Korea
Tel: 82-2-2639-7664, Fax: 82-2-2639-7824
Email: kjh7997@daum.net
Received March 8, 2018; Revised April 12, 2018; Accepted April 12, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords : Attendance; Neovascular age-related macular degeneration


November 2018, 3 (2)
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