Materials and Methods: We retrospectively reviewed the charts of 34 (41 eyes) eligible patients who underwent phacoemulsifi cation cataract surgery. Demographics, co-existing ocular diseases, preoperative and postoperative best-corrected visual acuity (BCVA), intraoperative and postoperative complications were noted.

Results: The mean age of the patients was 93.42 years (range 90-103). The most frequent coexisting ocular diseases were age-related macular degeneration and glaucoma. Preoperative BCVA was above 1 logMAR in 16 eyes (47%) and 1 logMAR or below in 18 (53%) eyes. In the third month after surgery, BCVA improved in all subjects and was below 0.3 logMAR in 26 (76%) eyes. A mean improvement of 1.15 logMAR was obtained postoperatively (p<0.001). The most frequent intraoperative complications were zonular dialysis (3 eyes) and posterior capsule rupture with vitreus loss (3 eyes).

Conclusion: Cataract removal with phacoemulsifi cation seems to be effective in subjects over 90 years of age. Advanced age alone may not be a barrier to perform cataract surgery in this age group but benefi t-risk assessment should be individualized. Keywords : cataract, elderly, geriatrics, phacoemulsification