Toyama T, et al. - Authors assessed the visual acuity (VA) outcomes following phacoemulsification cataract surgery in the very elderly (≥90 years) vs in younger patients. They retrospectively evaluated 138 eyes in patients aged ≥90 (group 1) and 152 eyes in patients aged < 80 years (group 2) with senile cataracts who had phacoemulsification and intraocular lens implantation between 2014 and 2016. When performed by experienced surgeons, VA was seen to improve by phacoemulsification in patients aged ≥90 years as effectively and safely as in younger patients. Multiple regression analysis, after adjusting for the difference in cataract grades, indicated equally favorable best-corrected VA improvement in both groups at 1 and 3 months postoperatively; at 3 months postoperatively, this improvement was less favorable in patients with a history of diabetes mellitus.