Visual Outcomes After Phacoemulsification in Sanjiwani Hospital Gianyar, Bali, Indonesia

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  •   Risna Dea Pramita

  •   Ni Nyoman Sunariasih

Abstract

The rate of blindness and visual impairment due to cataract is still high, especially in developing countries such as Indonesia. Phacoemulsification is one of the most advanced cataract surgery methods currently available. This study aims to evaluate the result of visual acuity in post-phacoemulsification cataract patients in Sanjiwani Hospital. This retrospective study used data obtained from medical records of patients who underwent phacoemulsification between 2019-2020. There were 45 eyes from a total of 35 patients. Most patients were male with an average age of 71± 9.58 years old. Around 71.1% of samples obtained good outcome (visual acuity of ≥ 6/18) 6 weeks after surgery. Meanwhile, 26.6% obtained a borderline outcome (visual acuity of 6/18-6/60) and one person had a poor outcome (visual acuity of <6/60). No intraoperative complication was recorded. There were 2 postoperative complications in the form of IOL dislocation. This result revealed a low complication rate. However, the percentage of good outcome has not reached WHO’s recommendation, which is 80%. Further studies with larger sample size and more complete data will be good to evaluate visual outcomes of phacoemulsification more optimally.


Keywords: cataract, phacoemulsification, visual acuity

References

REFERENCES

S.R. Flaxman, R.R.A. Bourne, S. Resnikoff, P. Ackland, T. Braithwaite, M.V. Cicinelli, A. Das, .J.B. Jonas, J. Keeffe, J.H. Kempen, J. Leasher, H. Limburg, K. Naidoo, K. Pesudovs, A. Silvester, G.A. Stevens, N. Tahhan, T.Y. Wong, H.R. Taylor, Vision Loss Expert Group of the Global Burden of Disease Study, “Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis,” Lancet Glob Health, vol. 5, no. 12, pp. 1221-34, 2017.

H. Limburg, J. Ramke, “Cataract indicators: their development and use over the last 30 years,” Community eye health, vol. 30, no. 100, pp. 82-4, 2017.

Kementrian Kesehatan Republik Indonesia, InfoDATIN Pusat Data dan Informasi; Jakarta: Kementrian Kesehatan RI, 2018. pp. 5-6.

Suhardjo, A. Nugroho, T. Winarti, “Lensa Mata dan Katarak,” in Ilmu Kesehatan Mata, 3rd edition, Suhardjo, A.N. Agni, Ed. Yogyakarta: Departemen Ilmu Kesehatan Mata Fakultas Kedokteran Universitas Gadjah Mada, 2017, pp. 111-25.

D. Yorston, “High-volume surgery in developing countries,” Eye, vol. 19, pp. 1083–89, 2005.

S. Lewallen, P. Courtright, “Gender and use of cataract surgical services in developing countries,” Bull World Health Organ, vol. 80, no. 4, pp. 300-3, 2002.

A.A. Nizami, A.C. Gulani, Cataract. [Updated 2020 Nov 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539699/.

O. Oderinlo, A.O. Hassan, F.O. Oluyadi, A.O. Ogunro, O.N. Okonkwo, M.O. Ulaikere, O. Ashano, “Refractive aim and visual outcome after phacoemulsification: A 2-year review from a Tertiary Private Eye Hospital in Sub-Saharan Africa,” Niger J Clin Pract, vol. 20, no. 2, pp. 147-52, 2017.

O.O. Olawoye, A.O. Ashaye, C.O. Bekibele, B.G. Ajayi, “Visual outcome after cataract surgery at the university college hospital, ibadan,” Ann Ib Postgrad Med, vol. 9, no. 1, pp. 8-13, 2011.

S. Matta, J. Park, G. Palamaner Subash Shantha, R.C. Khanna, G.N. Rao, “Cataract Surgery Visual Outcomes and Associated Risk Factors in Secondary Level Eye Care Centers of L V Prasad Eye Institute, India,” PLoS One, vol. 11, no. 1, 2016.

L. Rementería-Capelo, J. García-Pérez, J. Gros-Otero, A. Morán, J. Sánchez-Pina, I. Contreras, “Visual and Refractive Outcomes of Cataract Surgeries Performed in One Year in a Private Practice Setting: Review of 2714 Procedures,” Journal of Ophthalmology, pp.1-9, 2020.

World Health Organization, Informal consultation on analysis of blindness prevention outcomes; Geneva: WHO, 1998.

C. Cook, “How to improve the outcome of cataract surgery,” Community Eye Health, vol. 13, no. 35, pp. 37-8, 2000.

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How to Cite
Pramita, R. D., & Sunariasih, N. N. (2021). Visual Outcomes After Phacoemulsification in Sanjiwani Hospital Gianyar, Bali, Indonesia. European Journal of Medical and Health Sciences, 3(1), 194-196. https://doi.org/10.24018/ejmed.2021.3.1.721