Characteristics of Post-Phacoemulsification Cataract Patients at Kertha Usada General Hospital, Singaraja, Bali – Indonesia in June 2018 - June 2019

Main Article Content

Intan Cendana Sari
IGN Anom Supradnya
I Made Agus Kusumadjadja

Keywords

cataracts, bilaterality, visual acuity

Abstract

Based on Bali Province RISKESDAS (Basic Health Research) in 2007, the highest percentage of blindness was in Buleleng Regency (2.4%) and cataract prevalence in Buleleng Regency was 3.32%. This study aims to determine the characteristics of post-phacoemulsification cataract patients at Kertha Usada General Hospital in June 2018 - June 2019. This is a cross-sectional, descriptive study with total sampling and was obtained from medical records. From the 259 cataract cases, there were 117 (45.2%) men and 142 (54.8%) women. Pre-elderly group (<60


years) were 67 (25.9%) and elderly group (> 60 years) were 192 (74.1%). As many as 97 (37.4%) had cataracts in the right eye, 95 (36.7%) in the left eye, and 67 people (25.9%) in both eyes. Before surgery, there were 164 (63.3%) suffered blindness (UCVA ≤ 3/60), 46 (17.8%)  had severe visual impairment (6/60 ≥ UCVA ≥ 3/60), 47 (18.1%) had moderate visual impairment (16/18 ≥ UCVA ≥ 6/60), and 2 (0.8%) had mild visual impairment (UCVA ≥ 6/18). On the post-operative D+1 there were 181 (69.9%) with good visual acuity, 55 (21.2%) with moderate visual acuity, 7 (7.27%) with poor visual acuity, and 16 (6,2)% with low vision. On  the post-operative D+7 there were 215 (83%) with good visual acuity, 39 (15.1%) with moderate visual acuity, 2 (0.8%) with poor visual acuity, and 3 (1.2%) with low vision. On the post- operative D+30 there were 226 (87.2%) had with good visual acuity, 28 (10.8) with moderate visual acuity, 2 (0.8%) with poor visual acuity, and 3 (1.2%) with low vision.

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References

1. American Academy of Ophthalmology. 2018-2019 Basic and Clinical Science Course. Section 11 Lens and Cataract. 2018. Chapter 1 Epidemiology of Cataract.
2. Lestari, DA. Buku Ajar Oftalmologi, Ed 1. Sitorus RS, Sitompul R, Widyawati Syska, Bani PA. Jakarta: Badan Penerbit FKUI; 2017. h. 526,531-33
3. Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan RI Tahun 2009. Laporan Hasil Riset Kesehatan Dasar (RISKESDAS) Provinsi Bali Tahun 2007. Jakarta. 2009; h. 83,85,87.
4. Dang S. Cataract Surgery Infographic. https://www.aao.org/eye-health/news/cataract- surgery-infographic (accessed 23 July 2019).
5. Alpa S. Patel, M.D., Brad H. Feldman, M.D., Derek W DelMonte, MD, Sadiqa K Stelzner, MD, FACS, Dr. Kabir Hossain and Sebastian Heersink, MD. Cataract. https://eyewiki.aao.org/Cataract (accessed 25 July 2019).
6. Widyawati S. Buku Ajar Oftalmologi, Ed 1. Sitorus RS, Sitompul R, Widyawati Syska, Bani PA. Jakarta: Badan Penerbit FKUI; 2017. Hal. 195
7. American Academy of Ophthalmology. 2018-2019 Basic and Clinical Science Course. Section 11 Lens and Cataract. 2018. Chapter 5 Pathology.
8. Kamal YE, Bani AP. Buku Ajar Oftalmologi, Ed 1. Sitorus RS, Sitompul R, Widyawati Syska, Bani PA. Jakarta: Badan Penerbit FKUI; 2017. Hal.59-61.
9. Gracella F.L, Sutyawan I W.E., Triningrat I A. A. M. P. Karakteristik Penderita Katarak Senilis di Rumah Sakit Umum Pusat Sanglah Tahun 2014. E-Journal Medika 2017; 6(12):
153. https://ojs.unud.ac.id/index.php/eum (accessed 24 March 2020)
10. Ulandari N. N. S. T., Astuti P. A. S. , Adiputra I N.. Employment and Education as Risk Factors of Cataract Incidence on Patients Treated in Eye Health Centre Mataram City West Nusa Tenggara. Public Health and Preventive Medicine Archive (PHPMA) 2014; 2(2): 123. https://www.researchgate.net/publication/332348969_Pekerjaan_dan_Pendidikan_sebagai_Fa ktor_Risiko_Kejadian_Katarak_pada_Pasien_yang_Berobat_di_Balai_Kesehatan_Mata_Mas yarakat_Kota_Mataram_Nusa_Tenggara_Barat/link/5caf3e6592851c8d22e37aef/download (accessed 8 March 2020).
11. Gupta V. B., Rajagopala M., and Ravishankar B. Etiopathogenesis of cataract: An appraisal. Indian J Ophthalmol. 2014; 62(2): . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4005220/ (accessed 8 April 2020).
12. Thanigasalam T., Reddy S. C., Zaki R. A.. Factors Associated with Complications and Postoperative Visual Outcomes of Cataract Surgery; a Study of 1,632 Cases. J Ophthalmic Vis Res 2015; 10(4): . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795386/#ref23 (accessed 17 April 2020).
13. Naeem M, Khan A, Khan MZ, Adil M, Abbas SH, Khan MU, et al. Cataract: Trends in surgical procedures and visual outcomes; a study in a tertiary care hospital. J Pak Med Assoc. 2012;62:209–212. https://jpma.org.pk/article-details/3292?article_id=3292 (accessed 17 April 2020)