Characteristics of high myopia cataract patients undergoing phacoemulsification with capsular tension ring implantation at Bali Mandara Eye Hospital

Main Article Content

Cokorda Istri Dewiyani Pemayun
Jovita Jutamulia https://orcid.org/0000-0001-5682-9633
I Gusti Putu Eka Suryawan Widnyana

Keywords

Cataract, high myopia, phacoemulsification, capsular tension ring, visual acuity

Abstract

Introduction: The prevalence of cataract is increasing among patients with high myopia, making cataract surgery in this population more frequent and more complex than in eyes without high myopia. The capsular tension ring (CTR) may help improve capsular stability and reduce the risk of postoperative complications. Therefore, this study aimed to describe the characteristics of patients with cataract and high myopia who underwent phacoemulsification with CTR implantation at Bali Mandara Eye Hospital, a tertiary referral eye hospital in Bali, from July 2024 to July 2025.


Methods: This descriptive study used secondary data from medical records of patients with cataract and high myopia who underwent phacoemulsification with CTR implantation. Data, including age, sex, education level, and visual acuity before and one month after the procedure, were extracted and analyzed. The data were presented descriptively in frequency tables and narrative form.


Results: In this study, 211 phacoemulsification procedures with CTR implantation were performed, and 105 procedures on 77 patients met the inclusion criteria. The majority of patients were 50 years old or older (72.7%), female (65.0%), and had a higher education level (31.1%). Before the procedure was carried out, the majority of patients had visual acuity in the blindness category (90.4%), while one month postoperatively, most achieved normal vision (53.4%).


Conclusion: Patients with cataract and high myopia who underwent phacoemulsification with CTR implantation were generally older and mostly female. The procedure was followed by improved visual acuity in the majority of patients.

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