Abstract

Cataracts are the second most common cause of blindness in the world at 33%. The incidence of cataracts is 0.1% of the total population, so the number of new cataract cases in Indonesia is estimated at 250,000 per year. This study aims to compare the visual acuity of post cataract surgery patients with Small Incision Cataract Surgery and Phacoemulsification techniques at Sanjiwani Hospital, Gianyar. This study was a retrospective cohort at Ophthalmologist’s Outpatient Departement of Sanjiwani Hospital, Gianyar, Bali. The sample of this study was 60 patients with 84 eyes with senile cataract. The surgical techniques performed were Small Incision Cataract Surgery (53.6%) and Phacoemulsification (46.4%). After that, an Uncorrected Visual Acuity (UCVA) examination was carried out on day 1 and day 42. The result were cataract patients at Sanjiwani Hospital, Gianyar aged 60-65 years who were male. Comparison of visual acuity after Small Incision Cataract Surgery and Phacoemulsification had the same results. On day 1 and day 42, there was no different uncorrected visual acuity result between Small Incision Cataract Surgery and Phacoemulsification statistically.

Highlights

  • The WHO definition of blindness is vision >6/18 in the best eye with the best correction visual acuity

  • Sampling was carried out by total sampling from medical records for 2019-2020 which performed Small Incision Cataract Surgery and Phacoemulsification according to inclusion and exclusion criteria

  • There was no significant difference between patients with Uncorrected Visual Acuity (UCVA) on day 1 post Small Incision Cataract Surgery and post Phacoemulsification (X^2= 1.362, p value = 0.506)

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Summary

Introduction

The WHO definition of blindness is vision >6/18 in the best eye with the best correction visual acuity. WHO estimates about 18 million people experienced blindness in both eyes due to cataracts. Indonesia ranks highest in the prevalence of blindness in Southeast Asia at 1.5% and 50% of them are caused by cataracts [1]. Cataracts are the second most common cause of blindness in the world at 33%. Based on the results of the 2013 Basic Health Research (Riskesdas), the prevalence of cataracts in Indonesia is 1.8%. The estimated incidence of cataracts is 0.1% of the total population, so the number of new cataract cases in Indonesia is estimated at 250,000 per year. Cataract is a disease in which the lens becomes cloudy. Aging is the most common cause of cataracts and there are several other factors that influence the occurrence of cataracts, such as gender, trauma, toxins, systemic diseases (hypertension, diabetes), smoking, and heredity [2]

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