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Profile of visual acuity improvement of cataract patients after phacoemulsification cataract surgery at Udayana Army Hospital in 2016 - 2017

I Made Agus Kusumadjaja , Paskalin Yohansyah, Dharma Kusuma, Ni Made Oka Handayani

I Made Agus Kusumadjaja
Ophthalmology Department, Faculty of Medicine Udayana University. Email: imadeagus@yahoo.com

Paskalin Yohansyah
Opthalmology Department of Udayana Army Hospital

Dharma Kusuma
Opthalmology Department of Udayana Army Hospital

Ni Made Oka Handayani
Opthalmology Department of Udayana Army Hospital
Online First: December 30, 2018 | Cite this Article
Kusumadjaja, I., Yohansyah, P., Kusuma, D., Oka Handayani, N. 2018. Profile of visual acuity improvement of cataract patients after phacoemulsification cataract surgery at Udayana Army Hospital in 2016 - 2017. Bali Journal of Ophthalmology 2(2). DOI:10.15562/bjo.v2i2.28


Background: Cataract can occur at young until middle age, and prevalence is highly increased in elderly. Cataract can cause blind and vision impairment, therefore, effective and efficient management is needed, one of them is phacoemulsification as the latest cataract surgery.

Objective: To describe the profile of visual acuity improvement in cataract patients after phacoemulsification surgery at Udayana Army Hospital (2016-2017).

Method: It was a retrospective, descriptive study. Study subjects were all cataract patients who underwent phaecoemulsification at Udayana Army Hospital (2016-2017), collected with purposive sampling and medical record data were analyzed using IBM SPSS Statistic 21; presented with Microsoft Word.

Result: Among 298 samples, there were 149 males (50%) and 149 females (50%). Median age was 65 years, maximum age was 88 years and minimum age was 29 years.  Cataract patients with comorbidities was 66 patients; 29 with diabetes mellitus, 37 with hypertension, and 10 both. Visual acuity improvement until achieve optimal target (≥6/18) was found in third month after significant correction; 85.8% in right eye and 90.3% in left eye. The success of this phaecoemulsification was also influenced by complications such as the presence of posterior capsule rupture in the right eye at 1.2% and in the left eye 0.8% and right eye corneal decompensation at 1.7% and at the left eye at 1, 3%.

Conclusion: There was no significant sex difference in cataract incidence. There was visual acuity improvement in cataract patients in third month about 85%-90%. There are also complications such as posterior capsule rupture and corneal decompensation in phacoemulsification.
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