Outcomes and complications of cataract surgery in Indonesia: A multicentric study

• Published in: Journal of natural science, biology and medicine Vol. 10; no. 3; pp. 158 - 162
• Main Authors: Rahmawati, Nur, Sarayar, Randy, Pertiwi, Annisa, Putri, Herdanti, Citra Anggini, Arnes, Permaisuari, Nizma, Widya Sieman, Andrew, Viryawan, Cynthia, Chandra, Gabriella, Paramaramya, Dyah, Huda, Muhammad, Lestari, Yeni
• Format: Journal Article
• Language: English
• Published: Mumbai Wolters Kluwer India Pvt. Ltd 01.11.2019; Medknow Publications & Media Pvt. Ltd
• Subjects: Acuity; Age; Blindness; Cataracts; Classification; Comorbidity; Cornea; Developing countries; Edema; Endophthalmitis; Eye; Eye surgery; Hospitals; LDCs; Medical records; Patients; Recovery of function; Sociodemographics; Statistical analysis; Studies; Surgery; Surgical outcomes; Visual impairment; Visual perception; Bali Indonesia; Indonesia; Cataract; complication; visual outcome; surgery
• ISSN: 0976-9668; 2229-7707
• DOI: 10.4103/jnsbm.JNSBM_63_19

Objective: Cataract is the leading cause of blindness worldwide and its only treatment is surgery, which is intended to restore the visual function; the expected outcomes are improved visual acuity (VA) and elimination of blindness. Therefore, evaluation of the outcomes of cataract surgery is needed to improve the quality of treatment programs. Materials and Methods: This was a cross-sectional study of 193 postcataract surgery eyes from August 2017 to March 2018 in six hospitals in Indonesia. Convenience sampling was used. Bivariate and multivariate analyses were performed on the medical records of pre- and postoperative VA, types of surgery, and complications.Results: Of the 193 eyes, 170 were analyzed. Phacoemulsification, manual small-incision cataract surgery, and extracapsular cataract extraction with intraocular lens (IOL) implantation were performed in 45.3%, 51.2%, and 3.5% of eyes, respectively. Preoperatively, 70% were blind, 8.8% had severe visual impairment (SVI), 17.1% had moderate visual impairment (MVI), and 4.1% were normal. Postoperatively, 78.2% were normal, 15.3% had MVI, 2.4% had SVI, and 4.1% were still blind. There were 93.5% of eyes with visual improvement; the blindness conversion rate was 95%. The overall complication rate was 15.3%, mostly from corneal edema (7.1%), followed by IOL dislocation (1.8%) and endophthalmitis (1.2%). There was no statistically significant difference in the postoperative visual outcome between groups treated with or without phacoemulsification (P = 0.870), but complications from corneal edema were statistically significantly higher with phacoemulsification (P = 0.003). Conclusion: All types of cataract surgery significantly improved VA, but the complication rate was higher with phacoemulsification, mostly from corneal edema.