Success Rate of Phacoemulsification for Cataract in Patients with High-Degree Myopia in National Eye Center Cicendo Eye Hospital Bandung, Indonesia

Main Authors: Budiman, Nadia Khairina, Knoch, Andrew Maximilian, Susanti, Yuni
Format: Article info application/pdf eJournal
Language: eng
Published: Althea Medical Journal , 2014
Online Access: http://journal.fk.unpad.ac.id/index.php/amj/article/view/290
http://journal.fk.unpad.ac.id/index.php/amj/article/view/290/286
ctrlnum article-290
fullrecord <?xml version="1.0"?> <dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><title lang="en-US">Success Rate of Phacoemulsification for Cataract in Patients with High-Degree Myopia in National Eye Center Cicendo Eye Hospital Bandung, Indonesia</title><creator>Budiman, Nadia Khairina</creator><creator>Knoch, Andrew Maximilian</creator><creator>Susanti, Yuni</creator><subject lang="en-US"/><subject lang="en-US"/><description lang="en-US">Background: Phacoemulsification is one of the procedures performed in cataract with high-degree myopia patients. Patients with high-degree myopia have a higher risk for postoperative complications due to phacoemulsification which affects their visual acuity. These patients also have higher manifest refraction compared to cataract without high-degree myopia. This study aims to evaluate the success rate of phacoemulsification for cataract in patients with high-degree myopia in National Eye Center, Cicendo Eye Hospital Bandung, Indonesia.Methods: A descriptive study was performed by collecting data from medical records on phacoemulsification in cataract patients with high-degree myopia at the National Eye Center, Cicendo Eye Hospital, during January&#x2013;December 2011. There were 79 cases out of 136 cases that met the inclusion criterias, those were cataract patients with high-degree myopia who underwent phacoemulsification and patients who did regular follow up visits. Data were analyzed using computer.Results: The results showed that from 79 cases, 44(55.7%) cases involved female patients. Visual acuity after phacoemulsfication increased gradually at 1&#x2013;2 months follow-up. Eighty one percent cases have been corrected at best with a visual acuity of higher than 6/18. No intraoperative complication occurred in 96.2% of the cases but 3.8% cases had zonular dialysis and vitreous prolaps as intraoperative complication. Meanwhile, corneal edema as postoperative complications occurred in 58.3% of the patients. A total of 17 (21.5%) cases had manifested refraction more than &#xB1;2.00 diopter.Conclusions: Phacoemulsification in cataract with high-degree myopia resulted in good visual acuity and minimal complications. However, extreme manifest refraction still occurs in several patients [AMJ.2014;1(1):12&#x2013;6]Keywords: cataract, high-degree myopia, phacoemulsification&#xA0;Tingkat Keberhasilan Fakoemulsifikasi pada Penderita Katarak yang Disertai Miopia Tinggi di Pusat Mata Nasional Rumah Sakit Mata Cicendo, Bandung, IndonesiaLatar Belakang: Miopia tinggi diketahui berhubungan dengan terjadinya katarak. Kasus-kasus tersebut memiliki risiko komplikasi fakoemulsifikasi yang lebih tinggi dibandingkan katarak biasa dan dapat memengaruhi tajam penglihatan serta kualitas hidup pasien sehingga dibutuhkan evaluasi mengenai tingkat keberhasilan fakoemulsifikasi. Penelitian ini bertujuan untuk mengetahui gambaran tajam penglihatan pascabedah, komplikasi,dan refraksi manifes pada penderita katarak disertai miopia tinggi yang menjalani prosedur fakoemulsifikasi.Metode: Penelitian dilakukan dengan metode deskriptif dengan pengambilan data sekunder dari rekam medis di Pusat Mata Nasional Rumah Sakit Mata Cicendo pada Januari&#x2013;Desember tahun 2011. Ada 79 kasus dari 136 kasus yang memenuhi kriteria inklusi yaitu penderita katarak dengan derajat miopia tinggi yang menjalani fakoemulsifikasi dan rutin datang berobat. Data diolah menggunakan program komputer.Hasil: Hasil penelitian menunjukkan bahwa tajam penglihatan tanpa koreksi 1 hari pascabedah fakoemulsifikasi pada 49,4% kasus dibawah 6/60 yang berangsur membaik pada kunjungan 1&#x2013;2 bulan. Sebanyak 81,0% kasus memiliki tajam penglihatan dengan koreksi terbaik diatas 6/18. Terdapat 96,2% kasus yang tidak mengalami komplikasi intrabedah. Edema kornea sebagai komplikasi 1 hari pascabedah fakoemulsifikasi cukup banyak terjadi yaitu sebanyak 45,6%. Pada penelitian ini didapatkan refraksi manifes dengan rentang -12.00 sampai +10.00 dioptri, 78,5% berada dalam rentang &#xB1;2.00.Simpulan: Prosedur pada katarak miopia tinggi menunjukkan hasil penglihatan yang baik dan komplikasi minimal , tetapi pada katarak yang disertai miopia tinggi masih terdapat pasien yang memiliki refraksi manifes yang cukup berat.Kata kunci: Fakoemulsifikasi, katarak, miopia tinggi&#xA0;DOI: 10.15850/amj.v1n1.290</description><publisher lang="en-US">Althea Medical Journal</publisher><publisher lang="id-ID">Althea Medical Journal</publisher><contributor lang="en-US"/><date>2014-02-25</date><type>Journal:Article</type><type>Other:info:eu-repo/semantics/publishedVersion</type><type>Journal:Article</type><type>Other:</type><type>File:application/pdf</type><identifier>http://journal.fk.unpad.ac.id/index.php/amj/article/view/290</identifier><source lang="en-US">Althea Medical Journal; Vol 1, No 1 (2014); 12-16</source><source lang="id-ID">Althea Medical Journal; Vol 1, No 1 (2014); 12-16</source><source>2337-4330</source><language>eng</language><relation>http://journal.fk.unpad.ac.id/index.php/amj/article/view/290/286</relation><recordID>article-290</recordID></dc>
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Journal
Other:info:eu-repo/semantics/publishedVersion
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author Budiman, Nadia Khairina
Knoch, Andrew Maximilian
Susanti, Yuni
title Success Rate of Phacoemulsification for Cataract in Patients with High-Degree Myopia in National Eye Center Cicendo Eye Hospital Bandung, Indonesia
publisher Althea Medical Journal
publishDate 2014
url http://journal.fk.unpad.ac.id/index.php/amj/article/view/290
http://journal.fk.unpad.ac.id/index.php/amj/article/view/290/286
contents Background: Phacoemulsification is one of the procedures performed in cataract with high-degree myopia patients. Patients with high-degree myopia have a higher risk for postoperative complications due to phacoemulsification which affects their visual acuity. These patients also have higher manifest refraction compared to cataract without high-degree myopia. This study aims to evaluate the success rate of phacoemulsification for cataract in patients with high-degree myopia in National Eye Center, Cicendo Eye Hospital Bandung, Indonesia.Methods: A descriptive study was performed by collecting data from medical records on phacoemulsification in cataract patients with high-degree myopia at the National Eye Center, Cicendo Eye Hospital, during January–December 2011. There were 79 cases out of 136 cases that met the inclusion criterias, those were cataract patients with high-degree myopia who underwent phacoemulsification and patients who did regular follow up visits. Data were analyzed using computer.Results: The results showed that from 79 cases, 44(55.7%) cases involved female patients. Visual acuity after phacoemulsfication increased gradually at 1–2 months follow-up. Eighty one percent cases have been corrected at best with a visual acuity of higher than 6/18. No intraoperative complication occurred in 96.2% of the cases but 3.8% cases had zonular dialysis and vitreous prolaps as intraoperative complication. Meanwhile, corneal edema as postoperative complications occurred in 58.3% of the patients. A total of 17 (21.5%) cases had manifested refraction more than ±2.00 diopter.Conclusions: Phacoemulsification in cataract with high-degree myopia resulted in good visual acuity and minimal complications. However, extreme manifest refraction still occurs in several patients [AMJ.2014;1(1):12–6]Keywords: cataract, high-degree myopia, phacoemulsification Tingkat Keberhasilan Fakoemulsifikasi pada Penderita Katarak yang Disertai Miopia Tinggi di Pusat Mata Nasional Rumah Sakit Mata Cicendo, Bandung, IndonesiaLatar Belakang: Miopia tinggi diketahui berhubungan dengan terjadinya katarak. Kasus-kasus tersebut memiliki risiko komplikasi fakoemulsifikasi yang lebih tinggi dibandingkan katarak biasa dan dapat memengaruhi tajam penglihatan serta kualitas hidup pasien sehingga dibutuhkan evaluasi mengenai tingkat keberhasilan fakoemulsifikasi. Penelitian ini bertujuan untuk mengetahui gambaran tajam penglihatan pascabedah, komplikasi,dan refraksi manifes pada penderita katarak disertai miopia tinggi yang menjalani prosedur fakoemulsifikasi.Metode: Penelitian dilakukan dengan metode deskriptif dengan pengambilan data sekunder dari rekam medis di Pusat Mata Nasional Rumah Sakit Mata Cicendo pada Januari–Desember tahun 2011. Ada 79 kasus dari 136 kasus yang memenuhi kriteria inklusi yaitu penderita katarak dengan derajat miopia tinggi yang menjalani fakoemulsifikasi dan rutin datang berobat. Data diolah menggunakan program komputer.Hasil: Hasil penelitian menunjukkan bahwa tajam penglihatan tanpa koreksi 1 hari pascabedah fakoemulsifikasi pada 49,4% kasus dibawah 6/60 yang berangsur membaik pada kunjungan 1–2 bulan. Sebanyak 81,0% kasus memiliki tajam penglihatan dengan koreksi terbaik diatas 6/18. Terdapat 96,2% kasus yang tidak mengalami komplikasi intrabedah. Edema kornea sebagai komplikasi 1 hari pascabedah fakoemulsifikasi cukup banyak terjadi yaitu sebanyak 45,6%. Pada penelitian ini didapatkan refraksi manifes dengan rentang -12.00 sampai +10.00 dioptri, 78,5% berada dalam rentang ±2.00.Simpulan: Prosedur pada katarak miopia tinggi menunjukkan hasil penglihatan yang baik dan komplikasi minimal , tetapi pada katarak yang disertai miopia tinggi masih terdapat pasien yang memiliki refraksi manifes yang cukup berat.Kata kunci: Fakoemulsifikasi, katarak, miopia tinggi DOI: 10.15850/amj.v1n1.290
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