Perbandingan komplikasi antara fakoemulsifikasi dan manual Small-Incision Cataract Surgery (mSICS) pada operasi katarak massal: Sebuah penelitian kohort retrospektif

https://doi.org/10.22146/jcoemph.42182

Tri Winarti(1*), Indra Tri Mahayana(2), Reny Setyowati(3), Suhardjo Pawiroranu(4)

(1) Rumah Sakit Akademik Universitas Gadjah Mada - Departemen Ilmu Kesehatan Mata, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Departemen Ilmu Kesehatan Mata, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Departemen Ilmu Kesehatan Mata, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Departemen Ilmu Kesehatan Mata, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Cataract is the most common cause of reversible blindness, and its prevalence have been increasing in the community depend on the age. Phacoemulsification and manual Small-Incision Cataract Surgery (mSICS) were the techniques of cataract surgery that was frequently used in high-volume cataract surgery setting. This study aimed to compare the complications between phacoemulsification and mSICS in high-volume cataract surgery. This research was a retrospective cohort study with the data taken from the medical record of high-volume cataract surgery organized by Community Ophthalmology Division, Department of Ophthalmology Universitas Gadjah Mada (UGM) from January 2018 to November 2018. Cataract surgery was performed by consultant ophthalmologists, general ophthalmologist, and senior ophthalmology resident for phacoemulsification and by senior ophthalmology resident and junior ophthalmology resident for mSICS. Intraoperative and postoperative complications (i.e. posterior capsule rupture, vitreous prolapse, aphakia, iridodialysis, endophthalmitis) until four weeks of follow up were compared in both techniques. There were 483 patients who had been operated, 188 (38.9%) patients underwent phacoemulsification and 295 (61.1%) patients underwent mSICS. Intraoperative and postoperative complications in phacoemulsification and mSICS performed by senior ophthalmology resident were no statistically significant different (p > 0.05). Nevertheles, there was statistically significant different in the complication of posterior capsule rupture and aphakia in phacoemulsification based on the level of surgeon’s skill (p < 0.05). Most of them performed by senior ophthalmology resident in 11 (35.5%) cases and 5 (16.1%) cases respectively. However, complications in mSICS were no significantly different based on the level of surgeon’s skill performed by senior ophthalmology resident and junior ophthalmology resident (p > 0.05). Complications in phacoemulsification and mSICS performed by senior ophthalmology resident with relatively similar in the level of surgeon’s skill were not significantly different. However, the complication of posterior capsule rupture and aphakia in phacoemulsification was significantly different based on the level of surgeon’s skill.

Keywords


complication; phacoemulsification; mSICS; high-volume cataract surgery

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References

  1. Venkatesh R, Tan CSH, Sengupta S, Ravindran RD, Krishnan KT, Chang DT. Phacoemulsification versus small incision cataract surgery for white cataract. J Cataract Refract Surg. 2010;36:1849-54.
  2. Persatuan Dokter Spesialis Mata Indonesia. Buku pedoman penyelenggaraan bakti sosial operasi katarak seksi penanggulangan buta katarak. Jakarta: Persatuan Dokter Spesialis Mata Indonesia; 2013.
  3. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Riset kesehatan dasar 2013. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013.
  4. Mahayana IT, Setyowati R, Hani SM, Winarti T, Pawiroranu S. Outcomes of manual Small Incision Cataract Surgery (mSICS) compared with phacoemulsification from population based outreach eye camp, in Yogyakarta and Southern Central Java Region, Indonesia. J Community Empowerment for Health. 2018;1:1-6.
  5. Gogate P. Comparison of various techniques for cataract surgery, their efficacy, safety and cost. Oman J Ophthalmol. 2010;3(3):105-6.
  6. Haripriya A, Chang DF, Reena M, Shekhar M. Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital. J Cataract Refract Surg. 2012;38:1360-9.
  7. Greenberg PB, Tseng VL, Wu WC, Liu J, Jiang L, Chen CK, et al. Prevalence and predictors of ocular complications associated with cataract surgery in United States veterans. Ophthalmology. 2011;118:507-14.
  8. Dooley IJ, O’Brien PD. Subjective difficulty of each stage of phacoemulsification cataract surgery performed by basic surgical trainees. J Cataract Refract Surg. 2006;32:604-8
  9. Gogate PM. Small incision cataract surgery: Complications and mini-review. Indian J Ophthalmol. 2009;57(1):45-9.
  10. Burgansky Z, Isakov I, Avizemer H, Bartov E. Minimal astigmatism after sutureless planned extracapsular cataract extraction. J Cataract Refract Surg. 2002;28:499-503.



DOI: https://doi.org/10.22146/jcoemph.42182

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