Demographic Characteristics and Ocular Biometrics of Cataract Surgery Patients at KMU Eye Clinic Lamongan in April 2024

Authors

DOI:

https://doi.org/10.11594/ojkmi.v7i1.79

Keywords:

age-related cataract, cataract surgery, ocular biometry

Abstract

ABSTRACT

Introduction: Cataract remains the leading cause of blindness in Indonesia, accounting for over 80% of severe visual impairment. Given the substantial burden in East Java, this study aimed to characterize cataract patients' demographic and ocular biometric profiles at KMU Eye Clinic Lamongan.

Methods: A cross-sectional descriptive study reviewed the medical records of patients who underwent cataract surgery in April 2024. Inclusion criteria included patients scheduled for surgery via phacoemulsification or Small Incision Cataract Surgery (SICS). Data collected included demographics, systemic comorbidities, and ocular biometric parameters: intraocular pressure (IOP), anterior chamber depth (ACD), lens thickness (LT), intraocular lens (IOL) power, and surgery duration.

Result: A total of 192 patients were analyzed. The mean age was 63.6±8.3 years, with 50% aged 60-69 years. Hypertension (66.7%) and diabetes (17.2%) were the most common systemic comorbidities. Severe visual impairment (≤3/60) was observed in 59.9% of cases. Phacoemulsification was performed in 97% of surgeries. Mean values for ocular biometrics were: IOP 15.1±3.6 mmHg, ACD 3.2±0.4 mm, LT 4.3±0.7 mm, IOL power 19.8±4.1 D, and surgery time 9.5±3.5 minutes.

Conclusion: Most cataract patients at KMU Eye Clinic Lamongan were elderly with significant systemic comorbidities and severe visual impairment. Phacoemulsification was the preferred surgical technique. Ocular biometric analysis provided essential information for preoperative planning and optimizing cataract management.

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References

Rif’ati L, Halim A, Lestari YD, Moeloek NF, Limburg H. Blindness and visual impairment situation in Indonesia based on rapid assessment of avoidable blindness surveys in 15 provinces. Ophthalmic Epidemiology. 2020 Dec 30;28(5):408–19. doi:10.1080/09286586.2020.1853178

Sarkar D, Sharma R, Singh P, Verma V, Karkhur S, Verma S, et al. Age-related cataract - prevalence, epidemiological pattern and emerging risk factors in a cross-sectional study from Central India. Indian Journal of Ophthalmology. 2023 May;71(5):1905–12. doi:10.4103/ijo.ijo_2020_22

Miller KM, Oetting TA, Tweeten JP, Carter K, Lee BS, Lin S, et al. Cataract in the Adult Eye Preferred Practice Pattern®. Ophthalmology. 2022 Jan;129(1). doi:10.1016/j.ophtha.2021.10.006

Cataract surgery in small eyes [Internet]. [cited 2024 June 6]. Available from: https://eyewiki.aao.org/Cataract_Surgery_in_Small_Eyes

Fang R, Yu Y-F, Li E-J, Lv N-X, Liu Z-C, Zhou H-G, et al. Global, regional, national burden and gender disparity of cataract: Findings from the global burden of disease study 2019. BMC Public Health. 2022 Nov 12;22(1). doi:10.1186/s12889-022-14491-0

Lou L, Ye X, Xu P, Wang J, Xu Y, Jin K, et al. Association of sex with the global burden of cataract. JAMA Ophthalmology. 2018 Feb 1;136(2):116. doi:10.1001/jamaophthalmol.2017.5668

Lai K, Cui J, Ni S, Zhang Y, He J, Yao K. The effects of postmenopausal hormone use on cataract: A meta-analysis. PLoS ONE. 2013 Oct 24;8(10). doi:10.1371/journal.pone.0078647

Geiger MD, Palestine AG, Grove NC, Christopher KL, Davidson RS, Taravella MJ, et al. Are there sex-based disparities in cataract surgery? International Journal of Ophthalmology. 2024 Jan 18;17(1):137–43. doi:10.18240/ijo.2024.01.19

Sathyan P. A three year analysis of systemic comorbidities in cataract operated patients in India. Journal of Clinical and Diagnostic Research. 2017; doi:10.7860/jcdr/2017/30410.10682

Grzybowski A, Kanclerz P, Huerva V, Ascaso FJ, Tuuminen R. Diabetes and phacoemulsification cataract surgery: Difficulties, risks and potential complications. Journal of Clinical Medicine. 2019 May 20;8(5):716. doi:10.3390/jcm8050716

Kumar CM, Seet E, Eke T, Joshi GP. Hypertension and cataract surgery under Loco-Regional Anaesthesia: Not to be ignored? British Journal of Anaesthesia. 2017 Nov;119(5):855–9. doi:10.1093/bja/aex247

Ugalahi MO, Uchendu OC, Ugalahi LO. Preoperative visual acuity of cataract patients at a tertiary hospital in sub-Saharan africa: A 10-Year review. Therapeutic Advances in Ophthalmology. 2019 Jan;11:251584141988645. doi:10.1177/2515841419886451

Singh B, Kumar P, Moulick PS, Shankar S, Kaushik J, Sati A. Comparison of changes in blood pressure in phacoemulsification cataract surgery performed via topical and peribulbar anaesthesia: A cohort study. Medical Journal Armed Forces India. 2023 Jan;79(1):34–9. doi:10.1016/j.mjafi.2020.12.017

Jaggernath J, Gogate P, Moodley V, Naidoo KS. Comparison of cataract surgery techniques: Safety, efficacy, and cost-effectiveness. European Journal of Ophthalmology. 2014 Jul;24(4):520–6. doi:10.5301/ejo.5000413

Kurawa M, Abdu L. Demographic characteristics and visual status of patients undergoing cataract surgery at a tertiary hospital in Kano, Nigeria. Annals of African Medicine. 2017;16(4):170. doi:10.4103/aam.aam_123_16

Ngugi AK, Agoi F, Mahoney MR, Lakhani A, Mang’ong’o D, Nderitu E, et al. Utilization of health services in a resource-limited rural area in Kenya: Prevalence and associated household-level factors. PLOS ONE. 2017 Feb 27;12(2). doi:10.1371/journal.pone.0172728

Kasssa MS, Gessesse GW. Ocular biometry and power of intraocular lens among cataract patients in rural eastern Ethiopia. 2020 Jan 9; doi:10.21203/rs.2.20424/v1

Ning X, Yang Y, Yan H, Zhang J. Anterior chamber depth — a predictor of refractive outcomes after age-related cataract surgery. BMC Ophthalmology. 2019 June 25;19(1). doi:10.1186/s12886-019-1144-8

Küchle M, Viestenz A, Martus P, Händel A, Jünemann A, Naumann GOH. Anterior chamber depth and complications during cataract surgery in eyes with pseudoexfoliation syndrome. American Journal of Ophthalmology. 2000 Mar;129(3):281–5. doi:10.1016/s0002-9394(99)00365-7

Schuster AK, Pfeiffer N, Nickels S, Schulz A, Höhn R, Wild PS, et al. Distribution of anterior chamber angle width and correlation with age, refraction, and anterior chamber depth—the Gutenberg Health Study. Investigative Ophthalmology & Visual Science. 2016 Jul 14;57(8):3740. doi:10.1167/iovs.16-19600

Lei Q, Tu H, Feng X, Ortega-Usobiaga J, Cao D, Wang Y. Distribution of ocular biometric parameters and optimal model of anterior chamber depth regression in 28,709 adult cataract patients in China using swept‐source optical biometry. BMC Ophthalmology. 2021 Apr 13;21(1). doi:10.1186/s12886-021-01932-4

Kasssa MS, Gessesse GW. Ocular biometry and power of intraocular lens among cataract patients in rural eastern Ethiopia. 2020 Jan 9; doi:10.21203/rs.2.20424/v1

Gupta V, Pal H, Sawhney S, Aggarwal A, Vanathi M, Luthra G. Optimization of biometry for best refractive outcome in cataract surgery. Indian Journal of Ophthalmology. 2023 Dec 22;72(1):29–43. doi:10.4103/ijo.ijo_1219_23

Rothschild P-R, Grabar S, Le Dû B, Temstet C, Rostaqui O, Brézin AP. Patients’ subjective assessment of the duration of cataract surgery: A case series. BMJ Open. 2013;3(5). doi:10.1136/bmjopen-2012-002497

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Submitted

20-06-2024

Accepted

29-04-2025

Published

30-04-2025

How to Cite

Salsabila, K. D., & Unari, U. (2025). Demographic Characteristics and Ocular Biometrics of Cataract Surgery Patients at KMU Eye Clinic Lamongan in April 2024. Oftalmologi Jurnal Kesehatan Mata Indonesia, 7(1), 1–9. https://doi.org/10.11594/ojkmi.v7i1.79