Vol. 6, Issue 1, Part A (2024)

Background: Cataract is a decrease in lens quality due to lens crystallization. The definitive treatment for cataracts is surgery. Several factors, such as age, gender, family history, diabetes, and high blood pressure, influence cataract surgery. Cataracts are the most significant cause of blindness in people aged ≥ 50 years in the world. The cataract surgery rate in East Java is the lowest in Indonesia at 29.6%.
Objective: This study aims to determine preoperative data on cataract patients to help with surgical planning and complications during the operation.
Method: This research is a descriptive study with a cross-sectional approach at the Utama Eye Clinic in Gresik with research subjects, namely patients undergoing cataract examination and surgery in October - November 2023. The data used is secondary data through medical records. This research uses univariate analysis.
Results: A total of 185 preoperative cataract patients were collected in this study, with a distribution of 53.5% men and 46.5% women. Most (81 patients; 43.8%) were 60-69 years old. Patients with blindness were 82 eyes (44.32%). Most patients had blood sugar below 200 mg/dL; 164 (88.6%) and 151 (81.4%) had normal blood pressure. Power IOL use in patients ranged from 10 D to 26 D (mean: 20.75 D). The patient's variable IOP (Intra Ocular Pressure) was 7.6 mmHg - 22.90 mmHg (average: 14.53 mmHg). Operation time between 6 – 37 minutes (average: 13.54 minutes). The most extended operation was in 1 patient with a mature senile cataract accompanied by complications of iridodialysis and pseudoexfoliation syndrome.
Conclusion: A complete physical and supporting examination before cataract surgery helps the operator and team plan the surgical method used, anticipate the difficulties that will be faced, and understand the patient's condition to get the best surgical results.