Characteristics of Cataract Surgery at the Banten Regional General Hospital in 2024

Java Indra Maulana S; Syifa Husna Mahmudah

doi:10.59141/-.v8i1.481

Authors

Java Indra Maulana S RSUD Banten
Syifa Husna Mahmudah RSUD Banten

DOI:

https://doi.org/10.59141/-.v8i1.481

Keywords:

Cataract surgery, phacoemulsification, ECCE, surgical characteristics, intraocular lens

Abstract

Cataract is the leading cause of treatable blindness worldwide. Cataract surgery has undergone significant evolution in recent decades, with phacoemulsification becoming the technique of choice in developing countries. This study aims to analyze the characteristics of cataract surgery techniques performed at Banten Regional General Hospital in 2024. This study used a descriptive research design with a cross-sectional approach. Data were obtained from medical records of patients who underwent cataract surgery at Banten Regional General Hospital from January to December 2024. Inclusion criteria included all patients who underwent cataract surgery at Banten Regional General Hospital in 2024. Exclusion criteria included incomplete medical records. Based on the research, a total of 631 cataract surgery cases were found in 2024. The distribution of surgical techniques showed phacoemulsification with intraocular lens (IOL) implantation as the dominant technique, with 625 cases (99.0%), followed by extracapsular cataract extraction (ECCE) with 3 cases (0.5%), and other procedures each with 1 case (0.2%). Monthly distribution showed the highest peak in August (96 cases, 15.2%) and the lowest in December (19 cases, 3.0%). In conclusion, phacoemulsification with IOL is the most dominant cataract surgery technique at Banten Regional General Hospital in 2024, demonstrating the adoption of modern technology in ophthalmology services at regional hospitals.

Downloads

Download data is not yet available.

References

Atima, O. M., & Dingwoke, E. J. (2025). Long-term success in phacoemulsification surgery: What can we learn? Archives of Clinical and Experimental Ophthalmology, 7(1), 17–20.

Boccuzzi, D., Napolitano, P., Giannaccare, G., & Taloni, A. (2025). Comparative analysis of fluidics and efficiency among different phaco-emulsifying machines employed for cataract surgery. Scientific Reports, 15(1), 45699. https://doi.org/10.1038/s41598-025-45699

Chen, R., Xu, T., Xi, C., Liu, K., Hu, K., & Chen, B. (2025). An applied study of phacoemulsification cataract surgery with the mortise and tenon limbal incision. Scientific Reports, 15(1), 19464. https://doi.org/10.1038/s41598-025-19464

Gurnani, B., & Kaur, K. (2025). Phacoemulsification. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK576419/

Halim, J., Micheletti, E., Dari, M. L., Mandal, N., & Khan, S. R. (2025). Incidence and outcomes of dropped nucleus after phacoemulsification cataract surgery between 2020 and 2024. Journal of Clinical and Translational Ophthalmology, 3(4), 26.

Health Research and Development Agency. (2018). RISKESDAS national report 2018. Ministry of Health of the Republic of Indonesia.

Lee, C., Shin, E., Kim, M., Bae, Y., Chung, T. Y., Seo, S. W., et al. (2023). The effect of cataract surgery on the risk of dementia: A nationwide cohort study. Journal of Clinical Medicine, 12(20), 6441. https://doi.org/10.3390/jcm12206441

Lee, C. S., Gibbons, L. E., Lee, A. Y., Yanagihara, R. T., Blazes, M. S., Lee, M. L., et al. (2022). Association between cataract extraction and development of dementia. JAMA Internal Medicine, 182(2), 134–141. https://doi.org/10.1001/jamainternmed.2021.6990

McCreery, A., O’Regan, A., & Horgan, N. (2024). Teaching of manual cataract extraction in ophthalmic surgical training programmes. Irish Journal of Medical Science, 193(5), 2125–2127. https://doi.org/10.1007/s11845-024-03225

Melega, M. V., Pessoa Cavalcanti Lira, R., Da Silva, I. C., Ferreira, B. G., Assis Filho, H. L., Martini, A. A., et al. (2020). Comparing resident outcomes in cataract surgery at different levels of experience. Clinical Ophthalmology, 14, 4523–4531. https://doi.org/10.2147/OPTH.S280946

Mohanty, P., Prasan, V., & Vivekanand, U. (2015). Conventional extracapsular cataract extraction and its importance in the present day ophthalmic practice. Oman Journal of Ophthalmology, 8(3), 175–178. https://doi.org/10.4103/0974-620X.169912

Narayan, A., Evans, J. R., O’Brart, D., Bunce, C., Gore, D. M., & Day, A. C. (2023). Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery. Cochrane Database of Systematic Reviews, 2023(6). https://doi.org/10.1002/14651858.CD010735.pub3

Nussinovitch, H., Tsumi, E., Tuuminen, R., Malyugin, B., Lior, Y., & Naidorf Rosenblatt, H., et al. (2021). Cataract surgery in very old patients: A case-control study. Journal of Clinical Medicine, 10(20), 4658. https://doi.org/10.3390/jcm10204658

Okoye, G. S., & Gurnani, B. (2025). Traumatic cataract. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK594251/

Porela-Tiihonen, S., Kokki, H., Kaarniranta, K., & Kokki, M. (2016). Recovery after cataract surgery. Acta Ophthalmologica, 94(A2), 1–34. https://doi.org/10.1111/aos.13030

Ride, A. U. (2017). Visual outcome of phacoemulsification versus small incision cataract surgery in pseudoexfoliation syndrome – A pilot study. Journal of Clinical and Diagnostic Research, 11(1), NC05–NC08. http://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2017&volume=11&issue=1&page=NC05&issn=0973-709x&id=9311

Signes-Soler, I., Javaloy, J., Muñoz, G., Moya, T., Montalbán, R., & Albarrán, C. (2016). Safety and efficacy of the transition from extracapsular cataract extraction to manual small incision cataract surgery in prevention of blindness campaigns. Middle East African Journal of Ophthalmology, 23(2), 187–191. https://doi.org/10.4103/0974-9233.171780

Steinmetz, J. D., Bourne, R. R. A., Briant, P. S., Flaxman, S. R., Taylor, H. R., Jonas, J. B., et al. (2021). Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: The Right to Sight. The Lancet Global Health, 9(2), e144–e160. https://doi.org/10.1016/S2214-109X(20)30489-7

Theodoropoulou, S., Grzeda, M. T., Donachie, P. H. J., Johnston, R. L., Sparrow, J. M., & Tole, D. M. (2019). The Royal College of Ophthalmologists’ National Ophthalmology Database Study of cataract surgery. Report 5: Clinical outcome and risk factors for posterior capsule rupture and visual acuity loss following cataract surgery in patients aged 90 years and older. Eye, 33(7), 1161–1170. https://doi.org/10.1038/s41433-019-0387-6

Upasani, D., & Daigavane, S. (2024). Phacoemulsification techniques and their effects on corneal endothelial cells and visual acuity: A review of “Direct-Chop” and “Stop-and-Chop” approaches under topical anesthesia. Cureus, 16(8), e66587. https://doi.org/10.7759/cureus.66587

Wu, S., Yao, D., Hua, S., Li, X., & Shi, Y. (2024). Comparison of effect and safety of phacoemulsification surgery performed by resident and attending physicians. Frontiers in Medicine, 11, 1401482. https://doi.org/10.3389/fmed.2024.1401482

Yeo, B. S. Y., Ong, R. Y. X., Ganasekar, P., Tan, B. K. J., Seow, D. C. C., & Tsai, A. S. H. (2024). Cataract surgery and cognitive benefits in the older person. Ophthalmology, 131(8), 975–984. https://doi.org/10.1016/j.ophtha.2024.03.012

Yoshida, Y., Ono, K., Sekimoto, S., Umeya, R., & Hiratsuka, Y. (2024). Impact of cataract surgery on cognitive impairment in older people. Acta Ophthalmologica, 102(4). https://doi.org/10.1111/aos.16607