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The Influence of Age on Visual Acuity in Postoperative Senile Cataract Patients Undergoing Phacoemulsification at Klinik Mata Dr. Imam Renata Shafira Nanda; Imam Masduki; Elvina Prisila
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Cataracts caused by aging are called senile cataracts. Phacoemulsification is the gold standard surgical method for cataract therapy. Postoperative visual acuity can be influenced by age. The objective of this study is to determine the characteristics of visual acuity and the influence of age on visual acuity in postoperative senile cataract patients undergoing phacoemulsification at Klinik Mata Dr. Imam. This study is retrospective research with a cross-sectional design. The data collected are secondary data from medical records, with a total of 106 respondents. The results of the univariate analysis showed that the majority of senile cataract patients undergoing phacoemulsification were in the elderly age group (55-65 years) with 42 cases (39.6%), male patients with 56 cases (52.8%), and 61 cases (57.5%) underwent surgery on the right eye. The best-corrected visual acuity in postoperative senile cataract patients undergoing phacoemulsification at Klinik Mata Dr. Imam was found on the 21st day. The largest proportion of patients achieving best-corrected visual acuity that meets the good standard set by WHO (6/6 - 6/18) was in the elderly age group (55-65 years) with 39 cases (41.5%), male patients with 50 cases (53.2%), and surgeries on the right eye with 52 cases (55.3%). Bivariate analysis was performed using the chi-square test and showed a significant influence between age and visual acuity in postoperative senile cataract patients undergoing phacoemulsification (p-value = 0.011). In conclusion, there is a significant influence of age on visual acuity in postoperative senile cataract patients undergoing phacoemulsification..
COMPARISON OF PAIN PERCEPTION IN CATARACT SURGERY WITH PHACO- HORIZONTAL-CHOP TECHNIQUE VERSUS VERTICAL-CHOP TECHNIQUE IN GRADE 3 CATARACT Imam Masduki; Emelia, Dwi Ditha; Putri, Rachma Greta Perdana
Ahmad Dahlan Medical Journal Vol. 7 No. 1 (2026): May 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v7i1.14565

Abstract

Most cataract surgery is done by phacoemulsification method. Phacoemulsification cataract surgery with horizontal chop and vertical chop techniques is quite effective until now. In cataract surgery, generally used topical anesthetic pantocaine 0.5% (tetracaine 0.5%) to control pain in patients. This research aims to compare pain perception using a numeric rating scale in grade 3 cataracts operated by the phaco-horizontal-chop versus vertical-chop technique. This study is a comparative analytical study with a total of 87 subjects, consisting of 45 subjects undergoing surgery with the horizontal-chop technique, and 43 subjects with the vertical-chop technique. All patients were given the same topical anesthetic, pantocaine 0,5%. After the operation done, each subject will be asked about their pain perception using a numerical rating scale parameter. Then, the data were analyzed using univariate and bivariate analysis using chi-square. Among the 87 patients, mean pain scale in this study was 3.51, with a median value of 3.00. The minimum value of the pain scale was 1 while the maximum value was 6. The results showed that there was no significant relationship to pain experienced by patients undergoing phacoemulsification cataract surgery with the horizontal-chop technique compared with the vertical-chop (p = 1,000).