DIFFERENCES IN VISUAL ACUITY AFTER PHACOEMULSIFICATION SURGERY IN SENILE CATARACT PATIENTS WITH HIGH-DEGREE MYOPIA AND WITHOUT MYOPIA AT PUSAT MATA NASIONAL RS MATA CICENDO Awan Buana (a*), Alexander Siagian (b), Rani Rahmalia (c), Wida Vianita Aziz (d)
a) Department of Ophthalmology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi. Indonesia
*pranatasurya61[at]yahoo.com
b) Department of Anesthesiology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi. Indonesia
c) Bachelor of Medicine Study Program, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi. Indonesia
d) Department of Ophthalmology, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi. Indonesia
Abstract
Cataract is a clouding of the lens and the most common cause of visual impairment in the world. High myopia can be a risk factor for cataract. Cataracts in high myopia may occur earlier. In cataracts with high myopia, there can be errors in biometric calculations due to the pressure applied to the eyeball resulting in an error in determining IOL power. The longer axial length of the eyeball in high myopia can increase the risk of retinal detachment complications that can affect postoperative visual acuity. The purpose of this study was to determine the difference in visual acuity after phacoemulsification surgery in senile cataract patients with high myopia and without myopia at the Pusat Mata Nasional RS Mata Cicendo. This study used an analytical observational method with a cross-sectional design in September 2021 at the Pusat Mata Nasional RS Mata Cicendo, subsequently the data was analysed using Mann Whitney test. In this study, it was found that the high myopia group was 40 patients and the group without myopia was 40 patients. The results showed that 90% of senile cataract patients with high myopia had good visual acuity postoperative. In senile cataract patients without myopia there are 100% have good visual acuity postoperative. There is a significant difference between postoperative visual acuity in senile cataract patients with high myopia and without myopia. Several factors can affect postoperative visual acuity in high myopia such as posterior segment condition and inaccurate measurement of axial length.
Keywords: High myopia, senile cataract, visual acuity
