Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia
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| date | 2014-12-10 15:44:51 |
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| id | 11353 |
| institution | UniSZA |
| internalnotes | 1. Zainal M, Ismail SM, Ropilah AR, et al. Prevalence of blindness and low vision in Malaysian population: Results from the national Eye Survey 1996. Br J Ophthalmol. 2002; 86(9):961–6. 2. Eric JC, Baratz KH, Hodge DO et al. Incidence of cataract surgery from 1980 through 2004:25 year population-based study. J Cataract Refract Surg. 2007;33(7):1273–7. 3. http://en.wikipedia.org/wiki/Cataract_ surgery. Accessed August 8, 2014. 4. http://en.wikipedia.org/wiki/Pahang. Accessed August 8, 2014. 5. World Health organization (WHO). International statistics classification of diseases and health related problems. Tenth edition, Geneva; 1992:456–7. 6. Goh PP, Mohamad AS. The 5th report of the National Eye Database 2011. http://www. acrm.org.my/ned/cataractSurgeryRegistry. html. Accessed August 10, 2014. 7. Osita ME, Yuen SZ. The outcomes of extracapsular and phacoemulsification cataract extractions. J Biomed Sci. 2012;11(1):123–8. 8. Minassian DC, Rosen P, Dart JKG, et al. Extracapsular cataract extraction compared with small incision surgery by phacoemulsification : A randomised trial. Br J Ophthalmol. 2001;85(7):822–9. 9. Khan MN, Amjad AS, Muhammad AP, et al. Visual outcome phacoemulsification versus extracapsular cataract extraction. J Medical and Dental Sciences. 2011;17(3):29–31. 10. Arriaga ME, Lozano J. A comparative study of visual acuity outcomes: Phacoemulsification vs extracapsular cataract extraction. Invest Ophthalmol Vis Sci. 2002;43: E-Abstract 360.c ARVO. 11. Loo CY, Kandiah M, Arumugam G, et al. Cost efficiency and cost effectiveness of cataract surgery at the Malaysian Ministry of Health Ophthalmic services. Int Ophthalmol. 2004;25(2):81–7. 12. Haripriya A, Chang DF, Reena M. Complication rates of phacoemulsification and manual small incision cataract surgery at Aravind Eye Hospital. J Cataract Refract Surg. 2012;38(8):1360–9. 13. Katsimpris JM, Petropoulos IK, Apostolakis K, et al. Comparing phacoemulsification and extracapsular cataract extraction in eyes with pseudoexfolation syndrome, small pupil, and phacodonesis. Klin Monbl Audenheilkd. 2004;221(5):328–33. 14. Neekhra A, Trivedi HL, Todkar H. Comparative study of posterior capsule rent in cases of routine extracapsular, small incision non phaco and phacoemulsification. J Bombay Ophthalmol Assoc. 2002;12(1):15–8. 15. Tso MY, Lam KM, Ng ACK, et al. A retrospective analysis of risk factors for posterior capsule ruptures in cataract surgeries in a local centre. Hong Kong J Ophthalmol. 2004;8(1):12–4. 16. Kothari M, Thomas R, Parikh R. The incidence of visual loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. Indian J Ophthalmol. 2003;51(1):45–52. 17. Blomquist PH, Rugwani RM. Visual outcomes after cataract surgery performed by residents. J Cataract Refract Surg. 2002;28(5):847–52. 18. Meeks LA, Blomquist PH, Sullicab BR. Outcomes of extracapsular versus phjacoemulsification cataract extraction by beginner resident surgeons. J Cataract Refract Surg. 2013;39(9):1698–1701. 19. Clark A, Morlet N, Ng JQ, et al. Whole population trends in cataract surgery over 22 years in Western Australia. Ophthalmology. 2011;118(6):1055–60. 20. Castells X, Comas M, Castilla M, et al. Clinical outcomes and cost of cataract surgery performed by planned ECCE and phacoemulsification. Int Ophthalmol. 1998;22(6):363–7. |
| originalfilename | 5576-01-FH02-FPSK-14-02090.jpg |
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| spelling | 11353 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=11353 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Article Journal UniSZA Unisza unisza image/jpeg inches 96 96 797 67 67 1428 2014-12-10 15:44:51 1428x797 5576-01-FH02-FPSK-14-02090.jpg UniSZA Private Access Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia Malaysian Family Physician Aim: The aim of the study was to compare the outcomes of phacoemulsification (Phaco) and extracapsular cataract extraction (ECCE) in a district hospital setting. Methods: A retrospective analysis was done from the medical records of the patients who underwent Phaco and ECCE in Temerloh District Hospital, Pahang state between October 2009 and September 2010. The age, gender and ethnicity of the patients, intraoperative and postoperative complications, and the best corrected visual acuity at the last follow-up visit were noted. Statistical analysis was done using Stata Software Version 11.0. The results of the two procedures were compared. Results: Out of the 179 cataract surgeries performed, 146 cases were Phaco and 33 were ECCE. In our study, 82 were men and 97 were women. The age of patients ranged from 39 to 82 years; majority of the patients (71.3%) were more than 60 years of age. There was a significant association between type of surgery and outcome of visual acuity (p = 0.001). There was no significant association between intraoperative complication and type of surgery (p = 0.166). Postoperative complications of the surgeries were not significantly different. Good visual outcome was noted in 80.1% of eyes operated by Phaco compared to 48.5% of eyes operated by ECCE procedure. Conclusion: Since the visual outcome was significantly better in Phaco compared to ECCE procedure (p = 0.001), we recommend that Phaco equipments should be supplied in the district hospitals with adequate facilities for performing intraocular surgery 9 2 41-47 1. Zainal M, Ismail SM, Ropilah AR, et al. Prevalence of blindness and low vision in Malaysian population: Results from the national Eye Survey 1996. Br J Ophthalmol. 2002; 86(9):961–6. 2. Eric JC, Baratz KH, Hodge DO et al. Incidence of cataract surgery from 1980 through 2004:25 year population-based study. J Cataract Refract Surg. 2007;33(7):1273–7. 3. http://en.wikipedia.org/wiki/Cataract_ surgery. Accessed August 8, 2014. 4. http://en.wikipedia.org/wiki/Pahang. Accessed August 8, 2014. 5. World Health organization (WHO). International statistics classification of diseases and health related problems. Tenth edition, Geneva; 1992:456–7. 6. Goh PP, Mohamad AS. The 5th report of the National Eye Database 2011. http://www. acrm.org.my/ned/cataractSurgeryRegistry. html. Accessed August 10, 2014. 7. Osita ME, Yuen SZ. The outcomes of extracapsular and phacoemulsification cataract extractions. J Biomed Sci. 2012;11(1):123–8. 8. Minassian DC, Rosen P, Dart JKG, et al. Extracapsular cataract extraction compared with small incision surgery by phacoemulsification : A randomised trial. Br J Ophthalmol. 2001;85(7):822–9. 9. Khan MN, Amjad AS, Muhammad AP, et al. Visual outcome phacoemulsification versus extracapsular cataract extraction. J Medical and Dental Sciences. 2011;17(3):29–31. 10. Arriaga ME, Lozano J. A comparative study of visual acuity outcomes: Phacoemulsification vs extracapsular cataract extraction. Invest Ophthalmol Vis Sci. 2002;43: E-Abstract 360.c ARVO. 11. Loo CY, Kandiah M, Arumugam G, et al. Cost efficiency and cost effectiveness of cataract surgery at the Malaysian Ministry of Health Ophthalmic services. Int Ophthalmol. 2004;25(2):81–7. 12. Haripriya A, Chang DF, Reena M. Complication rates of phacoemulsification and manual small incision cataract surgery at Aravind Eye Hospital. J Cataract Refract Surg. 2012;38(8):1360–9. 13. Katsimpris JM, Petropoulos IK, Apostolakis K, et al. Comparing phacoemulsification and extracapsular cataract extraction in eyes with pseudoexfolation syndrome, small pupil, and phacodonesis. Klin Monbl Audenheilkd. 2004;221(5):328–33. 14. Neekhra A, Trivedi HL, Todkar H. Comparative study of posterior capsule rent in cases of routine extracapsular, small incision non phaco and phacoemulsification. J Bombay Ophthalmol Assoc. 2002;12(1):15–8. 15. Tso MY, Lam KM, Ng ACK, et al. A retrospective analysis of risk factors for posterior capsule ruptures in cataract surgeries in a local centre. Hong Kong J Ophthalmol. 2004;8(1):12–4. 16. Kothari M, Thomas R, Parikh R. The incidence of visual loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. Indian J Ophthalmol. 2003;51(1):45–52. 17. Blomquist PH, Rugwani RM. Visual outcomes after cataract surgery performed by residents. J Cataract Refract Surg. 2002;28(5):847–52. 18. Meeks LA, Blomquist PH, Sullicab BR. Outcomes of extracapsular versus phjacoemulsification cataract extraction by beginner resident surgeons. J Cataract Refract Surg. 2013;39(9):1698–1701. 19. Clark A, Morlet N, Ng JQ, et al. Whole population trends in cataract surgery over 22 years in Western Australia. Ophthalmology. 2011;118(6):1055–60. 20. Castells X, Comas M, Castilla M, et al. Clinical outcomes and cost of cataract surgery performed by planned ECCE and phacoemulsification. Int Ophthalmol. 1998;22(6):363–7. |
| spellingShingle | Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia |
| summary | Aim: The aim of the study was to compare the outcomes of phacoemulsification (Phaco) and extracapsular cataract extraction (ECCE) in a district hospital setting. Methods: A retrospective analysis was done from the medical records of the patients who underwent Phaco and ECCE in Temerloh District Hospital, Pahang state between October 2009 and September 2010. The age, gender and ethnicity of the patients, intraoperative and postoperative complications, and the best corrected visual acuity at the last follow-up visit were noted. Statistical analysis was done using Stata Software Version 11.0. The results of the two procedures were compared. Results: Out of the 179 cataract surgeries performed, 146 cases were Phaco and 33 were ECCE. In our study, 82 were men and 97 were women. The age of patients ranged from 39 to 82 years; majority of the patients (71.3%) were more than 60 years of age. There was a significant association between type of surgery and outcome of visual acuity (p = 0.001). There was no significant association between intraoperative complication and type of surgery (p = 0.166). Postoperative complications of the surgeries were not significantly different. Good visual outcome was noted in 80.1% of eyes operated by Phaco compared to 48.5% of eyes operated by ECCE procedure. Conclusion: Since the visual outcome was significantly better in Phaco compared to ECCE procedure (p = 0.001), we recommend that Phaco equipments should be supplied in the district hospitals with adequate facilities for performing intraocular surgery |
| title | Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia |
| title_full | Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia |
| title_fullStr | Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia |
| title_full_unstemmed | Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia |
| title_short | Outcome of phacoemulsification and extracapsular cataract extraction: A study in a district hospital in Malaysia |
| title_sort | outcome of phacoemulsification and extracapsular cataract extraction: a study in a district hospital in malaysia |