The Effectiveness of Phacoemulsification in Cataract Management: Procedures, Benefits, and Challenges
DOI:
https://doi.org/10.53089/medula.v14i10.1278Abstract
Cataract is a condition in which the eye's lens, initially clear becomes cloudy, obstructing the passage of light to the retina and causing vision impairments such as blurred vision, reduced visual acuity, and faded color perception. According to WHO data (2022), approximately 2.2 billion people worldwide experience visual impairment, with cataracts being the leading cause of reversible blindness. In Indonesia, the prevalence of cataracts is 1.8%, with an annual incidence rate of 0.1%, and 50% of blindness cases are caused by cataracts. Surgery is the only method to treat cataracts, with phacoemulsification being the most commonly used technique. Phacoemulsification is a cataract surgery technique that employs an ultrasonic tip to break down the cloudy lens, followed by aspiration of the lens fragments. This technique has numerous advantages, including smaller incisions, faster wound healing, good visual acuity outcomes post-surgery, and a lower risk of complications than other surgical methods.
References
Nizami AA, Gurnani B, Gulani AC. Cataract. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2024.
Detty AU, Artini L, Yulian VR. Karakteristik faktor risiko penderita katarak. Jurnal Ilmiah Kesehatan Sandi Husada. 2021; 10(1):12-7.
World Health Organization. Blindness and vision impairment. https://www.who.int/newsroom/fact-sheets/detail/blindnessand-visual-impairment. 2022.
Kemenkes RI. Riset kesehatan dasar. Jakarta: Balitbang Kemenkes RI. 2013.
Geue C, Jonuscheit S. Effect of individual-level and socioeconomic factors on long-term survival after cataract surgery over a 30-year period. J Cataract Refract Surg. 2017;43(4):537-42.
Astari, P. Katarak: klasifikasi, tatalaksana, dan komplikasi operasi. 2018;45(10):748–53.
Kang KH, Song MY, Kim KY, Hwang KY, Kwon YA, Koh K. Corneal endothelial cell changes after femtosec-ond laser-assisted cataract surgery in diabetic and nondiabeticpatients. Eye & Contact Lens, 2021;47(12):664–9.
Gurnani B, Kaur K. Phacoemulsification. [Updated 11 June 2023]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2023.
Garg G, Koch DD. Steinert’s cataract surgery 4th ed. Philadelphia: Elsevier. 2023.
Davis G. The evolution of cataract surgery. Mo Med. 2016;113(1):58-62.
Jin C, Chen X, Law A. Different-sized incisions for phacoemulsification in age-related cataract. Cochrane database syst rev. 2017;9(9):CD010510.
Gurnani B, Kaur K. Posterior polar cataract. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2023.
Bethke W. Cataract surgeons share their favorite techniques. Review of Ophtalmology. 2022;29(3):37–42.
ESCRS. ESCRS clinical trends survey. Available from: https://www.escrs.org/media/s5dlnraf/2021_escrs_clinical_survey_supplement.pdf [Accessed 11th November 2024]. 2021.
Gupta R. Phacoemulsification cataract surgery. Switzerland: Springer. 2017.
Fishkind WJ. Phacoemulsification and intraocular lens implantation: mastering techniques and complications in cataract surgery 2nd ed. New York: Thieme. 2017.
Gary LJ, Foster, Quentin B, Allen, Brandon D, Ayres, et al. Phacoemulsification of the rock-hard dense nuclear cataract: options and recommendations. Colorado: Elsevier. 2018.
Jacob S. Different methods of chopping in cataract surgery.Current Opinion in Ophthalmology. 2019;30(1), 25–38.
Lee BS, Chang DF. Chopping techniques in cataract sur-gery. Current Opinion in Ophthalmology. 2023;34(1):32-5.
Davis EA, Lindstrom RL. Tilt and tumble phacoemul-sification. Developments in Ophthalmology. 2022;34: 44–58.
Soekardi I, Hutauruk JA. Transisi menuju fakoemulsifikasi, Langkah-langkah menguasai teknik dan menghindari komplikasi. Edisi 1. Jakarta: Granit. 2014.
Kaur K, Gurnani B. Comments on: Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery. Indian J Ophtalmol. 2021;69(5):1349-50.
Gurnani B, Kaur K. Rare traumatic anterior dislocation of capsular tension ring-intraocular lens complex in-toto. Indian J Ophtalmol. 2020;68(11): 2529.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Medical Profession Journal of Lampung

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.