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Related Experiment Videos

The Malaysian Cataract Surgery Registry: Cataract Surgery Practice Pattern.

Ming-Yueh Lee1, Pik-Pin Goh, Mohamad Aziz Salowi

  • 1From the *Department of Ophthalmology and †Clinical Research Centre, Kuala Lumpur Hospital, Kuala Lumpur; ‡Department of Ophthalmology,Sarawak General Hospital, Sarawak; and §Department of Ophthalmology,Selayang Hospital, Selangor, Malaysia.

Asia-Pacific Journal of Ophthalmology (Philadelphia, Pa.)
|June 25, 2015
PubMed
Summary

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Phacoemulsification cataract surgery increased significantly in Malaysia from 2002 to 2011. Extracapsular cataract extraction persists due to brunescent cataracts and limited access to phacoemulsification, highlighting a need for more day-care surgeries.

Area of Science:

  • Ophthalmology
  • Public Health
  • Health Services Research

Background:

  • Cataract surgery practices evolve with technological advancements.
  • Understanding national surgical trends is crucial for resource allocation and policy development.

Purpose of the Study:

  • To analyze cataract surgery practice patterns in Malaysian Ministry of Health (MOH) hospitals.
  • To identify trends in surgical techniques, anesthesia, and intraocular lens (IOL) use.

Main Methods:

  • Secondary data analysis of the Malaysian Cataract Surgery Registry (CSR) from 2002-2004 and 2007-2011.
  • Descriptive and inferential statistical analyses were performed on collected data.

Main Results:

  • Phacoemulsification increased from 39.7% to 78.0%, while extracapsular cataract extraction decreased from 54.0% to 17.3% between 2002 and 2011.

Related Experiment Videos

  • Foldable IOL use surged from 26.5% to 88.3%, with high IOL implantation rates (over 97%).
  • Day-care surgery rates remained relatively low (39.3% to 52.3%), and vitreoretinal surgery was the most common combined procedure.

    • Conclusions:

    • Despite increased phacoemulsification, extracapsular cataract extraction persists due to brunescent cataracts and equipment limitations.
    • Increasing day-care cataract surgery is recommended to improve cost-effectiveness.
    • Further efforts are needed to ensure wider access to modern cataract surgery techniques and optimize resource utilization.