To Study the Association between Weather and Frequency of Cataract Surgeries Performed Over Three Years in four different hospitals of Lahore, Punjab

Aim: To study the association between weather and frequency of cataract surgeries performed over the year in four different hospitals of Lahore, Punjab. Place and duration of study: The data of 8375 patients who underwent cataract surgeries over last three years 2017, 2018 and 2019 from four different hospitals, Medicare Eye hospital, Jinnah Hospital, Akhtar Saeed Trust Hospital and Lahore General Hospital, was collected. Study design: It was a cross sectional survey. Non-probability conventional sample was used. The data was analyzed by SPSS-20 and presented in forms of bar charts and line graphs. Methods: Total 8375 patients were selected from previous records for our study from four different centers. The hospitals were Akhtar Saeed trust hospital, Jinnah hospital,Lahore general hospital and Lahore Medicare Eye center. Lahore General hospital (LGH) and Jinnah Hospital are from government sector. Akhtar Saeed Hospital is a trust hospital and Lahore Medicare is a private Hospital.All patients with unilateral or bilateral cataract with age above 40 years were included where as patients under 40 years, cataract planned under general anesthesia and patients who had cataract associated with retinal attachment were excluded. Results: Total patients included in our study were 8375.There were 4439 (53%) men and 3936 (47%) women. Out of these 3721 (44.43%) from Jinnah hospital, 2498 (29.83%) were from Lahore General Hospital, 1676 (20.01%) from Medicare and 480 (5.73%) from trust Hospital. In Jinnah hospital, the highest number of cataract surgeries were observed in months of March 500 (13.44%), October 375 (10.08%) and February 341 (9.16%) and months with a smaller number of cataract surgeries were July 201 (5.40%), June 185 (4.9%) and August 170(4.57%).In LGH three months showing maximum number of patients were October313(12.53%), November 285(11.41%) and April 281(11.25%) and minimal in July 158(6.33%), August 128 (5.12%) and June 99(3.96%). Conclusion: It was clear from results of our study that higher number of cases were seen in months of March, April and October and the lowest number of surgeries were observed in months of June, July and August on an average. A definite seasonal variation was observed in number of cataract surgeries performed over the year, in different eye hospitals of Lahore (Punjab) Pakistan. Keywords: Cataract, Surgery, Seasonal variation

Frequency of Pseudophakic Glaucoma in Patients with Cataract Surgery

Aim: To determine the frequency of pseudophakic glaucoma in patients who underwent cataract surgery. Study Design: Cross-sectional Place and Duration of Study: Department of Ophthalmology, Shaikh Zayed Hospital Lahore from 1st July 2020 to 31st December 2020. Methodology: Ninety five patients of both genders with cataract surgery were enrolled and ages between 45 to 75 years. After taking written consent detailed demographics including age, sex, body mass index, intraocular pressure, and mode of surgery were recorded. Pseudophakic glaucoma was labelled in case of cataract surgery with intraocular lens implantation and intraocular pressure >21 mmHg or more in one eye along with glaucomatous optic disc or retinal nerve fiber layer defect on optical coherence tomography (OCT). Results: There were 58 (61.05%) males and 37 (38.95%) patients were females. Mean ages of patients were 62.36±9.44 years. Sixty two (65.26%) patients had extracapsular cataract extraction and 33 (34.74%) patients had phacoemulsification. Mean intraocular pressure was 19.33±8.56 mmHg. Pseudophakic glaucoma was found in 32 (33.68%) patients. Conclusion: The frequency of pseudophakic glaucoma was high in patients with extracapsular cataract surgery. Keywords: Cataract surgery, Pseudophakic glaucoma, Intraocular pressure (IOP)

INDIKASI BEDAH KATARAK DI POLIKLINIK MATA BLU RSUP PROF. Dr. R.D. KANDOU MANADO

According to the World Health Organization (WHO), cataracts are the leading cause of blindness and visual impairment throughout the world. Cataract surgical indications are classified into three groups: 1) visual acuity rehabilitation, 2) medical indications, and 3) cosmetic indications. This study aimed to obtain the indications for cataract surgery at the Ophthalmology Department of Prof. Dr. R.D. Kandou Hospital Manado. This was a descriptive retrospective study. Data were collected from the medical records at the Ophthalmology Department of Prof. Dr. R.D. Kandou Hospital. The results showed that there were 84 cataract patients who underwent cataract surgery from January to June 2012. Based on the indications of cataracts surgery, visual acuity rehabilitation were found in 81 cases (96.43%) and medical indications in 3 cases (3.57%). Conclusion: In these results, it was found that the most cases requiring cataract surgery were in the group: visual acuity rehabilitation. Cosmetic indication was not found in this study. Keywords: cataract, surgery, indication. Abstrak: Berdasarkan WHO, katarak merupakan penyebab utama kebutaan dan gangguan penglihatan di dunia. Terdapat tiga kelompok indikasi bedah katarak, yaitu: 1) rehabilitasi ketajaman penglihatan, 2) indikasi medis, dan 3) indikasi kosmetik. Penelitian ini bertujuan untuk mengetahui indikasi yang mendorong dilakukannya bedah katarak di Poliklinik Mata BLU RSUP Prof. Dr. R.D. Kandou Manado. Penelitian ini bersifat deskriptif retrospektif dengan menggunakan data dari catatan medis di Poliklinik Mata BLU RSUP Prof. Dr. R.D. Kandou Manado. Hasil penelitian memperlihatkan bahwa terdapat 84 kasus bedah katarak periode Januari-Juni 2012. Berdasarkan indikasi bedah katarak terdapat 81 kasus (96,43%) dengan indikasi rehabilitasi ketajaman penglihatan dan 3 kasus (3,57%) dengan indikasi medis. Simpulan: Indikasi bedah katarak yang paling sering ditemukan di Poliklinik Mata BLU RSUP Prof. Dr. R.D. Kandou Manado ialah rehabilitasi ketajaman penglihatan. Indikasi kosmetik tidak ditemukan dalam penelitian ini. Kata kunci: katarak, indikasi, bedah.