RESEARCH ARTICLE


Barriers of Cataract Surgery in South Timor Tengah, East Nusa Tenggara-Indonesia



Ni Made Ari Suryathi1, *, I Gusti Ayu Made Juliari1, Ari Andayani1, I Wayan Gede Jayanegara1, NLMN Ratnasari2, 3, Anak Agung Mas Putrawati Triningrat1
1 Ophthalmology Department, Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
2 Medical Faculty Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
3 Opthalmology Resident, Sanglah General Hospital, Bali, Indonesia


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Creative Commons License
© 2019 Suryathi et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to the author at the Fourth Floor of Cempaka Ward, Ophthalmology Department, Diponegoro Street, Dauh Puri Klod, West Denpa-sar, Denpasar City, Bali, Indonesia 80113; Tel: +6287860311121, +6285253651928; Email: nimadearisur92@gmail.com, ari_suryathi@unud.ac.id


Abstract

Background:

WHO shows that cataract is a major cause of avoidable blindness. The Purpose of this research is to find data related to blindness and visual impairment caused by senile cataracts. Barriers of cataract surgery in patient with senile cataract is a very favorable factor in this study.

Method:

Study design using cross-sectional method, data were collected from Ume Manekan Hospital November 2017. Assessment was done by clinical ophthalmologist evaluating the characteristics, type of cataract, visual acuity, and barriers to cataract surgery.

Result:

Total subjects in this study are 109. Prevalence of mature cataract is 55 (51%). Barriers most cataract surgery in this study is the inability of the community to pay the cost of surgery 54 (49.5%), followed by the lack of access to treatment that is 33 (30%), fearing the results of operations 15 (13.8%) and felt that treatment is not needed 7 (6.4%). The category of most vision loss in the operated eye was found in the blindness group (<3/60), 100 (91.8%) and followed by Severe Visual Impairment category (9/ 60-3 / 60) (8.2%).

Conclusion:

Eye health system that must be well prepared at the level of regional holder considering the number of blindness due to high enough cataracts in TTS Timor Tengah Selatan district.

Keywords: Barrier, Blindness, Cataract, Elderly, Rural Area, Senile.