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3. Cataract Surgery Practice Patterns
The number of cataract surgery performed by SDPs varied. In 2013, out of the 41 SDPs, 13 performed less than 500 surgeries, 13 performed between 501 to 1000, and 15 performed more
than 1000 cataract surgeries a year. Selangor 5 SDPs, Perak 4 SDPSand Sarawak 5 SDPS, performed higher number of cataract
surgeries compared to other state. More than 23 of the cataract surgery was performed by specialists 88.5 in 2013.
The percentage of cataract surgery done by medical officers is decreasing both phaco and ECCE
The median duration taken to do a cataract surgery was 25 min for phaco and 45 min for ECCE in 2013.
Though there is an increasing trend for day care surgery, from 39.3 in 2002 to 62.4 in 2012, the percentage varied among SDPs. In 2013, 1 SDP did not perform any cataract surgery under
day care, 13 SDPs performed less than 50.0. Only 14 SDPs performed more than 90.0 of cataract surgery as day care.
Phaco was the preferred method of cataract surgery and the proportion increased from 39.7 in 2002 to 85.1 in 2013. Percentage of ECCE decreased from 54.0 in 2002 to 11.0 in 2013.
The preferred IOL material was acrylic and non-foldable type. The percentage of phaco converted to ECCE was 2.1 in 2013. It remained the same over the
years. Among combined surgery, VR surgery was the highest, while filtering surgery and pterygium
surgery showed a decreasing trend. Majority of cases were done under local anaesthesia 93.2 in 2013. The preferred type of local
anesthesia was topical 64.2 in 2013. The use of topical anesthesia has increased from 11.7 in 2002 to 64.2 in 2013.
The use of retrobulbar anesthesia has decreased from 25.9 in 2002 to 1.5 in 2012. There is a decrease in the use of oral sedation 33.3 in 2002 to 64.2 in 2013.
Majority of the patient operated had IOL implantation 98.4 in 2013. Among these patients who
had IOL, 96.3 had posterior chamber IOL.
4. Intra-operative Complications
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