Clinical Optometry (Aug 2023)

Spectacle Coverage Rate After Cataract Surgery in an Urban Area in Indonesia

  • Rahayu T,
  • Lestari YD,
  • Ayudianingrum A,
  • Rif'ati L

Journal volume & issue
Vol. Volume 15
pp. 167 – 173

Abstract

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Tri Rahayu,1,* Yeni Dwi Lestari,1,* Asti Ayudianingrum,1,* Lutfah Rif’ati2 1Ophthalmology Department, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; 2National Research and Innovation Agency, Jakarta, Indonesia*These authors contributed equally to this workCorrespondence: Yeni Dwi Lestari, Jl. Kimia No. 8, RT.10/RW.1, Pegangsaan, Kec. Menteng, Jakarta Pusat, Daerah Khusus Ibukota, Jakarta, 10320, Indonesia, Tel +62 2131902885, Email [email protected]; [email protected]: Uncorrected refractive errors after cataract surgery contribute to visual impairments. The aim of this study was to investigate the spectacle coverage rate (SCR) following cataract surgery and its relationship with socioeconomic factors in an urban city in Indonesia.Patients and Methods: This population-based cross-sectional study was conducted in 2015 in Jakarta. The former participants of the Rapid Assessment of Avoidable Blindness (RAAB) survey had a history of cataract surgery and met either of the following criteria: (1) wore spectacles with presenting visual acuity (PVA) 6/12 or (2) had PVA less than 6/12 regardless of spectacle use but achieved the best visual acuity (BVA) 6/12 with pinhole correction.Results: Of the 2998 participants of the RAAB survey, 173 (5.6%) (252 eyes) had a history of cataract surgery, among whom 53 (86 eyes) met our inclusion criteria. The SCR was 69.8% and was associated with age group, household income level, education level, and physicians’ recommendation of spectacle wear. Participants who were of nonproductive age (80%), had the highest household income level (88.2%), the highest level of education (87.5%), and had been recommended for spectacle use by their physicians (80.9%) demonstrated higher SCR. Participants with the highest household income had the highest SCR. Patients who had received a physician’s recommendation showed a higher SCR and were 26 times more likely to wear spectacles (odds ratio [OR] 25.99, 95% CI 2.59– 260.10).Conclusion: There is an unmet need for refractive errors after cataract surgery. Factors such as household income levels and physician recommendations were predictive of spectacle wear.Keywords: cataract surgery, RAAB, socioeconomic factors, spectacle coverage rate

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