Preoperative Clinical Profile and Coexisting Ocular Disease Among Phacoemulsification Candidates at Utama Eye Clinic Gresik

Nabila Putri Rahmadandi*, Uyik Unari Dwi Kaptuti

Abstract

Phacoemulsification is the most commonly performed cataract surgery worldwide, and preoperative evaluation plays a critical role in optimizing surgical outcomes. Regional data describing preoperative characteristics and coexisting ocular diseases remain essential for improving clinical decision-making and planning individualized management strategies. This study aims to describe the preoperative clinical profile, biometric characteristics, and coexisting ocular diseases among cataract patients undergoing phacoemulsification at Utama Eye Clinic, Gresik. This descriptive cross-sectional study utilized secondary data from medical records of patients who underwent preoperative assessment between October and November 2025. Variables included demographic characteristics, blood pressure, random blood glucose (RBG), visual acuity, intraocular pressure (IOP), biometric parameters, operative duration, and ocular comorbidities. Data were analyzed using univariate descriptive statistics. A total of 246 patients were included. Most patients were aged 60-69 years (45.5%) and female (52.8%). Visual acuity <6/60–light perception (LP) was the most common preoperative category (69.1%). Hypertension (57.7%) was more frequent than normotension. The majority of patients had normal RBG values (91.5%) and normal IOP (96.7%). Median biometric measurements were: anterior chamber depth 3.18 mm, lens thickness 4.50 mm, and IOL power 20.00 D. Median operative duration was 11 minutes (range 5–69 minutes). The most common coexisting ocular diseases were posterior capsular fibrosis (PCO) (n=11), high myopia (n=5), glaucoma (n=3), and pseudoexfoliation syndrome (n=3). The study reveals that most patients presented at an advanced age with significant visual impairment and a high prevalence of systemic and ocular comorbidities. Accurate biometric assessment and comprehensive preoperative evaluation, including identification of ocular comorbidities, are essential for optimizing cataract surgical planning and outcomes. These findings provide updated regional data that may support improvements in preoperative screening protocols.

Keywords

cataract; phacoemulsification; preoperative evaluation; ocular comorbidity; biometric parameters

Cite This Article

Rahmadandi, N. P., Kaptuti, U. U. D. (2025). Preoperative Clinical Profile and Coexisting Ocular Disease Among Phacoemulsification Candidates at Utama Eye Clinic Gresik. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 6: Nov – Dec 2025, Pages 1281-1286 URL: https://www.ijscia.com/wp-content/uploads/2025/12/Volume6-Issue6-Nov-Dec-No.1006-1281-1286.pdf

Volume 6 | Issue 6: Nov – Dec 2025