PERBEDAAN VISUAL OUTCOME PASCAOPERASI KATARAK DISERTAI PENANAMAN INTRAOCULAR LENS ANTARA PENDERITA KATARAK SENILIS TANPA DIABETES MELLITUS DENGAN DIABETES MELLITUS NON-RETINOPATI

Abstract

Background: Cataract is the major cause of blindness in the developing country. The blindness rate in Indonesia reaches 1,5%, which more than a half is caused by cataract. Most of them occur in elderly people (≥50 years old) who have organ dysfunction, like diabetes mellitus (DM). That condition can give poor eye condition and cataract post operation visual outcome, especially if there is retinopathy diabetic. Purpose: To know the difference of visual outcome post-cataract operation with Intraocular Lens (IOL) implantation in patient without diabetes mellitus and with non-retinopathy diabetes mellitus in dr. Kariadi Hospital, Semarang. Method: This is an analytical study with retrospective approach. Samples of this research were 68 senile cataract patients who have bad visus, including 42 patients who didn’t have DM and 28 patient who had non-retinopathy diabetes mellitus, and have undergone Extra Capsular Cataract Extraction (ECCE) with IOL implantation in dr. Kariadi Hospital Semarang in January 2006–December 2007, 90% with significant level, 10% absolute accuration level and have fulfilled the research criteria. Data is analyzed in SPSS 15.0 for windows program, by Mann-Whitney test. Result: From 68 samples, no significant visual outcome difference in a day post operation (p=0,429) or stable time post-operation (p=0,724) post ECCE with using intraocular lens (IOL) in senile cataract patient without diabetes mellitus and non-retinopathy diabetes mellitus. Conclusion: There is no significant difference of visual outcome post extra capsular cataract extraction with intraocular lens implantation in senile cataract patient without diabetes mellitus and non-retinopathy diabetes mellitus. So, cataract patient with non-retinopathy diabetis mellitus can have good visual outcome too. Key words: Visual Outcome, Senile Cataract, Diabetes Mellitus, Non-retinopathy.