BAB III

CONCLUSION

Cataract or lens opacities are a major cause of visual impairment and blindness in the
world, Treatment of cataracts is a surgical action that aims to produce the optimization
of vision function characterized by rapid recovery, measured with minimal side
effects, long-term stability, and provide satisfaction in patients.5 With the rapid
development of technology, the technique was discovered using phacoemulsification
and experienced rapid development and has achieved refractive surgery because of its
advantages, rapid visus rehabilitation, mild postoperative complications, and mild to
moderate astigmatism. 6

Phacoemulsification is a cataract extraction technique using a small incision

with implantation of a folding intra-ocular lens (foldable) so that the wound closure
can be done without sutures. This technique is done by destroying the lens through an
ultrasonic probe that has a needle tip that can vibrate with a very high frequency that
is equivalent to the frequency of ultrasound waves. The mass of the crushed lens will
be aspirated through the cavity on the phacoemulsification tip to be removed from the
eye through the aspiration tube in the phacoemulsification machine. 30 The purpose of
this surgical technique is for cataract patients to obtain the best sharp vision without
correction by making the incisions as small as possible to reduce the induction of
postoperative astigmatism.(26) This technique is also said to be more convenient for
the patient due to the slight incision and the wounded surgery can heal faster while
for the doctor who perform the surgery, this technique simplifies the action because
only a small amount of fluid may get out of the incision so that the eyeball pressure is
more stable.(7)
However, this technique also has its own disadvantages, such as expensive
machines, longer learning curves, and high surgical costs, as well as complications
that can be found from this technique is cataracts hipermatur or cataracts are hard due
to the difficulty of breaking and separating the lens nucleus. (26)
 Hopefully, in line with the development of cataract management surgical
techniques, cataract patients can also be diagnosed early and can immediately obtain
treatment procedures to improve the quality of life of patients.