Visual Outcomes Following Small Incision Cataract Surgery (SICS) in Wangaya Hospital, Bali, Indonesia

Cataract is considered as one of the causes of visual impairment and blindness globally and specifically in Indonesia. Manual small incision cataract surgery (SICS) is a surgical technique that is commonly performed to improve the visual outcomes among cataract patients. This study is aimed to determine the visual outcomes of cataract patients who had done the SICS and to evaluate its effectiveness. An observational study was carried out among cataract patients in Wangaya Hospital, Bali, Indonesia. Patient who underwent SICS procedures were followed-up to obtain their postoperative visual acuity and complications. A total number of 23 patients with 34 operated eyes were included in the study. Cataract was found as an important cause of visual impairment and blindness among the study group, with the number of preoperative blindness and visual impairment was 52.2% and 43.5%, respectively. On the other hand, the SICS procedure showed the results of good visual outcomes in 41.2% of operated eyes and reduced the number of blindness to 0.0% among the study group. There was only 1 (2.9%) complication found postoperatively, which was IOL decentration. In conclusion, the result from SICS surgery in Wangaya Hospital, Bali, Indonesia showed better improvement in visual outcomes and reducing the rate of blindness among cataract patients. The SICS also showed a low postoperative complication rate. Hence, SICS should be continually sustained as the surgical technique to be performed among cataract surgery patients.