title: The Malaysian Cataract Surgery Registry: Cataract Surgery Practice Pattern.
abstract: OBJECTIVE
  To present the cataract surgery practice pattern among the ophthalmic surgeons in hospitals managed by the Ministry of Health (MOH) in Malaysia.
  
  
  METHODS
  Secondary data analysis on Malaysian Cataract Surgery Registry (CSR).
  
  
  METHODS
  The Malaysian CSR collected data on cataract surgeries done at all the ophthalmology departments in MOH from year 2002 to 2004 (paper-based) and 2007 to 2011 (web-based). Data collected include type of admission, surgical techniques, type of anesthesia, and intraocular lens (IOL). Descriptive and inferential analysis was performed.
  
  
  RESULTS
  Of the 185,388 cataract surgeries done over 8 years, 171,482 (91.5%) were captured in CSR. There was a steep rise in phacoemulsification cataract surgery from 39.7% in 2002 to 78.0% in 2011 with a corresponding fall in extracapsular cataract extraction from 54.0% to 17.3% in the respective years. This explained the surge in the use of foldable IOL from 26.5% in 2002 to 88.3% in 2011. The proportion of cataract surgery with IOL implantation was 97.5% in 2012 and 98.2% in 2011. The proportion of day-care cataract surgery was low, with 39.3% in 2002 to 52.3% in 2011. Vitreoretinal surgery was the commonest type of combined surgery performed.
  
  
  CONCLUSIONS
  Although phacoemulsification was performed in two thirds of the patients who presented to MOH hospitals in Malaysia, extracapsular cataract extraction was still being performed because of a significant proportion of cataract that were brunescent and limited access to phacoemulsification machines and consumables. There is a need to increase day-care cataract surgery as it will eventually save cost.
authors.affiliation: From the *Department of Ophthalmology and †Clinical Research Centre, Kuala Lumpur Hospital, Kuala Lumpur; ‡Department of Ophthalmology,Sarawak General Hospital, Sarawak; and §Department of Ophthalmology,Selayang Hospital, Selangor, Malaysia.
authors.forename: Ming-Yueh
authors.initials: MY
authors.lastname: Lee
authors.forename: Pik-Pin
authors.initials: PP
authors.lastname: Goh
authors.forename: Mohamad Aziz
authors.initials: MA
authors.lastname: Salowi
authors.forename: Tassha Hilda
authors.initials: TH
authors.lastname: Adnan
authors.forename: Mariam
authors.initials: M
authors.lastname: Ismail