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All Journal E-Jurnal Medika Udayana International Journal of Psychology and Health Science
Agrasidi, Putu Anindya
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Health Professions Medicine & Pharmacology Nursing

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CHARACTERISTICS OF OPEN ANGLE GLAUCOMA PATIENTS AT THE EYE POLYCLINIC PROF DR IGNG NGOERAH GENERAL HOSPITAL DENPASAR 2022 Agrasidi, Putu Anindya; Suryaningrum, I Gusti Ayu Ratna; Kusumadjaja, I Made Agus
E-Jurnal Medika Udayana Vol 13 No 6 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i06.P01

Abstract

Introduction: Open-angle glaucoma is a chronic, progressive, and irreversible multictorial optic neuropathy with open angle of the anterior chamber, accompanied by visual field disturbances, with increased intraocular pressure as the main risk factor, caused by trabecular meshworks resistance. The incidence of open-angle glaucoma is 2.4 million people each year. This study aims to determine the characteristics of open-angle glaucoma patients at the eve polyclinic Prof Dr IGNG Ngoerah Hospital Denpasar in 2022. Methods: This research is a descriptive analytical research with retrospective analysis. The study was conducted by collecting data based on observations of the medical records of patients who visited the Eye Polyclinic at Prof Ngoerah General Hospital in the period of January 1, 2022 until December 31, 2022. A total of 38 people (64 eyes) who met the inclusion and exclusion criteria were analysed using SPSS windows version 26.0. Results: The majority of subjects aged > 60 years (63.2%), male (68.4%). POAG (76.6%), SOAG (23.4%), the most common etiology of SOAG was lens induce, advanced stage (40.6%), and all had chronic onset. The median of visual acuity (logMar) pre operation vs three months post operation 1.0 vs 0.7, IOP 23 mmH vs 16 mmH, the mean of anti glaucoma medication was 1.37 vs 0.6. Conclusion: In patients with open-angle glaucoma, there is a good response to all treatment modalities (medical, trabeculectomy, phacoemulsification-IOL, phacoemulsification- IOL-trabeculectomy, implant glaucoma).
Effect in Pain Scale of Trocar Insertion, Onset, and Duration of Anesthesia of Subtenon Anesthesia without Premedication Compared with Premedication in Pars Plana Vitrectomy: A Randomized Controlled Trial Andayani, Ari; Agrasidi, Putu Anindya; Sutyawan, I Wayan Eka; Widiana, I Gde Raka; Widnyana, I Made Gede; Pemayun, Cok Istri Dewiyani
International Journal of Psychology and Health Science Vol. 3 No. 2 (2025): International Journal of Psychology and Health Science (April - June 2025)
Publisher : Greenation Publisher & Yayasan Global Research National

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/ijphs.v3i2.810

Abstract

Effect in Pain Scale of Trocar Insertion, Onset, and Duration of Anesthesia of Subtenon Anesthesia without Premedication Compared with Premedication in Pars Plana Vitrectomy: A Randomized Controlled Trial. Background: Pars plana vitrectomy (PPV) has traditionally been performed under general anesthesia. However, in recent years, regional anaesthetic techniques such as subtenon block have gained popularity due to their safety and effectiveness, reducing the risk of severe complications associated with needle-based blocks. Patients and Methods: This randomized controlled trial (RCT) was conducted between November 2023 to March 2024 at a tertiary teaching hospital in Indonesia. A total of 30 patients undergoing vitrectomy were randomized assigned to one of two groups: with premedication or without premedication. The primary outcomes evaluated were the pain scale during trocar insertion, the onset of anesthesia, and the duration of anesthesia. Statistical analyses were performed using the Mann-Whitney U test and ANCOVA. Results: No significant differences were observed between the two groups regarding the pain scale during trocar insertion, the onset of anesthesia, or the duration of anesthesia (p<0.001). However, after adjusting for diagnosis and type of the therapy, the group without premedication demonstrated a significantly longer duration of anesthesia. Conclusion: Subtenon anesthesia without premedication represents a viable alternative for pars plana vitrectomy. It offers practical benefits, such as eliminating the need for fasting and intravenous line placement, while maintaining patient and operator comfort.    
Co-Authors Ari Andayani I Gde Raka Widiana I Made Gede Widnyana Kusumadjaja, I Made Agus Pemayun, Cok Istri Dewiyani Suryaningrum, I Gusti Ayu Ratna Sutyawan, I Wayan Eka