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Miopia pada Anak dan Faktor Risikonya Selama Pandemi COVID-19: Sebuah Tinjauan Sistematis Tan, Sabrina; Yulia, Dian Estu
Jurnal Biomedika dan Kesehatan Vol 7 No 3 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.362-373

Abstract

Myopia or near-sightedness is the most common ophthalmologic disorder in the world. Myopia prevalence has significantly increased over the last decade, especially in the pediatric population. During the COVID-19 pandemic, governments worldwide implemented home quarantine and school closures to contain and mitigate the virus’s spread. This resulted in increased screen time, more time doing near-work activities, and decreased time spent outdoors. This study was to compare myopia progression in children before and during the COVID-19 pandemic and examine pandemic-related lifestyle risk factors for myopia progression. Methods of this study were A comprehensive search of Ovid MEDLINE and PubMed for potential articles was conducted following the PRISMA 2020 guidelines. The data extracted from each included studies included epidemiologic data on myopia in children, changes in spherical equivalent (SE), and the amount of outdoor activity, screen time, and near work before and during the COVID-19 pandemic home quarantine. This review included six studies, comprising two retrospective cohort studies, three prospective cohort studies, and one cross-sectional study. Epidemiological data showed increased pediatric myopia cases and a greater SE difference during the COVID-19 pandemic. During the pandemic, it was reported that children spent more time on screens, engaging in near-work activities, and less time outdoors. Multiple logistic regression analyses consistently showed increased screen time as a significant risk factor for myopia in children during the pandemic, while outdoor time and time spent doing near-work activities were not statistically significant. Conclusion of this study where Myopia progression in children was more rapid during the COVID-19 pandemic, with increased screen time identified as a risk factor. More research is needed to further investigate other pandemic-related risk factors for myopia in children.
UNVEILING OPHTHALMOLOGICAL FINDINGS IN CORNELIA DE LANGE SYNDROME: A RARE CASE REPORT Dian Estu Yulia; Tan, Sabrina
Majalah Oftalmologi Indonesia Vol 50 No 1 (2024): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/cbyqa786

Abstract

Introduction: Cornelia de Lange syndrome (CdLS) is a rare congenital disorder with a distinctive combination of physical, cognitive, and behavioral features. This syndrome impacts multiple systems in the body, including the eyes. Case Report: A three-year-old boy with classic CdLS, emphasizing the ophthalmological findings of left eye ptosis, high myopia and astigmatism, microcornea, bilateral “dot opacities” cataracts, and tigroid fundus appearance. The patient was prescribed corrective eyeglasses to prevent amblyopia. Discussion: The clinical scoring system devised by the International CdLS Consensus Group aids in classifying CdLS cases into classic and non-classic variants, as well as guiding clinical genetic testing decisions. In all instances of suspected or confirmed CdLS, it is imperative that an ophthalmologist performs an initial eye examination promptly. Therefore, acquiring familiarity with the potential ophthalmological findings of CdLS is crucial. Common ocular presentations encompass features such as synophrys, thick eyebrows, long eyelashes, ptosis, myopia, microcornea, nasolacrimal duct obstruction, peripapillary pigment ring, and blepharitis. Meanwhile, less frequently encountered ocular manifestations include hyperopia and astigmatism, cataracts, microphalmia, glaucoma, optic nerve pallor and hypoplasia, nystagmus, and strabismus. Conclusion: Timely diagnosis, precise interventions, and regular ophthalmological monitoring are pivotal in preventing complications and enhancing visual function, thus improving the quality of life of individuals with CdLS.
Laporan Kasus Kekeruhan Kornea Kongenital: Tantangan Operasi Keratoplasti pada Anak-Anak : Laporan Kasus Yulia, Dian Estu; Pradiptama, Yura; Tan, Sabrina
Cermin Dunia Kedokteran Vol 52 No 11 (2025): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i11.1712

Abstract

Introduction: Congenital corneal opacity (CCO) is a group of anterior segment dysgenesis of the eye manifested by corneal transparency loss at birth or during the first 4 weeks of life. CCO is one of the most prominent disease entities in anterior segment dysgenesis. CCO resulted from disruptions in mesodermal development, particularly affecting the anterior segment of the eye. Case:A 2-week-old boy with bilateral CCO. One week post-keratoplasty surgery, the parents reported no complaints but had difficulty administering eye drops. Physical examination showed a clearer corneal graft. One month later, a cloudy graft and broken sutures were noted, indicating graft rejection. The family was educated on the importance of consistent medication for any future graft surgery. Discussion: The surgical option for CCO is corneal graft or keratoplasty. Keratoplasty is a corneal transplant where a clear donor graft replaces the central opaque cornea. Conclusion: A comprehensive workup is essential for diagnosing CCO. Keratoplasty can restore corneal clarity and vision, but pediatric cases require careful patient education and comprehensive follow-up.