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All Journal Damianus Journal of Medicine Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Ophthalmologica Indonesiana
Cisca Kuswidyati
Department Of Ophthalmology, School Of Medicine And Health Sciences, Atma Jaya Catholic University Of Indonesia, Jakarta
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Medicine & Pharmacology Public Health

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SELENIUM SEBAGAI TERAPI OFTALMOPATI GRAVES DERAJAT RINGAN Laura Agnestasia Djunaedi; Ferdy Iskandar; Cisca Kuswidyati
Majalah Kedokteran Indonesia Vol 69 No 8 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v69i8.190

Abstract

Oftalmopati Graves (OG) merupakan manifestasi ekstra-tiroid tersering dari penyakit Graves. Sebanyak lebih dari 50% penderita Graves akan mengalami OG, bahkan 10% diantaranya menderita OG derajat berat. Mekanisme terjadinya OG berhubungan dengan reaksi autoimun yang sangat kompleks dan dicurigai juga berhubungan dengan ketidakseimbangan kadar antioksidan serta oksidan di dalam tubuh. Selain itu, faktor lingkungan (rokok) dan juga kontrol yang buruk dari penyakit Graves semakin memicu progresifitas dari oftalmopati.Salah satu komponen antioksidan yang paling banyak terdapat pada kelenjar tiroid adalah selenium. Selenium diharapkan dapat membantu mengatasi OG terutama pada derajat ringan dengan memperbaiki ketidakseimbangan antara kadar oksidan dan antioksidan di dalam tubuh. Namun, pemberian selenium tidak dapat dilakukan secara bebas karena pemberian dalam jumlah yang tidak tepat dapat memicu timbulnya beberapa jenis kanker dan juga diabetes mellitus tipe II.
HUBUNGAN KANDUNGAN AIR PADA LENSA KONTAK DENGAN KEJADIAN DRY EYE SYNDROME (DES) PADA MAHASISWA FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS KATOLIK INDONESIA ATMA JAYA Levina Benita; Cisca Kuswidyati; Febie Chriestya
Bahasa Indonesia Vol 18 No 2 (2019): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v18i2.2216

Abstract

Introduction: Dry Eye Syndrome (DES) is a multifactorial disease of the eye characterized by loss of homeostasis from the tear film and is accompanied by ocular symptoms. One of many factors that can cause DES is the use of contact lenses. This research was conducted to determine the relationship of water content in contact lenses with the occurrence of DES. Methods: This research was conducted in 2019 with a cross-sectional study design with the Tear Break Up Time (TBUT) test, Schirmer test and questionnaire. The research respondents were students of Atma Jaya School of Medicine and Health Sciences (FKIK UAJ) whose eyes were examined as samples (n = 84). The water content of the respondent's contact lenses was obtained using a questionnaire. The inspection methods used to determine DES are TBUT test and Schirmer test. Data analysis using chi-square test with significance level of p <0.05. Results: The prevalence of DES obtained in students with a water content <50% is 25.9%, while the DES in students with a water content >50% is 25.5% . Conclusion: There is no significant relationship between water content in contact lenses with the occurrence of DES in FKIK UAJ students (p=0.963).
Determination on the Success of Cataract Surgeries by Using Sight Restoration Rate (SRR) Angelo Doniho; Angela Shinta Dewi Amita; Cisca Kuswidyati; Devina Permatasari; Andrew Adiguna Halim
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 5, No 1 (2019): April
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.48 KB) | DOI: 10.22146/jpkm.35107

Abstract

The prevalence of blindness in Nusa Tenggara Timur (NTT) reaches 1.0% and the ratio of blindness to ophthalmologist reaches 1:8000. This data means NTT is a place which has vision issues. Blindness is caused by cataract. Untreated cataracts can reduce the productivity of patients and his/her caretaker for quite a long time. Cataract surgery will not only cure the patient’s blindness, but it will also improve the local economy if it is sustainable and on time. Lack of human resources, funds, and medical equipment are the major problems for performing cataract surgery in this area. The cataract surgery is performed at Elisabeth Lela Hospital. Visual acuity is performed before the surgery and 21-35 days after the surgery. The last step is calculating the Sight Restoration Rate (SRR) of all patients. Cataract surgery was conducted to 92 eyes. the SRR of all patients is 46.7%. There are four eyes (4.34%) with post-operative visual acuity <3/60.
Association between screen time and dry eye symptoms Janeth Angelica Jansen; Cisca Kuswidyati; Febie Chriestya
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 12, No 2, (2021)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol12.Iss2.art7

Abstract

Background: Electronic media has become a necessity in everyday life because of its function to access information, communication, etc. These functions cause an increase in average screen time and risk of developing dry eye symptoms such as photophobia, grittiness, sore eyes, and blurred vision.Objective: This study aims to determine whether there is a relationship between screen time and dry eye symptoms.Methods: An observational-analytic study with a cross-sectional approach was conducted on 66 medical students. All students would download a screen time application on each electronic media they have for one week before data collection. Furthermore, data were collected using a questionnaire consisted of screen time and Ocular Surface Disease Index (OSDI) and were statistically analyzed.Results: A total of 90.91% of the students use electronic media =8 hours/day. The proportion of students who experience dry eye symptoms is 46.97%. There was no statistically significant between screen time and dry eye symptoms (p = 0.676).Conclusion: More than ninety percent of students spend more than 8 hours/day using electronic media but no statistically significant between screen time and dry eye (p>0.05).
Spontaneous Ocular Haemorrhage: Poster Presentation - Case Report - General practitioner Klarissa Chrishalim; Cisca Kuswidyati
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/nmkbwr34

Abstract

Introduction : Hemorrhagic complications are one of the major complications encountered with reperfusion therapies but rarely involve the ocular, especially hyphema. Case Illustration : a 61-year-old woman presented with blurred vision, discomfort, and red eye in her right eye. She had been treated for hypertension, diabetes mellitus, and coronary artery disease with antiplatelet and other oral medication for 5 years. There was no history of eye trauma or Valsalva-like maneuver effort. The best corrected visual acuity was 20/40 in both eyes and there was no relative afferent pupillary defect. Both eyes had normal IOP. A slit lamp examination revealed pool blood in the anterior chamber as hyphema grade 1. Fundus examination showed dot and blot hemorrhage with cupping discs 0.6 and 0.7. USG examination showed no mass and clear vitreous. The antiplatelet was stopped and evaluated by the internal department. The patient was observed and treated with topical medication, and the hyphema resolved within less than 7 days. Discussion : Although it is still not clear if there is any increase in intraocular bleeding has been recognized with antiplatelet agents, the concern would be greatest amongst those at high baseline risk due to predisposing conditions, such as elderly with diabetes, hypertension, and usage of antiplatelet agents to maintain cardiovascular disease. Conclusion : This case emphasizes that though the most common cause of hyphema is a traumatic injury, it can be a rare complication of antiplatelet therapy. Patients on antiplatelet therapy should be carefully monitored for ocular bleeding, especially if they have associated systemic or ocular comorbidity.
Hubungan Kualitas Tidur Dengan Kejadian Astenopia Pada Mahasiswa Preklinik Universitas Katolik Indonesia Atma Jaya Yunita, Renalta; Tanumihardja, Tommy Nugroho; Kuswidyati, Cisca
Bahasa Indonesia Vol 22 No 3 (2023): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v22i3.4591

Abstract

  Pendahuluan: Astenopia atau yang dikenal dengan mata lelah merupakan kelelahan okular atau ketegangan yang terjadi pada mata akibat penggunaan otot mata secara berlebih. Banyak faktor yang dapat memengaruhi astenopia salah satunya adalah kualitas tidur. Jika seorang individu mengalami gangguan tidur, hal tersebut dapat mengakibatkan seseorang mudah lelah, salah satunya berefek pada mata. Penelitian ini bertujuan untuk mengetahui bagaimana hubungan kualitas tidur dengan kejadian astenopia pada mahasiswa preklinik Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya. Metode: Penelitian ini merupakan penelitian potong lintang dengan total 70 responden mahasiswa preklinik Universitas Katolik Indonesia Atma Jaya dan dilakukan secara Stratified Random Sampling. Pengumpulan data dilakukan melalui pengisian kuesioner Pittsburg Sleep Quality Index dan 17-item Asthenopia Survey Questionnaire. Analisis data menggunakan analisis univariat dan analisis bivariat. Hasil: Hasil uji statistik menunjukkan hubungan yang tidak bermakna antara kualitas tidur dengan astenopia dengan nilai p sebesar 0,076. Simpulan: Tidak terdapat hubungan kualitas tidur dengan kejadian astenopia pada mahasiswa preklinik Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya.
HUBUNGAN DERAJAT MIOPISASI DENGAN KATARAK SENILIS TIPE NUKLEAR PADA PASIEN POLI KLINIK MATA RUMAH SAKIT ATMA JAYA JAKARTA TAHUN 2018-2023 Tjan, Vania Nirmala; Amita, Angela Shinta Dewi; Kuswidyati, Cisca; Margareta, Evi Ulina; Dewi, Rita
Bahasa Indonesia Vol 23 No 3 (2024): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v23i3.5048

Abstract

Pendahuluan: Katarak adalah penyebab utama gangguan penglihatan, memengaruhi jutaan orang di seluruh dunia, termasuk 81% kasus kebutaan di Indonesia, terutama katarak senilis. Miopia, yang sering dikaitkan dengan katarak nuklear, terjadi akibat perubahan indeks bias pada lensa mata yang mengakibatkan "myopic shift" atau miopisasi. Miopisasi dapat memberikan ilusi perbaikan penglihatan dekat ("second-sight"), yang sering menunda diagnosis dan perawatan katarak. Penelitian ini bertujuan untuk mengetahui insidensi dan derajat miopisasi pada pasien katarak senilis di klinik mata Rumah Sakit Atma Jaya (RSAJ), Jakarta. Metode: Penelitian analitik dengan metode potong lintang retrospektif pada 92 sampel mata pasien di klinik mata RSAJ. Pengumpulan data dilakukan melalui rekam medis pasien yang terdiagnosis katarak senilis tipe nuklear dan mengalami miopisasi. Pengambilan data rekam medis dilakukan di RSAJ pada bulan April 2023 – Juli 2023 kemudian dilanjutkan pengolahan data dengan uji Chi-square. Hasil: Penelitian ini menunjukkan insidensi miopisasi pada katarak senilis berjenis nuklear dengan derajat NO3-NO6 sebesar 39,1% dengan derajat miopia ringan terbanyak yaitu 88,1% dan terdapat hubungan bermakna antara derajat miopisasi ringan dengan katarak senilis tipe nuklear (p=<0,001). Hasil analisis data juga menunjukkan tidak terdapat hubungan antara derajat miopisasi sedang dengan katarak senilis tipe nuklear (p=0,056). Simpulan: Penelitian ini menunjukkan adanya hubungan antara derajat miopisasi ringan dan sedang dengan katarak senilis tipe nuklear pada pasien di klinik mata RSAJ.  
Selenium sebagai Terapi Oftalmopati Graves Derajat Ringan Laura Agnestasia Djunaedi; Ferdy Iskandar; Cisca Kuswidyati
Majalah Kedokteran Indonesia Vol 69 No 8 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.8-2019-190

Abstract

Graves ophthalmopathy (GO) is the most common extrathyroid manifestation of Graves’ disease. More than 50% of Graves’ patients will experience it, even 10% of them will suffer severe GO. The mechanism of GO is associated with complex autoimmune reaction and suspected to be associated with an imbalance levels of antioxidants and oxidants in the body. Smoking and poor control of Graves’ disease also trigger the progression of ophthalmopathy.Selenium is one of the most abundant antioxidant components in the thyroid gland. Selenium can help overcome mild GO by correcting the imbalance between oxidant and antioxidant levels in the body. Nevertheless, selenium cannot be given carelessly because improper dosing can lead to the several types of cancer as well as type 2 diabetes mellitus.
Co-Authors Andrew Adiguna Halim Angela Shinta Dewi Amita Angelo Doniho Devina Permatasari Febie Chriestya Ferdy Iskandar Ferdy Iskandar Janeth Angelica Jansen Klarissa Chrishalim Laura Agnestasia Djunaedi Levina Benita Margareta, Evi Ulina Rita Dewi Tanumihardja, Tommy Tjan, Vania Nirmala Yunita, Renalta