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Journal : Medicinus : Jurnal Kedokteran

Manifestasi Okular dan Non Okular Sindrom Rubella Kongenital Pada Penderita Katarak Kongenital Irma, Josiah; Sovani, Iwan; Wahyu, Maya Sari; Karfiati, Feti
Medicinus Vol. 6 No. 3 (2017): June 2017 - September 2017
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v6i3.1148

Abstract

Background: Maternal infection with rubella in the first trimester of pregnancy result in congenital rubella syndrome (CRS). It caused blindness, deafness, congenital heart dissease and mental retardation. One of the main cause of blindness in CRS is congenital cataract. Infant affected with CRS worldwide estimated 238.000 each year and 46.000 live in South East Asia.Objective: This study aimed to looked for other ocular and non ocular manifestation from 0-11months old congenital cataract infants based on World Health Organization (WHO) CRS case definiton: suspected, clinically confirmed and labaratory confirmed.Methods:This is a retrospective observational study. We colected all data from computer base medical record, patient with congenital cataract 0-11 months old that came to Pediatric Ophthalmology unit Cicendo Eye Hospital from January 2012 until December 2013. Age, sex, laterality, axial length, cataract morphology, retinopathy pigmentary, cardiac dissorder, hearing impairment, mental dissorder and laboratory serology rubella for IgM and IgG were recorded.Results: We found ninety three patients diagnosed with CRS from congenital cataract cases. Ocular manifestation include microphthalmia in 63 eyes (33.9%), microcornea in 30 eyes (16.1%), and pigmentary retinopathy in 1 eye (0.5%) . The most common type of cataract morphology was nuclear type (49.9%.). Non-ocular manifestation include cardiac dissorder in 16 cases (17.2%), hearing impairment in 1 case (1.1%) and mental retardation in 6 cases (6.4%). Case definition based on WHO criteria were 93 cases (100%) for suspected, 20 cases (25.8%) for clinically confirmed and 15 cases (42,8%) for laboratory confirmed.Conclusion: Ocular manifestation for CRS in congenital cataract 0-11 months old were microphthalmia, microcornea, pigmentary retinopathy. Other manifestation found were cardiac disorder, hearing impairment and mental retardation.
The Impact of Attitude and Knowledge on Consent Decisions for Cataract Surgery: A Study at Siloam Hospitals Lippo Village, Building B Wibisono, Atria Puspitaloka; Irma, Josiah; Rizki, Saraswati Anindita
Medicinus Vol. 14 No. 3 (2025): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v14i3.10149

Abstract

Introduction: Cataracts account for 77.7% of blind cases in Indonesia, indicating that many cataract patients have not had surgery. Low levels of knowledge, attitude, and decision-making among cataract patients regarding surgery may limit the number of procedures performed in Indonesia. Therefore, this study aims to assess cataract patients’ knowledge, attitude, and decision-making concerning surgery at Siloam Hospitals Lippo Village in Tangerang. Objective: To determine the relationship between knowledge, attitude, and decision-making regarding cataract surgery among Siloam Hospitals Lippo Village Building B patients. Methods: This cross-sectional study involves 64 cataract patients visiting Siloam Hospitals Lippo Village Building B. The collected data were analysed using SPSS Statistics bivariate analysis. Results: Out of the 64 respondents, 7 (10.9%) demonstrated low knowledge, 4 (6.3%) displayed a negative attitude, and 4 (6.3%) indicated unwillingness to undergo surgery. A significant relationship exists between knowledge and attitude, attitude and decision, and knowledge and decision regarding cataract surgery, with a p-value of 0.000 as determined by the Pearson Chi-Square test. Conclusion: A significant relationship exists between knowledge, attitude, and the decision to undergo cataract surgery.