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All Journal Medicinus : Jurnal Kedokteran Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Irma, Josiah
Department Of Ophthalmology, Faculty Of Medicine, Universitas Pelita Harapan
Education Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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Does Duration of Wearing Face Masks Cause Dry Eye Disease Among Medical Students in Indonesia: A Cross Sectional Study Angelius, Chelsie; Irma, Josiah; Onasis, Serena; Rizki, Saraswati Anindita; Budimulia, Patricia; Salim, Jonathan; Lesmana, Maria Vashti Zerlinda
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 7 No 2 (2025): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v7i2.86

Abstract

Introduction: During the COVID-19 pandemic, infection control protocols required universal mask use. At the same time, increased reports of dry eye symptoms emerged. Prior studies showed inconsistent results. This study aims to clarify the association, hypothesizing that prolonged mask wearing is linked to a higher risk of dry eye disease. Methods: This study is an analytical comparative cross-sectional study. The purposive sampling technique was used to collect samples. To diagnose dry eye disease, the Ocular Surface Disease Index (OSDI) questionnaire was used. The cut off score we used is >12 points in OSDI. Two categories were established to assess mask usage duration: <6 hours or ≥ 6 hours per day. Data were collected in January 2023 from 278 respondent medical students in Tangerang, Indonesia. Bivariate chi-square data analysis was performed using SPSS 25.0 software. Discussion: 82 respondents (29.5%) experienced dry eye disease, and 221 respondents (79.5%) used masks for ≥ 6 hours during effective working days along the week. No significant relationship was found between both variables. (OR = 0,883; 95% CI: 0.471-1.658; p = 0.669). Results: There was no association between using masks for a longer period of time to dry eye disease.
Relationship Between Electronic Device Usage with Asthenopia in Workers at Pelita Harapan University Lippo Karawaci Harlendo, Sachio; Josiah Irma; Saraswati Anindita Rizki; Ruth Syeela Widianty
Medicinus Vol. 15 No. 2 (2026): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v15i2.10828

Abstract

Background: Breast cancer is the most common malignancy among women and a leading cause of cancer-related mortality. Early detection is crucial to improve survival outcomes. Mammography is considered the gold standard for screening women over 40 years, while ultrasonography (USG) is frequently used in younger women with dense breasts. However, diagnostic accuracy varies, and comparative studies in Indonesia remain limited. To compare the diagnostic accuracy of mammography and ultrasonography in differentiating benign and malignant breast lesions using histopathology as the Gold standard.   Methods: This cross-sectional analytic study included 91 patients who underwent mammography, ultrasonography, and histopathological confirmation at MRCCC Siloam Semanggi Hospital. Diagnostic parameters including sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy, and area under the curve (AUC) were calculated. Statistical analysis used McNemar’s test and ROC curve analysis based on Hanley & McNeil’s method, with p < 0.05 considered significant.   Result: Ultrasonography demonstrated higher sensitivity (98.4%) and NPV (92.3%) than mammography (96.7% and 88.9%), indicating better ability to rule out malignancy. Mammography showed higher specificity (53.3% vs. 40.0%) and PPV (80.8% vs. 76.9%), reflecting better performance in identifying benign lesions. Overall accuracy was slightly higher for mammography (82.4%) compared to USG (79.1%). The AUC for mammography was 0.750 (95% CI: 0.630–0.870), while USG had an AUC of 0.692 (95% CI: 0.565–0.819). Overlapping confidence intervals indicated no statistically significant difference in diagnostic accuracy between the two modalities (p > 0.05).   Conclusions: Mammography and ultrasonography both demonstrated high diagnostic performance with complementary strengths. Mammography provided higher specificity and PPV, while USG offered superior sensitivity and NPV. Given the small difference in accuracy and overlapping AUC confidence intervals, no significant difference was found between the two modalities. Combined use of mammography and USG may improve diagnostic accuracy in clinical practice.
Co-Authors Anastasia Johanna Salim Angelius, Chelsie Budimulia, Patricia Dr.Retno Ketaren Dr.Saraswati Rizki Feti Karfiati Memed Harlendo, Sachio Iwan Sovani Jennifer Angelina Jennifer Handiokho Jonathan Salim Jovita Ketaren, Dr.Retno Lesmana, Maria Vashti Zerlinda Maya Sari Wahyu Onasis, Serena Patricia Budimulia Permatasari, Nivia Rizki, Dr.Saraswati Rizki, Saraswati Anindita Ruth Syeela Widianty Salim, Anastasia Johanna Salim, Jonathan Saraswati Anindita Rizki Serena Onasis Wahyu, Maya Sari Wibisono, Atria Puspitaloka