Suryaningrum, I Gusti Ayu Ratna
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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).
LENS INDUCED GLAUCOMA CHARACTERISTICS IN SANGLAH GENERAL HOSPITAL DENPASAR FROM 2019-2020 Savitri, Ni Putu Ayu; Kusumadjaja, I Made Agus; Juliari, I Gusti Ayu Made; Suryaningrum, I Gusti Ayu Ratna
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P04

Abstract

ABSTRAK Lens induced glaucoma (LIG) merupakan salah satu jenis glaukoma sekunder yang diakibatkan oleh kelainan pada lensa mata. Menurut data, kasus LIG menjadi kasus glaukoma sekunder terbanyak yang ada di rumah sakit. Namun hingga saat ini masih jarang ditemukan penelitian epidemiologi mengenai LIG di Indonesia maupun di Bali. Penelitian ini bertujuan untuk mengetahui karakterisik LIG berdasarkan usia, jenis kelamin, pekerjaan, tipe LIG, status mata, manifestasi klinis, tekanan intraokuler (TIO), tajam pengelihatan, dan terapi. Penelitian ini dilakukan di RSUP Sanglah tahun 2019-2020 dengan metode penelitian cross sectional dengan metode pengambilan sampel consecutive sampling. Berdasarkan hasil penelitian didapatkan 23 pasien LIG di RSUP Sanglah tahun 2019-2020 yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan pasien usia >59 tahun dengan presentase terbanyak 47,8%. 73,9% berjenis kelamin laki-laki dan 34,8% bekerja sebagai petani. Tipe LIG fakomorfik (56,5%) menjadi tipe yang paling sering dijumpai yang didominasi status fellow eye katarak imatur (43,5%). Seluruh pasien (100%) datang dengan manifestasi pandangan buram. TIO sebelum terapi terbanyak pada rentang >39 mmHg (52,5%) dan pasca terapi pada rentang <21 mmHg (65,2%). Didapatkan hasil tajam pengelihatan sebelum terapi dan sesudah terapi terbanyak yaitu hand movement masing-masing 30,4% dan 26,1%. Terapi yang paling sering diberikan adalah fakoemulsifikasi dengan implan intraocular lens sebanyak 60,9%. Dapat disimpulkan pentingnya pemberian terapi yang tepat di awal perjalanan penyakit agar bisa mendapatkan prognosis yang baik. Kata kunci : lens induced glaucoma, karakteristik, tekanan intraokular
Terapi Pseudoexfoliation Glaucoma Wirananda Setiawan, Nyoman Budhi; Suryaningrum, I Gusti Ayu Ratna; Sutyawan, I Wayan Eka; Mendala, Deasy Sucicahyati
E-Jurnal Medika Udayana Vol 11 No 3 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i03.P17

Abstract

translator Afrikaans Albanian - shqipe Arabic - ??????????? Armenian - ??????? Azerbaijani - az?rbaycanca Basque - euskara Belarusian - ?????????? Bengali - ????? Bulgarian - ????????? Catalan - català Chinese - ???????? Chinese - ?? (????) Croatian - hrvatski Czech - ?eština Danish - dansk Dutch - Nederlands English Esperanto - esperanto Estonian - eesti Filipino Finnish - suomi French - français Galician - galego Georgian - ??????? German - Deutsch Greek - ???????? Gujarati - ??????? Haitian Creole - kreyòl ayisyen Hebrew - ????????? Hindi - ?????? Hungarian - magyar Icelandic - íslenska Indonesian - Bahasa Indonesia Irish - Gaeilge Italian - italiano Japanese - ??? Kannada - ????? Korean - ??? Latin - Lingua Latina Latvian - latviešu Lithuanian - lietuvi? Macedonian - ?????????? Malay - Bahasa Melayu Maltese - Malti Norwegian - norsk Persian - ????????? Polish - polski Portuguese - português Romanian - român? Russian - ??????? Serbian - ?????? Slovak - sloven?ina Slovenian - slovenš?ina Spanish - español Swahili - Kiswahili Swedish - svenska Tamil - ????? Telugu - ?????? Thai - ??? Turkish - Türkçe Ukrainian - ?????????? Urdu - ???????? Vietnamese - Ti?ng Vi?t Welsh - Cymraeg Yiddish - ????? Double-click Select to translate Latar Belakang: Pseudoexfoliation glaucoma adalah salah satu jenis secondary open-angle glaucoma yang disebabkan oleh akumulasi protein fibril pada trabecular meshwork. Obat, bedah, laser, atau kombinasi terapi merupakan pilihan terapi yang tersedia saat ini. Review sistematik ini bertujuan untuk membandingkan beberapa terapi-terapi tersebut terhadap tekanan intraokular serta komplikasi/efek samping pada pasien dengan pseudoexfoliation glaucoma. Metode: Kami mengambil sumber data berupa studi primer dari database elektronik yaitu MEDLINE dan Cochrane dalam rentang tahun 2010-2020, berbahasa Inggris, dengan desain studi clinical trial atau observasional. Setelah dilakukan ekstraksi data maka dilanjutkan dengan penilaian terhadap abstrak, desain studi, partisipan, outcome, risk of bias, dan strength of evidence. Hasil: Outcome dalam penelitian sangat bervariasi yang kami kelompokkan menjadi dua variabel yaitu tekanan intraokular dan komplikasi/efek samping. Rata-rata penurunan TIO berkisar antara 4,71 mmHg (dengan SLT pada perilimbus) hingga 14,00 mmHg (dengan trabekulektomi + bevacizumab). Komplikasi yang umum ditemui yaitu inflamasi pada anterior chamber. Limitasi: Banyak studi memaparkan outcome yang heterogen dan beberapa partisipan penelitian tidak murni menggunakan pasien pseudoexfoliation glaucoma. Kesimpulan: Beberapa terapi obat, bedah, laser, maupun kombinasi untuk pseudoexfoliation glaucoma efektif dalam menurunkan tekanan intraokular. Meskipun demikian, perlu adanya perhatian untuk dokter umum maupun dokter spesialis mata terkait beberapa komplikasi yang dapat muncul akibat terapi-terapi tersebut.
Correlation of angle kappa with biometry and higher-order aberrations of cataract patients at Prof. Ngoerah Hospital Ophthalmology Clinic Siska, Siska; Suryaningrum, I Gusti Ayu Ratna; Evani, Saphira
Universa Medicina Vol. 42 No. 3 (2023)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2023.v42.314-319

Abstract

Background Advancements in ophthalmic surgery now hinge on intricate interplays among ocular parameters. Angle kappa, measuring deviation between visual and pupillary axes, is crucial, especially in refractive procedures with multifocal intraocular lens implants. The research aimed to correlate angle kappa with biometry and higher-order aberrations (HOA) to enhance surgical outcomes among adult cataract patients at Prof. Ngoerah Hospital Ophthalmology Clinic, Denpasar, Bali. MethodsThis cross-sectional study included 29 male and female cataract patients aged 18-80 years, without prior treatment. All patients had a basic examination that included testing of visual acuity using Snellen chart, autorefractometer, measurement of ocular pressure using non-contact tonometry, and slit-lamp examination for cataract grading. Patients who met the inclusion criteria were then examined for biometry (axial length, spherical equivalent, white-to-white distance, anterior chamber depth) using Nidek AL Scan and for angle kappa and HOA using OPD scan III. ResultsData from 50 eyes of 29 subjects (15 females and 14 males) were analyzed. The mean age of the subjects was 60.6 ± 12.5 years. Age and spherical equivalent had positive correlation with angle kappa (r =0.104, r=0.213), but the correlation was not statistically significant. In this study, interestingly angle kappa was not significantly correlated with HOA, AXL, WTW, and ACD (r = -0.050, r = -0.192, r = -0.104, r = -0.195, p >0.05). ConclusionIn conclusion, angle kappa may increase with age and spherical equivalent. Further study with larger sample size is required.
Microinvasive Glaucoma Surgery using Goniotomy as A Potential Surgical Treatment Modality in Indonesia: A Descriptive Study and Literature Review: Oral Presentation - Observational Study - Resident Wetarini, Krisnhaliani; Rahayu, Ni Kompyang; Kusumadjaja, I Made Agus; Suryaningrum, I Gusti Ayu Ratna
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: 10.35749/2y3b6478

Abstract

Introduction & ObjectivesMicro-invasive glaucoma surgery with goniotomy is a recent surgical treatment modality that targetsthe trabecular outflow to maintain intraocular pressure. This study aims to describe the clinicaloutcomes of excisional goniotomy using KDB and to review the published literature regarding amodified goniotomy technique as a potential surgical treatment modality in Indonesia. MethodsA cross-sectional descriptive study was conducted in patients that underwent goniotomy stand-aloneor combined with cataract surgery. Main outcome parameters consist of visual acuity, intraocularpressure (IOP), number of glaucoma medications, and complications during post-operative follow-up. ResultsA total of 7 patients (8 eyes) were included in the study, consisting of 5 (71,4%) males and 2 (28,6%)females. The mean age of the subjects was 47.7 years. Subjects consisted of primary,pseudoexfoliative, steroid-induced, and angle-recess glaucoma. Mean pre-operative IOPmeasurements showed 20.74 mmHg with visual acuity consisting of 1 (14.3%) mild visualimpairment and 7 (85.7%) severe visual impairment. Postoperatively there was progressiveimprovement in the mean IOP to 13.81 and 11.31 mmHg on first-day and one-week follow-up,respectively. Visual improvement was observed in 2 (28.5%) with mild visual impairment, 3 (42.6%)with severe visual impairment, and 2 (28.5%) with hand movement due to complications of cornealedema following phacoemulsification. A week later, visual acuity improved to 4 (57.1%) with mildvisual impairment and 3 (42.9%) with moderate visual impairment. ConclusionGoniotomy is a simple surgical method that may be applied in Indonesia as a novel technique toprovide an effective intraocular pressure-lowering effect.