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All Journal Global Health Management Journal PREPOTIF : Jurnal Kesehatan Masyarakat Tunas Medika Jurnal Kedokteran & Kesehatan
Sisprihattono, Boyke
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Changes in Corneal Curvature Value Before and After Phacoemulsification in Senile Cataract Patients: A case from Waled Regional Public Hospital, Cirebon Nuruzzahrah, Naufarah; Piscaloka, Viora Rianda; Sisprihattono, Boyke
GHMJ (Global Health Management Journal) Vol. 8 No. 1s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-81s1165

Abstract

Background: Cataract is the main cause of visual impairment and reversible blindness in the worldwide, especially in people over 50 years old. Cataract could be treated through cataract surgery, which one of the methods is phacoemulsification. Phacoemulsification has the advantage of reducing the risk of post-operative astigmatism due to its smaller incision compared to other techniques. Astigmatism was assessed by the curvature of the cornea, which measured using keratometry. Aims: To describe the differences in curvature cornea value pre and post phacoemulsification surgery in senile cataract patients at Waled Regional Public Hospital, Cirebon. Methods: This is a descriptive observational study. Sampling was obtained from medical records at Waled Regional Public Hospital. Data analysis using univariate analysis. Results: Subjects with preoperative keratometry difference (K1 and K2) of < 1 diopter (D) were 39 subjects (73.6%), and > 1 diopter (D) were 14 subjects (26.4%). Subjects with postoperative keratometry difference (K1 and K2) of < 1 diopter (D) were 38 subjects (71.7%), and > 1 diopter (D) were 15 subjects (28.3%). Subject who had reduction in corneal astigmatism were 21 subjects (39.6%), subject who did not have any change in corneal astigmatism were 14 subjects (26.5%), and subject who had increment in corneal astigmatism were 18 subjects (34%). Statistical analysis showed a p-value of 0.033, indicating a statistically significant change in corneal curvature value between before and after surgery (p-value = < 0.05). Conclusion: The results showed that out of 53 samples, most subjects had preoperative and postoperative astigmatism with a keratometry value difference (K1 and K2) of < 1 diopter (D). One month after phacoemulsification surgery, most samples showed a decrement in astigmatism compared to those who showed an increment in astigmatism.
Correlation between Hypertension and the Severity of Diabetic Retinopathy in Diabetes Mellitus Patients at Waled Regional General Hospital: A Cross-Sectional Study Trinanda, Syifa Khaerunisa; Sisprihattono, Boyke; Astuti, Widi
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741077

Abstract

Background: Diabetes mellitus is a metabolic disorder characterized by elevated blood sugar levels and resulting from deviations in either insulin secretion, insulin action, or both. Prolonged hyperglycemia can lead to various complications, including diabetic retinopathy. The main risk factors for developing diabetic retinopathy are uncontrolled diabetes mellitus, hypertension, and dyslipidemia. Aims: To determine the correlation between hypertension and the severity of diabetic retinopathy in diabetes mellitus patients at Waled Regional General Hospital, Cirebon, from 2020 to 2023. Methods: This study used an analytical observational method with a cross-sectional design. We collected data from the medical records of patients with diabetic retinopathy at Waled Regional General Hospital from 2020 to 2023. This study employed total sampling as its sampling technique. We performed univariate analysis to determine the frequency distribution of the samples and bivariate analysis using the Spearman correlation test. Results: Out of 50 diabetic retinopathy patients, the majority suffered from proliferative diabetic retinopathy (PDR), with 22 (44%) patients. The most common blood pressure level among the patients was grade 2 hypertension, with 19 (38%) patients. The bivariate analysis in this study showed a P-value of 0.091 and an r-value of 0.242. Conclusion: There is no significant correlation between hypertension and the severity of diabetic retinopathy in diabetes mellitus patients at Waled Regional General Hospital from 2020 to 2023, with a positive correlation direction (p-value: 0.091 and r-value: 0.242). Received: 25 September 2024  |  Reviewed: 16 October 2024  |  Revised: 30 November 2024  |  Accepted: 12 December 2024.
ANGKA KEJADIAN RETINOPATI DIABETIK DI RUMAH SAKIT UMUM DAERAH WALED CIREBON TAHUN 2020-2022 Sitorus, Velin Novalina; Sisprihattono, Boyke; Astuti, Widi; Piscaloka, Viora Rianda; Rahayu, Intan Dwi
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 4 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i4.9653

Abstract

Latar belakang : Menurut laporan ICO, satu dari tiga orang yang menderita diabetes mellitus mengalami retinopati diabetik (RD), komplikasi kronis akibat penyakit diabetes mellitus terhadap mikrovaskular retina. Penyakit ini dapat menyebabkan pembuluh darah kecil pada mata tersumbat, yang mengakibatkan gangguan penglihatan.. Tujuan : Untuk mengetahui angka kejadian retinopati diabetik di poli mata RSUD Waled Cirebon tahun 2020-2022. Metode : Metode penelitian yang digunakan observasional yaitu deskriptif restropektif dari data rekam medis pasien retinopati diabetik tahun 2020-2022 di RSUD Waled Cirebon tahun 2020-2022. Hasil : Dari 54 sampel yang didapatkan distribusi prevalensi tertinggi terdiri dari klasifikasi NPDR yaitu sebanyak 30 orang. Sedangkan distribusi terendah pada klasifikasi PDR. Jenis kelamin, mayoritas pasien adalah perempuan, sebanyak 39 pasien (72,2 %). sedangkan usia, pasien paling banyak di dominasi kelompok usia 41-60 tahun yaitu sebantak 50 pasien (92,6%) dari keseluruhan pasien terindikasi komplikasi dari DM tipe 2. Kesimpulan : Pasien RD ditemukan paling banyak pada pasien NPDR dengan jenis kelamin terbanyak yaitu perempuan, dengan kategori usia terbanyak di rentan usia 41-60 tahun dan semuanya memiliki komplikasi dari DM tipe 2. Kata kunci : Angka kejadian, pasien, retinopati diabetik. ABSTRACT Background: According to an ICO report, one in three people with diabetes mellitus experiences diabetic retinopathy (DR), a chronic complication of diabetes mellitus affecting the retinal microvasculature. This disease can cause small blood vessels in the eye to become blocked, resulting in vision impairment. Objective: To determine the incidence of diabetic retinopathy in the eye clinic of Waled Cirebon Regional Hospital from 2020 to 2022. Method: The research method used is observational, specifically a descriptive retrospective study of the medical records of diabetic retinopathy patients from 2020 to 2022 at Waled Cirebon Regional Hospital. Results: Out of 54 samples obtained, the highest prevalence distribution consists of NPDR classification, with 30 individuals. Meanwhile, the lowest distribution is found in the PDR classification. In terms of gender, the majority of patients are female, totaling 39 patients (72.2%). Regarding age, the most represented group is those aged 41-60 years, comprising 50 patients (92.6%) of all patients indicated with complications from type 2 diabetes mellitus. Conclusion: RD patients are most commonly found among NPDR patients, with the majority being female and the largest age category being those in the 41-60 year range, all of whom have complications from type 2 diabetes mellitus.
GAMBARAN POLA GANGGUAN TAJAM PENGLIHATAN PADA ANAK SEKOLAH DASAR DI SDN 1 KARYAMULYA KOTA CIREBON PADA TAHUN 2025 Dewi, Rista Nur Akmalia; Sisprihattono, Boyke; Primanagara, Risnandya
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 3 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i3.51568

Abstract

International Agency for the Prevention of Blindness (IAPB) mencatat lebih dari 90 juta anak mengalami gangguan penglihatan, seiring dengan meningkatnya paparan teknologi dan digitalisasi. Faktor predisposisi seperti perilaku visual yang tidak ergonomis, jarak membaca yang terlalu dekat, pencahayaan yang tidak memadai, ketidaksesuaian sarana pendidikan, serta penggunaan perangkat digital berkontribusi terhadap tingginya angka gangguan tajam penglihatan pada anak usia sekolah. Penelitian ini bertujuan mengetahui gambaran pola gangguan tajam penglihatan pada siswa Sekolah Dasar di SDN 1 Karyamulya Kota Cirebon Tahun 2025. Penelitian kuantitatif dengan metode deskriptif observasional ini menggunakan data primer melalui pemeriksaan tajam penglihatan menggunakan snellen chart dan pinhole serta penilaian faktor risiko melalui kuesioner pada 58 responden. Hasil penelitian menunjukkan bahwa sebagian besar responden adalah laki-laki (55,2%) dan 81% mengalami gangguan penglihatan pada kedua mata, dengan gangguan refraksi sebesar 74,1% pada mata kanan dan 70,7% pada mata kiri. Sebanyak 74,1% siswa terpapar penggunaan gadget yang dipinjamkan oleh orang tua dengan durasi 1–2 jam (32,8%), dan 44,8% memiliki riwayat keluarga dengan mata minus. Penelitian ini menyimpulkan bahwa gangguan refraksi merupakan masalah utama pada tajam penglihatan anak usia sekolah, dipengaruhi oleh penggunaan gadget dan faktor genetik. Upaya pencegahan melalui edukasi, pengaturan waktu layar, serta pemeriksaan mata rutin diperlukan untuk meminimalkan dampak negatif terhadap perkembangan penglihatan anak.
Co-Authors Dewi, Rista Nur Akmalia Nuruzzahrah, Naufarah Piscaloka, Viora Rianda rahayu, Intan dwi Risnandya Primanagara Sitorus, Velin Novalina Trinanda, Syifa Khaerunisa Widi Astuti