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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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Journal : Global Health Management Journal

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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.
Co-Authors Dewi, Rista Nur Akmalia Nuruzzahrah, Naufarah Piscaloka, Viora Rianda rahayu, Intan dwi Risnandya Primanagara Sitorus, Velin Novalina Trinanda, Syifa Khaerunisa Widi Astuti