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Pre-operative intraocular pressure as a predictor of post-operative intraocular pressure after phacoemulsification in non-glaucomatous patients Ernawati, Titiek; Hendrawan, Kevin Anggakusuma; Khudrati, Wilson Christianto; Samsudin, Kevin
Universa Medicina Vol. 41 No. 1 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.11-17

Abstract

BackgroundCataract has been known to cause high intraocular pressure which may lead to secondary glaucoma. Some anatomical changes in cataract patients are assumed to be factors contributing to increased intraocular pressure (IOP). The changes in IOP after cataract surgery tend to help surgeons to predict clinical outcomes. Therefore, IOP control is very important in these patients. This study aimed to determine the ocular biometric parameters and pressure-to-depth (PD) ratio associated with IOP in non-glaucomatous patients who undergo cataract surgery. MethodsA prospective study using secondary clinical data collected from 81 non-glaucomatous patients. Data were collected by examining each subject pre- and post-operatively. The changes in ocular biometry parameters and IOP were measured one week before surgery and 8 weeks after the surgery. Univariate and multivariate linear regression were performed to analyze the data. ResultsThe mean anterior chamber depth (ACD) change was 0.73 ± 0.16 mm, mean PD ratio was 5.04 ± 1.16, and the mean pre-operative IOP was 16.07 ± 2.92 mmHg, decreasing by 2.35 mm Hg (14.6 %) to 13.72 ± 3.42 mm Hg at 8 weeks postoperatively. Univariate linear regression results showed a significant correlation between PD ratio and post-operative IOP (p=0.000), but no significant association was observed between PD ratio and post-operative IOP in multiple linear regression (p=0.126). However, pre-operative IOP was significantly associated with post-operative IOP (Beta=1.244; p=0.004) ConclusionsOur data demonstrated that pre-operative IOP was the most influential risk factor of IOP reduction after phacoemulsification in non-glaucomatous patients.
MENINGKATKAN PERAN AKTIF REMAJA SMA DALAM PROMOSI PENCEGAHAN INFEKSI MENULAR SEKSUAL Novita, Bernadette Dian; Dewi, Sianty; Hertanto, Maria Patricia Dian; Young, Andre; Khudrati, Wilson Christianto; Meredith, Jennifer
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 6 (2023): Volume 4 Nomor 6 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i6.21338

Abstract

Infeksi Menular Seksual (IMS) adalah salah satu penyakit menular yang sering ditemui pada kelompok remaja. Pengaruh internal dan lingkungan tidak didukung oleh pemahaman mengenai kesehatan reproduksi dan penyakit menular seksual, pengawasan dari orang tua serta budaya masyarakat yang menganggap informasi ini sebagai hal yang tabu sehingga remaja mencari informasi dari sumber yang tidak tepat. Fakultas Kedokteran Universitas Katolik Widya Mandala Surabaya bersama Komisi Remaja Keuskupan Surabaya merasa perlu diadakan penyuluhan untuk menghasilkan agen edukatif dari kelompok usia remaja yang dapat memberikan edukasi serta konseling terkait pencegahan serta bahaya dari IMS. Pelatihan ini bertujuan untuk meningkatkan kemampuan remaja melakukan promosi kesehatan terkait IMS, pentingnya vaksinasi Human Papilloma Virus (HPV) untuk mencegah IMS serta etika dalam menggunakan media sosial. Metode pelaksanaan kegiatan melalui tahap pengembangan modul pelatihan, tahap implementasi dan pelatihan, serta tahap monitoring dan evaluasi. Tahap implementasi dilaksanakan dengan melakukan pelatihan kepada remaja dalam bentuk seminar awam melalui Zoom sedangkan tahap monitoring dan evaluasi melalui lomba poster dengan menggunakan media sosial Instagram. Evaluasi menggunakan pre-test dan post-test, serta penilaian karya poster digital di media sosial Instagram oleh ahli dengan menggunakan rubrik penilaian. Melalui kegiatan abdimas ini, mitra dapat turut berperan aktif melalui pengetahuan yang telah diperoleh kepada masyarakat, khusunya remaja melalui media sosial dengan bahasa yang mudah dipahami. Saran untuk kegiatan berikutnya adalah dengan memperluas materi terkait IMS dan agar kegiatan ini dapat dilakukan secara rutin. 
UTILIZATION OF ANGIOTENSIN-CONVERTING ENZYME INHIBITORS AND ANGIOTENSIN RECEPTOR BLOCKERS FOR GLAUCOMA Gunawan, Alyssa Claudia Valerie; Ernawati, Titiek; Hendrawan, Kevin Anggakusuma; Khudrati, Wilson Christianto
JURNAL WIDYA MEDIKA Vol. 10 No. 1 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v10i1.5439

Abstract

Glaucoma is a crucial ocular health issue that warrants meticulous attention according to its status as the leading cause of irreversible visual impairment on a global scale. The incidence of this illness has been on a steady rise, notably within the Asian region. Blood pressure impacts both intraocular pressure (IOP) and ocular perfusion pressure (OPP), which is the pressure responsible for facilitating blood flow to the eyeball. Hypertension is considered a contributing factor in the development of glaucoma. The Renin-Angiotensin-Aldosterone System (RAAS) plays a crucial role in the pathophysiology of hypertension and also contributes to the pathogenesis of glaucoma. The presence of Renin-angiotensin-aldosterone system (RAAS) inhibitors medications, such as angiotensin-converting enzyme inhibitors (ACE-I) and angiotensin receptor blockers (ARB) have demonstrated efficacy in reducing intraocular pressure (IOP) and reducing ganglion cell apoptosis. Consequently, these pharmacological agents present a viable therapeutic approach to patients afflicted with hypertension and glaucoma.