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All Journal Universa Medicina Makara Journal of Health Research
Widya Artini
Faculty of Medicine Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Accommodative insufficiency as cause of asthenopia in computer-using students Amalia, Husnun; Suardana, Gusti G.; Artini, Widya
Universa Medicina Vol 29, No 2 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.78-83

Abstract

To date the use of computers is widely distributed throughout the world and the associated ocular complaints are found in 75-90% of the population of computer users. Symptoms frequently reported by computer users were eyestrain, tired eyes, irritation, redness, blurred vision, diplopia, burning of the eyes, and asthenopia (visual fatigue of the eyes). A cross-sectional study was conducted to determine the etiology of asthenopia in computer-using students. A questionnaire consisting of 15 items was used to assess symptoms experienced by the computer users. The ophthalmological examination comprised visual acuity, the Hirschberg test, near point accommodation, amplitude accommodation, near point convergence, the cover test, and the alternate cover test. A total of 99 computer science students, of whom 69.7% had asthenopia, participated in the study. The symptoms that were significantly associated with asthenopia were visual fatigue (p=0.031), heaviness in the eye (p=0.002), blurred vision (p=0.001), and headache at the temples or the back of the head (p=0.000). Refractive asthenopia was found in 95.7% of all asthenopia patients with accommodative insufficiency (AI), constituting the most frequent cause at 50.7%. The duration of computer use per day was not significantly associated with the prevalence of asthenopia (p=0.700). There was a high prevalence of asthenopia among computer science students, mostly caused by refractive asthenopia. Accommodation measurements should be performed more routinely and regularly, maybe as screening, especially in computer users.
Comparison of Ahmed Versus Baerveldt Implant Outcomes in Malayan Glaucoma Patients Artini, Widya; Mustafa, Syukri; Octariana, Virna D; Suryono, Astrianda
Makara Journal of Health Research Vol. 22, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: Ahmed and Baerveldt implants have already have been established for treating refractory glaucoma, but, to date, their outcome in Malayan eyes has not yet been reported. This study aimed to evaluate a comparison of the success rate between Ahmed and Baerveldt implants surgical intervention in Malayan patients with glaucoma. Methods: A descriptive retrospective study was conducted at Cipto Mangunkusumo Hospital, Indonesia, from January 2013 to December 2015. All glaucoma patients who underwent Ahmed and Baerveldt implants and intraocular pressure (IOP), and presented for follow-up evaluation one year post implant, were enrolled in this study. Visual acuity and complications were also recorded. A comparison between the two groups was then analysed. Results: The study cohort included a total of 117 eyes, of which 64 and 53 received the Ahmed and Baerveldt implants, respectively. The pre-operation IOP between the two groups was found to be significantly different (p = 0.01), but no significant difference (p = 0.24) was observed after surgery, although both groups showed a declining IOP. Complete success was achieved in 75% of Ahmed and 60.38% of Baerveldt implant patients. Overall, 9 patients developed complications. Conclusions: Both the Ahmed and Baerveldt implant groups demonstrated similar success in reducing IOP.
Impacts of Impaired Vision and Eye Diseases on Vision-Related Quality of Life in Indonesia Asroruddin, Muhammad; Artini, Widya; Gondhowiarjo, Tjahjono D; Rahayu, Tri; Lestari, Yeni D
Makara Journal of Health Research Vol. 21, No. 3
Publisher : UI Scholars Hub

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Background: To determine the impacts of visual impairment and eye diseases on vision-related quality of life (QoL) in populations with severe visual impairment (SVI) and blindness in Indonesia. Methods: A cross-sectional study was conducted on 134 respondents from, 5 different provinces, simultaneously with a validation study using data from the 2013 National Basic Health Survey. Participants aged ≥ 18 years with visual acuity of < 6/60 underwent an ocular examination and guided interview. The impact of vision impairment related to their QoL was assessed using the NEI-VFQ 25 questionnaire. The scores were then compared between participants with blindness (< 3/60) and participants with SVI (> 3/60 to < 5/60), and the causes of visual impairment. Results: Severe visual impairment and blindness were mostly found in productive aged females with lower education and income levels, and cataracts were the leading cause. Vision-related quality of life was lower in the blind group compared to the SVI group (p = 0.001). The impacts of visual impairment related mostly to distance activities (p = 0.007), social functions, and near activities (p = 0.002). NEI-VFQ 25 scores were lower in glaucoma respondents than cataract respondents. Conclusions: Results suggest that subjects with blindness had a lower total QoL score than those with SVI, in addition to the subscale scores. Furthermore, glaucoma disease had the lowest QoL score.
Co-Authors Edi S. Affandi Edi Supiandi Gondhowiarjo, Tjahjono D Gusti G. Suardana, Gusti G. Husnun Amalia Lestari, Yeni D Magda Siholita Muhammad Asroruddin, Muhammad Mustafa, Syukri Octariana, Virna D Suryono, Astrianda Tjahjono D. Gondhowiardjo Tri Rahayu