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Journal : Medula

Xerophthalmia: Risk Factors and Prevention Almaina Puteri Jasmine Almaina; Mafalda Marzon; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.737

Abstract

Xerophthalmia refers to a range of ocular symptoms caused by vitamin A deficiency, ranging from night blindness and Bitot’s spots to corneal xerosis, ulceration, and keratomalacia, which can lead to blindness. Globally, the incidence of xerophthalmia has been estimated at 350.000 cases annually. The majority of children who have vitamin A deficiency severe enough to cause bilateral corneal melting, perforation and blindness associated with xerophthalmia die within the first year of becoming blind. It has an essential role in maintenance of corneal and conjunctival epithelization, as well as photoreceptor transduction in the retina. On the eye, vitamin A deficiency results in night blindness, xerosis of the conjunctiva and cornea, and ultimately corneal ulceration and necrosis of the cornea. Several risk factors for vitamin A deficiency and xerophthalmia have been established through epidemiological studies, including demographic, geographic, childhood, parental and household factors. Prevention of xerophthalmia can be done with three strategies, such as periodic high-potency vitamin A supplementation, food fortification, and improving availability of foods containing vitamin A.
Intervensi Pada Penderita Hordeolum Adinda Husna Cahyana; Arfa Salma Firnandya; Muhammad Ammar Naufal; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.742

Abstract

The eye is one of the body's senses that is sensitive to many things and easily gets an infection. Patients with infection or inflammation of the eyelids are often the first to present to the primary care physician. One of the conditions of infection of the eyelids is a stye or hordeolum. Hordeolum is the most common acute bacterial infection by Staphylococcus aureus that occurs on the eyelids. Hordeolum divided into two categories, internal and external. The sebaceous glands of the eyelash follicles (Glands of Zeiss) and the apocrine glands of Moll, both located on the margins of the lids, are the source of the external hordeolum. Meanwhile, the Meibomian glands, which are found on the inside of the eyelids, are the source of internal hordeolum. Although it occurs quite often, hordeolum does not have a definite incidence. All ages are affected, especially adolescents and young adults, and the onset is spontaneous or associated with risk factors such as eyelid hygiene and long-term disease. Diagnosis can be determined from clinical examination alone, while supporting examinations are carried out if there is suspicion of involvement of other parts of the eye that significantly interferes with the physical condition. Management is generally conservative in the form of warm compresses and cleaning the lids. Antibiotics are used if the condition is severe.