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Journal : Medula

Pengaruh Presbikusis Terhadap Kualitas Hidup Lansia Ellysa Angguman Putri; 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.v13i4.1.703

Abstract

Presbycusis is a sensorineural hearing loss that commonly occurs in the elderly as a result of the degenerative process of the hearing organ which continues to decrease progressively and symmetrically on both sides of the ear. Based on the results of audiometric examination and temporal bone pathology, presbycusis can be classified into four categories are sensory type, neural type, metabolic type, and cochlear conduction types. Factors involved in the development of presbycusis are genetic factors and environmental factors. Presbycusis is an important problem in the elderly social interaction. The elderly rely on their hearing to overcome the limited vision that is starting to get impaired. In addition, decreased concentration and memory due to age also make it difficult for the elderly to understand speech, especially in noisy situations. Presbycusis can cause serious complications, such as anxiety disorders, communication disorders, depression, isolation, and cognitive disorders. Presbycusis can affect all aspects of life, especially the personal and daily life. This is because hearing is an important sensation for the elderly in improving the quality of life, maintaining safety and health. Communication barriers caused by presbycusis affect the quality of life of the elderly.
Miopia Ringan Pada Anak Zenith Puspitawati; Putu Ristyaning Ayu; 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.v13i4.1.707

Abstract

Myopia is a serious health problem because its prevalence continues to increase worldwide. Myopia is a condition in which incoming light falls in front of the retina, causing blurred vision when looking at distant objects. In 2050 it is predicted that at least 49.8% of the world's population will suffer from high myopia of 9.8%. In children, refractive disorders, such as myopia, are often associated with vision care factors, however, several studies suggest that other factors have a significant relationship with the occurrence of myopia, namely genetic, environmental, gender, sleep duration, and economic status. This study aims to get an overview of mild myopia in children. The type of research is a literature review obtained from Text Books, Google Search, and Google Scholar. Found 7 literature. The results of the study found that there was no significant relationship between genetic variables and existing myopia. However, in another study, children with myopia parents had a higher prevalence of myopia. Factors that have a relationship with the incidence of myopia are environmental factors.
Penegakan Diagnosis dan Tatalaksana Keratitis Bakterial Devina Hardianto; Devira Fitriani Kamal; Mochamad Fauzan Dava; Rani Himayani; Putu Ristyaning Ayu Sangging
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.v13i4.1.712

Abstract

Bacterial keratitis is an infection of the cornea that caused by the invasion and proliferation of bacteria in the cornea, which can cause ulceration of the cornea. Bacterial keratitis is most often caused by Staphylococcus aureus, Staphylococcus epidermis, Streptococcus pneumoniae, and Pseudomonas aeruginosa. The use of contact lenses is associated with the incidence of bacterial keratitis. Other risk factors are alcohol, malnutrition, trauma, changes in the surface of the cornea. Symptoms that are often experienced are pain and red eyes, blurred vision, sensitivity to light, watery eyes, and tearing, because of damage in corneal epithelium and stromal inflammation due to the entry of bacteria. It is necessary to establish the diagnosis of bacterial keratitis. Evaluation is by inspection of the eye using slit lamp. Conjunctival injection, white infiltrate on the cornea due to damage to the corneal epithelium can be found. In addition, corneal thinning, stromal edema, inflammatory endothelial plaques, folds of Descemet's membrane, mucopurulent discharge, and anterior chamber hypopyon were also found. Laboratory test is through a scraping of the cornea for gram staining or bacteria culture. The treatment of bacterial keratitis is using broad-spectrum antibiotics before culture test and definitive antibiotics after the causative bacteria are identified.
ARTIKEL POLIP HIDUNG DAN PENATALAKSANAAN Hanifah Qollama Astrid; 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.v13i4.1.714

Abstract

Nasal polyps are long-stemmed protrusions of the nasal cavity and it is include pseudotumors, which are a chronic inflammatory disease of the mucous membranes of the nose and paranasal sinuses. Nasal secretions, nasal congestion, sneezing, impaired sense of smell, male gender, increasing age and asthma are symptoms and risk factors associated with nasal polyps. Nasal polyps are aggressive and often seems like other pathologies in the nasal and paranasal cavities. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP) is the most common condition that usually occurs, nasal polyps are a continuation of acute rhinosinusitis. The etiology is not known with certainty, there are several underlying things. Diagnosis of nasal polyps can be enforced by history of anamnesis and clinical manifestations felt by the patient. Careful anamnesis, precise and fast diagnosis can have an impact on good and ideal treatment and management for increase a quality of life a patients, evaluation and management of side effects from treatment must be continuously controlled. Intranasal corticosteroids such as budesonide, fluticasone propionate, and mometasone furoate have been shown to reduce polyp size.
Konjungtivitis Alergi Noval Ramadirta; Mentari Putri Maharani; Rachel Agustin Inggrid Zefanya; Yashila Rahimah; Rani Himayani; Putu Ristyaning Ayu Sangging
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.v13i4.1.716

Abstract

Allergic conjunctivitis is a form of ocular disorder associated with hypersensitivity reactions to foreign bodies. Allergic conjunctivitis is often a reaction to topical and systemic medications or cosmetics and animal dander from cats and/or dogs. Allergic conjunctivitis is a consequence of a type 1 allergic reaction. In individuals with hypersensitivity, when the allergen is present in the conjunctiva, this allergen triggers a reaction that causes Th2 cells to produce cytokines that induce the production of immunoglobulin E (IgE) by B cells. Classification of allergic conjunctivitis based on Ocular Allergy from the European Academy of Allergy and Clinical Immunology (EAACI) are ocular surface hypersensitivity disorders including ocular allergy or non-allergic ocular hypersensitivity. The diagnosis and management of this disease are related to the clinical manifestations that occur in patients. General management in the form of avoiding allergens and improving eye hygiene must be considered so that chronicity does not occur in the disease and interferes with the patient's quality of life. Some cases of allergic conjunctivitis do not pose a severe health threat. Complications of allergic conjunctivitis are rare, but when they do, they can be serious, including, in severe cases, scarring of the eye. If allergic conjunctivitis develops into infective conjunctivitis, the infection can spread to other body areas, potentially causing severe secondary infections. This article will provide a deeper understanding of allergic conjunctivitis, its diagnosis and management.
Acute Blepharitis: Diagnose and Management Vania Widyadhari Damayanti; 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.v13i4.1.718

Abstract

Blepharitis is an eye disorder that indicates inflammation at the edges of the palpebrae. Blepharitis can be divided into acute and chronic. Causes of acute blepharitis include bacterial, viral, or allergic reactions. Clinical manifestations that may appear include itching, burning, crusting, tearing, blurred vision, and foreign body sensation. No special diagnostic tests are needed other than a history and physical examination. Management in dealing with acute blepharitis is by keeping the eyes clean, warm and wet compresses, administering antibiotic ointments, administering topical corticosteroids. A diet that increases omega-3s and reduces omega-6s can also help with blepharitis symptoms. Food sources that contain omega-3s include sprouts, breast milk, and certain fish oils. Meanwhile food sources of omega-6 are meat, eggs, poultry, cereals, avocados, sunflower oil, corn oil, cottonseed oil, linseed oil, vegetable oils, margarine, sunflower seeds, pumpkin seeds, walnut seeds, soybeans, cashews, and other nuts.
HIFEMA : TINJAUAN KLINIS DAN KLASIFIKASI Imtinan Khoirunnisa; Carissa Aprilia Y; Fadilah Alwiyah; Regita Dwi M; Rani Himayani; Putu Ristyaning Ayu Sangging
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.v13i4.1.720

Abstract

Accumulation of blood in the anterior chamber of the eye called hyphema. A hyphema usually caused by blund trauma to the eye. It can also occur as a result of surgery inside the eye or abnormal blood vessels inside eye. Bleeding, eye pain, blurry or distorted vision, and light sensitivity is the symptoms of hyphema. The treatment are encouraging the blood, treat elevation incraocular pressure, bed rest is recommended. Also, patient of hyphema can also kept head in elevatd position during sleep and protect the eye with a shield. Steroid eye drops usually prescribed to limit inflammation, dilating drops, and reduce the pain. The last treatment is surgery with purpose to remove the blood. Prognosis of hyphema depends on size, small sized have a good prognosis. But, patient whose have eyes undergo rebleding have bad prognosis because they have larger sized of hyphema.
Tinjauan Pustaka: Patofisiologi, Diagnosis, dan Tatalaksana Rinitis Alergi Ahmad Duta Al-Ihya; Ghina Salsabila Fenty PNR; 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.v13i4.1.725

Abstract

Rhinitis is broadly defined as inflammation of the nasal mucosa. The incidence rate of allergic rhinitis in Indonesia is estimated at approx 10-20% and soon increase. The average age of allergic rhinitis is 8-11 years,and 80% allergic rhinitis occurs in 20 years old. Rhinitis describes a pattern of symptoms resulting from nasal inflammation and/or nasal mucosal dysfunction that includes many different subtypes. There are three different, widely accepted subtypes of rhinitis: allergic rhinitis, infectious rhinitis, and non-allergic rhinitis, non-infectious rhinitis. Rhinitis is characterized by the presence of one or more of the following nasal symptoms: nasal congestion, anterior or posterior rhinorrhea, sneezing, and pruritus.The diagnosis of this disease can be done by percutaneous skin tests (skin prick test), radioalergosorbent test (RAST), simultaneous multiantigen test (MAST), fluoroallergosorbent test (FAST), and capture immunoassay test (ImmunoCAP). A thorough medical history and detailed clinical examination may lead to suspicion of allergic rhinitis. Medical therapy includes intranasal corticosteroids, which are safe to administer to both adults and children and are superior to combination oral antihistamines and leukotriene receptor antagonists. The first generation antihistamines are no longer recommended because of side effects, whereas the second generation oral antihistamines have strong H1 receptor selectivity and weak anticholinergic action. Nasal irrigation is widely used in all types of rhinitis with isotonic or hypertonic saline and helps remove mucus and clears inflammatory medications.
Ablasio Retina: Etiologi, Faktor Resiko, Diagnosis, dan Tatalaksana Salsabila Haqya Kusuma; Rani Himayani; Putu Ristyaning Ayu Sangging
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.v13i4.1.726

Abstract

The separation of the neurosensory layer on the retina with the pigment epithelium layer at the bottom is an eye disease called Retinal Detachment. Retinal detachment occurs when the EPR and neurosensory layers are no longer attached to each other. Based on previous research, it was found that in the Iowa area conducted by Haimann et al., as well as research conducted in Minnesota by Wilkes et al., there were 12 cases of retinal detachment per 100,000 people each year. This research was conducted with the type of literature review research which has the aim of collecting data that is relevant to the material that is interested in being studied at this time, namely regarding Retinal Detachment or Retinal Detachment. The inclusion criteria used by the researchers were a literature that was uploaded or published at the latest in 2012. The exclusion criteria used were literature published in 2011 and below (examples: 2011, 2010). The results of the research that has been done are in the form of in-depth material regarding retinal detachment. Based on the theory introduced by the American Optometric Association (AAO), retinal detachment is categorized into rhegmatogenous which most often causes emergency conditions, and non-rhegmatogenous. Risk factors that affect retinal detachment are myopia, age, gender, trauma, the presence of peripheral retinal degeneration, and others. Meanwhile, the recommended treatment or therapy is vitrectomy surgery, scleral buckle, pneumatic retinopexy, and laser photocoagulation. Because retinal detachment can be an emergency case, doctors need to be aware of the signs and symptoms that lead to this disorder.
Optic Disc Cupping Kamila Nastiti; 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.v13i4.1.728

Abstract

Optic disc cupping is an enlargement of the cup and disc diameter ratio which is known as one of the characteristics of glaucoma. Glaucoma itself is one of the leading causes of blindness in Indonesia. Diabetes, heart disease, hypertension, nearsightedness and farsightedness can be risk factors for optic disc cupping due to glaucoma. Optic disc cupping can also be caused by various cases of non-glaucoma optic neuropathy. Distinguishing glaucomatous and non-glaucoma-induced optic disc cupping is a challenge for the observer. This research was conducted using the literature study method by conducting literature searches from various international and national journal sources. This study aims to collect data that is relevant to the material that is interested in being studied, namely regarding optical disc cupping. The results of the research that has been done are in the form of deepening material regarding optic disc cupping. The results showed that while the ratio of the cup to the optic nerve disc is quite variable in humans, the contours of the cup should be determined by biomicroscopic background assessment in order not to rely solely on color and to monitor blood flow and tipping on the rim of the cup. Optic disc cupping most often results from glaucoma. Deeper in the optic disc cupping occurs due to thinning of the prelaminar and laminar layers or high intraocular pressure.
Co-Authors Ad-Dhuha, Rahmah Maziyah Adelia, Anggi Adrifianie, Femmy Ahmad Duta Al-Ihya Alfina Indah Nabila Amalia Febriyanti Ambarwati, Endah Amelia, Erry Rizki Amira Nabila Andrifianie, Femmy Angelica Philia Christy Anggraeni Janar Wulan Anindia Syafia Halimathus Sa'dyah Aprianti, Shervia Dwi Ardella, Karina Belinda Ardika, Okta Besti Ari Wahyuni Ari Wahyuni ari wahyuni Arif Yudho Prabowo Asep Sukohar Betta Kurniawan, Betta Brigitta Shinta dewi Cahyana, Adinda Husna Carissa Aprilia Y Chindy Annisa Putri Mandala Sempaga Cut Karel Dithia Daffa Fahreiza Damayanti, Ervina Devina Hardianto Devira Fitriani Kamal Dewayanti, Wahyu Dwi Anjani, Galuh Dwi Indria Anggraini Edward Sintong Samosir Ellysa Angguman Putri Ety Apriliana Ety Apriliana Evan Christian Christian Fadhilah, Fuad Fadilah Alwiyah Fairuz Hanan, Sifa’Syaharani Faisal Rohmadhiyaul Haq Faisol Rohmadhiyaul Haq Faridi Pani Farraz Kanya Syahra Fauzan Hafizh, Ahmad Fauziani, Andra Nabila Fayza Syachrani Febri Nadyanti Febrianti, Arlin Fernadya Sylvia Nurindi Firsandini, Firsandini Fitria Saftarina Ghaitsa Lulua Ghifari, Ghaza Ahmad Al Ghiffari, Fahman Ghina Salsabila Fenty PNR Gigaramadan Sema Gigih Forda Nama Giska Tri Putri Graceciela, Yohana Eva Hana Qanitah Hanifah Qollama Astrid Hanna Mutiara, Hanna Happy, Terza Aflika Helmi Ismunandar Helmi Ismunandar Hendra Tarigan Sibero Hery Dian Septama Ida Laila Ihsanti Dwi Rahayu Ika Agustin Putri Haryant Imtinan Khoirunnisa Intan Kusumaningtyas Intanri Kurniati Junando, Mirza Junita, Aulia Kadek Elvina Kusuma Putri Kamila Nastiti Keziah Tirtawijaya Khairun Nisa Kurnia Fithrananda Kurniawan, Diva Ardhana Lintang Lestari Cahya Sawitri Lubna Farhana M Yusran M. Revo Artmando L M. Yusran Maharani , Mentari Putri Mallarangeng, Andi Nafisah Tendri Adjeng Mardiana Mardiana Maretta, Alvina Christy Maureen Angelica Melni Armadani Mentari Putri Maharani Mochamad Fauzan Dava Muhammad Aditya, Muhammad Muhammad Arsy Kamal Faadhil Muhammad Maulana Muhammad Maulana Muhammad Yusran Muhartono Muhartono Mukhlis Imanto Nabila Alsa Sagia Nabila Rayhan Yasmin Nadhia Wihelga Nahrassyiah Rahma Putri Naila Fathiya Isnanto Nashwa Faadillah Nasyim Natanael, Jessica Neli Salsabila Ni Made Karenina Rini Dwi Cintawan Noval Ramadirta Nur Fadillah, Astri Nurhaliza, Rahma Nurul Fadhilah Az-zahro Nurul Purna Mahardika Nurul Utami Okki Muhammad Fajar Muthahhari oktadiani, Isna Oktafany, Oktafany Oktaryona Trisera Oktoba, Zulpakor Prayogi, Norbertus Marcell Putu Ristyaning Ayu RA Genta Syakira Hatta Rachel Agustin Inggrid Zefanya Rahmah, Nisrina Nur Ramadhan Triyandi Ramadhina, Farrasyifa Ramdini, Dwi Aulia Rasmi Zakiah Oktarlina Regita Dwi M Rekha Nova Iyos, Rekha Nova Rengganis Wardani, Dyah Wulan Sumekar Renitta Anggraeni Rifka Putri Dewi Riska Azzahra Risti Graharti Ristyaning Ayu Sangging, Putu Rizki Hanriko Rizqiani Astrid Nasution Rudiyanto, Waluyo Ruth Leria Noverika Salsabila Haqya Kusuma Sangging, Putu Ristyaning Ayu Saphira Murfi Septiani, Linda Serafina Subagio Shifa Azzahra, Nimas Sitanggang, Grety Soraya Rahmanisa Suharmanto Susanti, Andani Dewanti Sutarto Sutarto Sutarto Sutarto Syachrani , Fayza Syahrani Alya Murfi Syazili Mustofa Syiva Ulhayah T. Adjeng, Andi Nafisah Thamara Az Zahra Tri Umiana Sholeha Tri Umiana Soleha Tri Umiana Soleha Tsurayya Fathma Zahra Vania Widyadhari Damayanti Widjaja, Jovan Wildan Kautsar Irawan Wiwi Febriani Yashila Rahimah Yasmin, Deffina Widya Yuliant, Titin Yusran, M Zenith Puspitawati Zheva Aprillia Yozevi