Garuda - Garba Rujukan Digital

The Outcome of Concurrent Intracameral Fluconazole Injection with Amniotic Membrane Transplantation for Fungal Keratitis in Dr. M. Djamil General Hospital: A Case Series Ferry Indratno; Havriza Vitresia
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 3 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i3.795

Background: Fungal keratitis is often difficult to eradicate and requires long treatment. Antifungal agents have lower efficacy because of low tissue penetration and the indolent nature of the infection. Fluconazole has effective ocular penetration ability, reaching aqueous concentration as same as plasm concentration. Multilayer amniotic membrane transplantation (MLAMT) has been shown to be a promising surgical procedure to reconstruct the ocular surface by supporting the epithelialization of the cornea and having protective antimicrobial properties. This study aims to report the outcome of concurrent intracameral fluconazole injection with amniotic membrane transplantation for fungal keratitis in Dr. M. Djamil General Hospital. Case presentation: Four inpatients in the ophthalmology ward of Dr. M. Djamil General Hospital with moderate to severe fungal keratitis. All patients were first treated with medications. Because the patients did not show clinical improvement after getting maximum therapy, they underwent intracameral fluconazole injection concurrent with MLAMT. MLAMT was performed with multilayered amniotic membranes to fill and cover the defect. The bandage contact lens was placed to protect and keep the MLAMT in place and for patients’ comfort. Patients were then observed for signs of inflammatory reaction and epithelialization. All patients showed reduced inflammation and improved epithelization after surgery. Conclusion: Concurrent intracameral fluconazole injection with MLAMT can be considered an alternative treatment for refractory fungal keratitis as it decreases the rate of inflammation and improves epithelization.

Surgical Outcome of Amniotic Membrane Transplantation (AMT) in Patients with Corneal Ulcer in Dr. M. Djamil General Hospital, Padang, Indonesia Rahmi Fatma Sari; Havriza Vitresia
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 6 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i6.830

Background: Amniotic Membrane Transplantation or AMT Graft has been known to successfully manage ocular surface diseases, especially corneal ulcers. The amniotic membrane promotes epithelialization and inhibits proteinase activity that is required for wound healing. A corneal ulcer is a potentially sight-threatening condition resulting in permanent corneal opacity. Methods: This is a retrospective descriptive study. Subjects were patients diagnosed with corneal ulcers and have been treated with AMT grafts. The data were grouped according to age, gender, severity, cause, visual acuity before and after AMT, and time required for complete epithelialization. Results: Fifty-two patients were included in this study, aged 41-50, with a mean age of 43,17. Men were more common than women by 88,5% vs 11,5%. AMT graft was performed for moderate and severe corneal ulcers in this study, and most of them were caused by infection. The visual acuity before AMT was mostly in the second WHO category of blindness and visual impairment. Four weeks after surgery, 34.6% of patients had improved visual acuity. Complete epithelialization was most frequently (59,6%) achieved in 15-28 days. AMT graft was repeated in 3 patients, and other surgical interventions were required for 2 patients. Conclusion: The AMT graft has successfully managed corneal ulcer patients, especially in moderate to severe cases, in Dr. M. Djamil General Hospital, Padang, Indonesia.

Hubungan Tingkat Stres dan Sleep Hygiene dengan Kualitas Tidur pada Mahasiswa Kedokteran Raisa Hussein; Eldi Sauma; Endrinaldi Endrinaldi; Afriwardi Afriwardi; Havriza Vitresia
Jurnal Ilmu Kesehatan Indonesia Vol 4 No 3 (2023): September 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i3.1045

Latar Belakang: Mahasiswa kedokteran merupakan kelompok yang rentan terhadap kualitas tidur yang buruk dan dianggap memiliki tingkat stres yang tinggi dibandingkan dengan mahasiswa jurusan lain. Untuk meningkatkan kuantitas dan kualitas tidur seseorang maka perlu penerapan praktik sleep hygiene secara rutin dalam kehidupan sehari-hari. Sleep hygiene merupakan serangkaian perilaku dan lingkungan untuk menciptakan kualitas tidur yang optimal. Objektif: Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara tingkat stres dan sleep hygiene dengan kualitas tidur pada mahasiswa program studi pendidikan dokter Fakultas Kedokteran Universitas Andalas angkatan 2019-2021. Metode: Penelitian ini merupakan penelitian analitik dengan menggunakan metode cross sectional, menggunakan teknik proportionate stratified random sampling dengan jumlah sampel sebanyak 160 responden. Data responden didapatkan dari kuesioner dan dianalisis menggunakan uji chi square. Hasil: Hasil penelitian ini didapatkan responden perempuan lebih banyak dibandingkan dengan responden laki-laki, dengan usia terbanyak adalah 21 tahun (32,5%). Lebih dari setengah mahasiswa memiliki tingkat stres normal (61,9%) dan sleep hygiene kategori tidak baik (63,8%). Mayoritas mahasiswa memiliki kualitas tidur yang buruk (90,6%). Kesimpulan: Tidak terdapat hubungan antara tingkat stres dengan kualitas tidur (p = 0,215) dan tidak terdapat hubungan antara sleep hygiene dengan kualitas tidur (p = 1,000). Kata kunci: Tingkat stres, sleep hygiene, Kualitas Tidur

Management for Perforated Moorenâ€™s Ulcer Linda Wira Putri; Havriza Vitresia; Getry Sukmawati
Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v41i2.23

Background: To report the surgical management for perforated Mooren's ulcer by performing conjunctival resection with situational corneal suture and Amniotic Membrane Transplantation. Case Illustration: There were six patients diagnosed with Mooren's ulcer between 2011-2013. Three of them were perforated Mooren's ulcer with iris prolaps, and the size of perforation was 2-4 mm. The sex distribution of the patient were 3 male and 3 female patients. The age of presentation of were varied from 11-48 yo. Three patients underwent surgery, one patient refused. The other 2 patients only got medical therapy. For perforated cases with iris prolaps, we performed conjunctival resection with situational corneal suture, overlying the perforation. The suture were made like a net or bridge, depend on cases, and then amniotic membrane were put over the suture. The corneal suture should not be tight because it can disrupt the corneal contour. Amniotic membrane were put on the net layer by layer, and then fixed by interrupted suture to the episclera and cornea, at least in 8 position. The eyes were patching about 4 days and give topical and systemic antibiotic, and corticosteroid systemic. All of patient have complete epithelization after surgery between day 7-10 and have visual acuity improvement. Some of the patient still followed up until now. Conclusion: Conjunctival Resection with situational corneal suture and Amniotic Membrane Transplantation appeared to be an effective procedure for perforated Mooren's ulcer and iris prolaps, even more than 2 mm size of perforation.

Sympathetic ophthalmia following corneal patch graft for corneal perforation: Poster Presentation - Case Report - Ophthalmologist RENI ANGRAINI; Havriza Vitresia
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/vgy9vv80

Introduction : Sympathetic ophthalmia (SO) is a rare, bilateral, diffuse granulomatous uveitis that usually occurs after open globe injury or intraocular surgery. We report a rare case of SO after the closure of corneal perforation using a corneal patch graft. Case Illustration : A 12 year old boy diagnosed as corneal perforation in the right eye, with visual acuity (VA) 20/100, underwent a corneal patch graft. He presented with redness and decreased vision in both eyes 2 weeks after surgery. The patient had VA of hand movements in the RE and 20/200 in the LE. Anterior segment examination showed a corneal patch graft with iris adherent to the graft posteriorly in RE, endothelial dusting, 2+ cells in both eye. Fundus examination showed optic disc oedema in both eye and inferior retinal detachment with macular involvement in RE. The patient was managed with pulse steroids for three days followed by oral steroids in tapering doses along with continued topical steroids. Three months follow-up showed improvement of VA to 20/60 in RE and 20/25 in LE Discussion : SO is thought to be an autoimmune response to uveal injury. The incarceration of uveal tissue in the wound is a major risk factor. SO has been reported 5 days to 66 years after penetrating insult to the eye. In this case, incarceration of uvea in corneal pacth resulted in SO 2 weeks after surgery. Conclusion : In a case of a perforated cornea, the possibility of iris incarceration in the wound is high and hence SO can develop

Performing Ocular Examinations as A Component of Self-Care For Individuals with Leprosy with The Aim of Eradicating Social Stigma and Prejudice Hendriati Hendriati; Tutty Ariani; Havriza Vitresia; Kemala Sayuti; Andrini Ariesti; Julita Julita; Qaira Anum; Satya Wydya Yenny; Rina Gustia; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Astria Rima Rara Yuswir; Novian Novian; Rizki Dwayana; Agustin Vira; Rika Desviorita; Rendra Darma Satria
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.537-546.2024

Leprosy is still a health problem in several countries, including Indonesia. Disability due to leprosy is a health threat for sufferers and causes quality-of-life problems that can disrupt the productivity of leprosy patients. Ocular involvement in leprosy is joint, but little data has been reported. Apart from multi-drug treatment (MDT), leprosy sufferers must also be able to carry out continuous self-care to prevent further disability. This is a collaborative activity between the Department of Ophthalmology and Dermatology Venereology of the Faculty of Medicine, the University of Andalas in Puskesmas Pauh Kamba district of Padang Pariaman. This is an advocacy activity on self-care (3M: Seeing, Examining, and Protecting) and eye examination. The activity was followed by interactive discussions and continued with a direct examination for skin abnormalities and disabilities, eye examination, and fundoscope. The activity results were obtained from 24 respondents, 11 men and 13 women. The age range is 16-59 years (67%), with the highest level of education being Elementry School graduates, which is 11 people (46%). In the self-care questionnaire of patients, 40% behaved well, and the results of eye examinations almost suffered from dry eye complaints without disabilities.

Penatalaksanaan Multirinosinusitis Kronis dengan Komplikasi Abses Subperiosteal Sinistra Ambriani, Desy; Irfandy, Dolly; Vitresia, Havriza
Jurnal Kesehatan Andalas Vol. 9 No. 4 (2020): Online December 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i4.1562

Abses subperiosteal merupakan salah satu komplikasi dari rinosinusitis baik akut ataupun kronis. Beberapa faktor sangat berperan sebagai penyebab penyebaran rinosinusitis ke orbita. Diagnosis rinosinusitis kronik dengan komplikasi abses periorbita ditegakkan berdasarkan anamnesis, pemeriksaan fisik, nasoendoskopi, tomografi komputer serta Magnetic Resonance Imaging (MRI). Penatalaksanaan rinosinusitis kronis dengan komplikasi abses subperiosteal adalah pemberian medikamentosa antibiotik intravena spektrum luas atau kombinasi, dekongestan, kortikosteroid sistemik disertai dengan tindakan operatif yaitu pendekatan Bedah Sinus Endoskopi Fungsional (BSEF). Dilaporkan satu kasus rinosinusitis kronis dengan komplikasi abses subperiosteal kiri pada laki-laki umur 40 tahun dan telah dilakukan perawatan dan dilanjutkan dengan pembedahan melalui pendekatan BSEF. Rinosinusitis kronik dengan komplikasi abses subperiosteal dapat ditatalaksana dengan terapi antibiotik dan pembedahan. Keterlambatan penanganan mempengaruhi tingkat kerusakan. Penanganan dengan antibiotik yang adekuat dan BSEF memberikan prognosis yang baik pada pasien.Kata kunci: abses subperiosteal, BSEF, rinosinusitis kronikÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â

Gambaran Faktor Risiko Pada Pasien Ulkus Kornea Infeksi Dan Derajat Keparahan Di Dapartemen Mata RSUP Dr. M. Djamil Padang Tahun 2020-2022 Resti, Dina; Vitresia, Havriza; Anggraini, Fika Tri; Hidayat, Muhammad; Sauma, Eldi
Jurnal Ilmu Kesehatan Indonesia Vol. 4 No. 4 (2023): Desember 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i4.1166

Latar Belakang: Ulkus kornea adalah kematian jaringan transparan yang menyebabkan hilangnya sebagian permukaan kornea. Ulkus kornea mempunyai beberapa faktor risiko yaitu trauma mata, penggunaan obat mata tradisional, pemakaian lensa kontak, penyakit sistemik, penggunaan kortikosteroid topikal, pasca operasi mata, penyakit kelopak mata. Derajat keparahan ulkus kornea terdiri dari ringan, sedang dan berat. Objektif: Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko pasien ulkus kornea infeksi dan derajat keparahan di Poliklinik Mata RSUP Dr M Djamil Padang Tahun 2020-2022. Metode: Penelitian ini adalah penelitian deskriptif menggunakan pendekatan cross sectional, dengan cara mengambil data rekam medik pasienulkus kornea infeksi di Poliklinik Mata RSUP Dr. M. Djamil Padang tahun 2020-2022 dengan metode total sampling. Hasil: Dari 85 orang sampel penelitian ini terdapat 63 orang (74,1%) adalah laki-laki dan berada pada rentang umur 30-60 tahun yaitu 56 orang (65,9%) dengan karakteristik pekerjaan terbanyak adalah buruh atau petani yaitu 65 orang (76,5%). Faktor risiko utama ulkus kornea infeksi adalah trauma mata 55 orang (61,1%) dengan derajat keparahan terbanyak adalah derajat sedang yaitu 59 orang (65,9%). Kesimpulan: Berdasarkan karakteristik pasien ulkus kornea infeksi lebih dari separuh subjek penelitian berada pada umur 30-60 tahun, jenis kelamin sebagian besar adalah laki-laki, jenis pekerjaan terbanyak adalah buruh atau petani. Faktor risiko utama pasien ulkus kornea infeksi penelitian ini adalah trauma mata. Lebih dari separuh sampel penelitian termasuk dalam kategori derajat keparahan sedang. Kata Kunci: mata, ulkus kornea, faktor risiko, derajat keparahan

Profil Pasien Uveitis di Plokilinik Mata RSUP Dr. M. Djamil Padang Pada Tahun 2020-2022 Helery, Muhammad Arsyan; Vitresia, Havriza; Ariani, Novita; Hidayat, Muhammad; Semiarty, Rima; Arfiani Rusjdi, Dina
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 1 (2025): Maret 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i1.1337

Uveitis is an inflammation of the middle layer of the eye, the uvea, which consists of the iris, ciliary body and choroid. Uveitis is one of the causes of ocular morbidity. Common symptoms of uveitis include red eye, eye pain and blurred vision. Patients with uveitis can experience decreased vision to blindness. Research on uveitis in Indonesia is still limited. This study aims to determine the profile of uveitis patients at the ophtalmology departement of RSUP Dr. M. Djamil Padang. This study used a descriptive research design with a retrospective approach which was carried out by observing data from the medical records of uveitis patients at the ophtalmology departement and the medical records section of RSUP DR. M. Djamil Padang period 2020-2022. The study used a total sampling technique. Patient data were analyzed univariately and data presentation in the form of frequency distribution tables. In this study, a total of 50 samples were obtained. The results of this study found out that uveitis patients mostly female (52%) and the majority in the age range 20-60 years (90%). The most common types of uveitis based on anatomical location are panuveitis (56%) and unilateral lateralization (62%). The main etiology of uveitis was infection (42%). Most of the uveitis patients had clinical manifestation of blurred vision (72%) and red eye (72%). More than half uveitis patients visus was <3/60, categorized as blindness (52%).

Performing Ocular Examinations as A Component of Self-Care For Individuals with Leprosy with The Aim of Eradicating Social Stigma and Prejudice Hendriati Hendriati; Tutty Ariani; Havriza Vitresia; Kemala Sayuti; Andrini Ariesti; Julita Julita; Qaira Anum; Satya Wydya Yenny; Rina Gustia; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Astria Rima Rara Yuswir; Novian Novian; Rizki Dwayana; Agustin Vira; Rika Desviorita; Rendra Darma Satria
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.537-546.2024

Leprosy is still a health problem in several countries, including Indonesia. Disability due to leprosy is a health threat for sufferers and causes quality-of-life problems that can disrupt the productivity of leprosy patients. Ocular involvement in leprosy is joint, but little data has been reported. Apart from multi-drug treatment (MDT), leprosy sufferers must also be able to carry out continuous self-care to prevent further disability. This is a collaborative activity between the Department of Ophthalmology and Dermatology Venereology of the Faculty of Medicine, the University of Andalas in Puskesmas Pauh Kamba district of Padang Pariaman. This is an advocacy activity on self-care (3M: Seeing, Examining, and Protecting) and eye examination. The activity was followed by interactive discussions and continued with a direct examination for skin abnormalities and disabilities, eye examination, and fundoscope. The activity results were obtained from 24 respondents, 11 men and 13 women. The age range is 16-59 years (67%), with the highest level of education being Elementry School graduates, which is 11 people (46%). In the self-care questionnaire of patients, 40% behaved well, and the results of eye examinations almost suffered from dry eye complaints without disabilities.

Title

Found 28 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 28 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 28 Documents
Search