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GAMBARAN TERAPI OBAT ANTIGLAUKOMA PADA PASIEN BPJS YANG DIDIAGNOSIS GLAUKOMA DI POLIKLINIK MATA RSUP DR. M. DJAMIL PADANG Putri Nabila Auditia; Elly Usman; Fitratul Ilahi; Hendriati Hendriati; Rahmatini Rahmatini; Shinta Ayu Intan
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 3 No. 3 (2026): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, September 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v3i3.3009

Abstract

Glaucoma is the second leading cause of blindness after cataract, and glaucoma-related blindness is permanent, making treatment—primarily drug therapy—focused on preventing further damage. Prescribing antiglaucoma drugs in accordance with the National Formulary (Fornas) is important to ensure drug availability and control costs, particularly for patients covered by BPJS (national health insurance). This descriptive retrospective study aimed to describe antiglaucoma drug therapy in BPJS patients diagnosed with glaucoma at the Ophthalmology Polyclinic of Dr. M. Djamil Padang Hospital, using secondary medical record data from patients treated between July and December 2023. Total sampling yielded 116 samples meeting the inclusion and exclusion criteria. The results showed that monotherapy was prescribed more frequently than combination therapy, most often administered topically. The most common monotherapy was latanoprost (56.9%), while the most common combination was latanoprost-timolol (21.6%). Most prescribed drugs (98.7%) were not listed in the Fornas or Hospital Formulary. Monotherapy was most often given to patients with juvenile glaucoma, mild-stage disease, and intraocular pressure (IOP) ≤21 mmHg, while combination therapy was most often given to patients with absolute glaucoma, severe-stage disease, and IOP >21 mmHg
HUBUNGAN MIOPIA DENGAN GLAUKOMA SUDUT TERBUKA PRIMER DI RSUP DR. M. DJAMIL PADANG PERIODE 2020-2022 Rani Raehanel Jannah; Fitratul Ilahi; Miftah Irramah; Hendriati Hendriati; Lili Irawati; Noverika Windasari
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 10 (2026): SINERGI : Jurnal Riset Ilmiah, Oktober 2026 (In Press)
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i10.3055

Abstract

Primary open-angle glaucoma (POAG) is a chronic and progressive optic neuropathy with an open anterior chamber angle, characterized by increased intraocular pressure (IOP) and visual field defect. Various studies have linked myopia as a significant factor in the development of POAG. The purpose of this study was to identify the relationship between myopia and the incidence of POAG at Dr. M. Djamil Hospital, Padang in 2020-2022. This study was an analytical study with a retrospective approach and cross sectional design. The sampling technique of this study was quota sampling technique and the total sample size was 40 patients. The data obtained were analyzed with the Chi-square test. POAG was dominated by the age group ≥ 40 years (52.5%), female gender (55%), patients without family history (85%) or any history of systemic disease (90%), with the most common systemic disease found was diabetes mellitus (5%). The majority of patients were high school graduates (57.5%) and students (30%). Myopia was more common in juvenile glaucoma patients (22.5%) and the most common type of myopia in POAG patients was moderate myopia (15%). Chi-square test showed a significant association between myopia and primary open-angle glaucoma (OR = 5.400, p = 0.023). There was a significant association between myopia and primary open-angle glaucoma.
Visual Acuity, Not Pressure Control, Distinguishes Phacotrabeculectomy from Trabeculectomy in Primary Open-Angle Glaucoma: A Six-Month Comparative Cohort Study Fitratul Ilahi; Hafiz Shatari; Lucyana
Open Access Indonesian Journal of Medical Reviews Vol. 6 No. 5 (2026): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher in collaboration with CMHC Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v6i5.939

Abstract

Background: Primary open-angle glaucoma often coexists with cataract, but Indonesian evidence comparing trabeculectomy with combined phacotrabeculectomy is scarce. Objective: To compare six-month pressure, medication, surgical, and visual outcomes after trabeculectomy versus phacotrabeculectomy and quantify between-group precision. Methods: This retrospective, non-randomised comparative cohort included 74 consecutive patients with primary open-angle glaucoma (54 trabeculectomy; 20 phacotrabeculectomy) at an Indonesian university ophthalmology department. Outcomes were intraocular pressure, topical medication burden, surgical success, and visual acuity. Within-group changes used paired t tests with Holm adjustment; between-group contrasts used Welch and Fisher exact tests, Hedges g, and Newcombe intervals. Result: Pressure fell at every timepoint in both groups (all adjusted p < 0.001). Six-month reductions were 13.02 and 12.10 mmHg; the between-group difference was 0.92 mmHg (95% CI −5.27 to 3.43; p = 0.670). Complete success was 55.6% versus 75.0% (odds ratio 2.40, 95% CI 0.76–7.55; p = 0.181). Visual acuity favoured phacotrabeculectomy (0.37 versus 0.99 logMAR; Hedges g = 0.70, 95% CI 0.18–1.23; p = 0.020). The cohort could not resolve pressure differences below 5.99 mmHg. Conclusion: Both procedures achieved large, sustained reductions in pressure and medication burden; equivalence in pressure control was not established. Phacotrabeculectomy produced better visual acuity, although cataract confounded procedure selection and acuity. When cataract coexists with primary open-angle glaucoma, the combined procedure may provide comparable pressure control and better acuity in one admission.