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All Journal Global Medical and Health Communication Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Paediatrica Indonesiana Syntax Literate: Jurnal Ilmiah Indonesia Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vision Science and Eye Health Journal Ophthalmologica Indonesiana Folia Medica Indonesiana
Rozalina Loebis, Rozalina
Department Of Ophthalmology, Airlangga University Medical School/Dr. Soetomo Hospital, Surabaya, Indonesia.
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Comprehensive Dental Care for Children with Visual Impairment Nisrina, Shafiya Fildza; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 3 No. 2 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i2.2024.45-50

Abstract

Introduction: Children with visual impairment are more susceptible to acquiring pathologies in the oral cavity than the general population, the most prevalent of which are dental caries, inflammation of the gums, and loss of the structures that support the teeth. The oral health care needs of visually impaired children are needed. Purpose: To provide a better understanding that can guide ophthalmologists about the importance of comprehensive dental care for children with visual impairments. Review: Factors that respond to the need for oral health care in visually impaired children are lack of ability to carry out oral hygiene habits, lack of knowledge on the part of health personnel to provide services adapted to the needs of this population, absence of promotion and education programs, and lack of public policies on oral health. This article discusses the dental aspects of visual impairment, its implications for obtaining dental care, associated oral conditions, and medical complications. Conclusion: It is imperative to prioritize the implementation of preventive methods and oral health education among visually impaired children. The function of the dentist is significant in the management of children with such conditions. Ophthalmologists should collaborate with dentists who possess a strong drive to provide care for children with special needs such as visual impairment and will discover that this endeavor offers significant opportunities to be an enriching experience.
The Correlation between Family Socioeconomic Status and the Delayed Treatment of Retinoblastoma Patients at Dr. Soetomo General Hospital Surabaya Naimatuningsih, Nanning; Soebagjo, Hendrian; Setiawati, Rosy; Loebis, Rozalina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 2 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (430.411 KB) | DOI: 10.20473/juxta.V10I22019.52-56

Abstract

Introduction: Retinoblastoma is a cancer with the highest incidence in children and the second type of cancer that most often causes death in children in Indonesia. The level of delay in attending treatment for retinoblastoma patients in Dr. Soetomo General Hospital Surabaya is still high, because generally the patients come with an advanced stage, they are already in serious condition or with a poor prognosis. Treatment delay from the patients can be caused by the patients that are not feeling disturbed by the disease, not aware of the dangers of the disease, feel afraid, have no cost, the family does not allow them to see the doctor, and the health facilities are unaccessable. One of the factors that influence decision making whether or not someone comes to seek treatment is their socioeconomic status. The aim of this research is to analyze the correlation between family socioeconomic status with the delayed treatment for retinoblastoma patients at Dr. Soetomo General Hospital Surabaya.Methods: This research used observational analytic cross-sectional study. This research was conducted with the help of 33 retinoblastoma patients and families of retinoblastoma patients in the Outpatient Unit of the Poli Onkologi Satu Atap (POSA) Mata at Dr. Soetomo General Hospital Surabaya, and was taken by total sampling.Results: The results were obtained from 33 samples, 18.2% of patients came with a good prognosis, and 81.8% of patients came with a poor prognosis. The Fisher's Exact Test analysis (α = 0.05) was used to determine the correlation between the father's educational level and the delayed treatment of retinoblastoma patients (p = 0.322), correlation between the mother's educational level and the delayed treatment of retinoblastoma patients (p = 0.129), correlation between the father's level of occupation and the delayed treatment of retinoblastoma patients (p = 0.028), correlation between the mother's occupational level and the delayed treatment of retinoblastoma patients (p = 0.640), correlation between the family income level and the delayed treatment of retinoblastoma patients (p = 0.026).Conclusion: There were significant correlation between father's occupational level and family income level with the delayed treatment of retinoblastoma patients. Meanwhile there were no significant correlation between father's educational level, mother's educational level, and mother's occupational level with the delayed treatment of retinoblastoma patients.
Duration of Gadget Use and Severity of Dry Eye Syndrome based on the Ocular Surface Disease Index (OSDI) Questionnaire in Final-Year Students of the Faculty of Medicine, Universitas Airlangga Subagiono, Arya Agung Hari; Komaratih, Evelyn; Umiastuti, Pirlina; Loebis, Rozalina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.36-42

Abstract

Highlights: Screen time is one of the risk factors for dry eye disease (DED). Therefore, students are at high risk for DED. The ocular surface disease index (OSDI) is one method used to assess dry eye disease based on subjective symptoms. However, the correlation between screen time and the incidence of dry eye and/or its severity based on OSDI produces varying results. The majority of respondents had dry eyes based on OSDI. There was no correlation between screen time and dry eye incidence or severity based on OSDI parameters. Females had higher mean OSDI scores than males.   Abstract Introduction: People’s screen time surged during and after the COVID-19 pandemic. Screen time was a risk factor for dry eye disease (DED). This study examined the correlation between screen time and DED severity based on an ocular surface disease index (OSDI) questionnaire in final-year undergraduate students of the Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. Methods: This was a cross-sectional study. Respondents were recruited via a total sampling method. One hundred eight students participated in this study. Independent variables were sex, average duration of device use per day, and degree of daily gadget usage time. Dependent variables were OSDI score, degree of dry eye based on OSDI score, and dry eye incidence. Chi-Square, Spearman, Kruskal-Wallis, and Mann-Whitney tests were used in data analysis. Results: There was no significant relationship between daily gadget use duration and OSDI score (p=0.497; r=-0.066) and between the degree of daily gadget usage time and dry eye severity (p=0.609; r=0.050). Sex was unrelated to dry eye incidence (p=0.072) nor severity (p=0.125). There were no significant differences in daily gadget use duration between dry eye vs non-dry eye respondents (p=0.926) and across dry eye severity (p=0.934). There were no significant differences in OSDI scores between degrees of screen time (p=0.978). There was no significant correlation between the incidence of dry eye and the degree of daily gadget usage time (p=0.640). Female respondents had higher mean OSDI scores than males (p=0.009). Conclusion: Screen time was not related to the incidence and severity of dry eye based on OSDI. However, many respondents had dry eyes based on OSDI.
Predictors of Success in Horizontal Strabismus Surgery: Insights from a Prospective Study Tjujitno, Aurellia Valmai; Prastyani, Reni; Susanto, Joni; Loebis, Rozalina; Indriaswati, Luki; Wulandari, Lely Retno
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.57-62

Abstract

Highlights: The younger age and shorter duration of misalignment are significant predictors of success in horizontal strabismus surgery. Younger patients tend to have higher success rates, and shorter durations of misalignment correlate with better surgical outcomes. Despite variations in population and surgical methods, the overall success rate of 82.3% for horizontal strabismus surgeries aligns with previous studies. This consistency underscores the reliability of surgical outcomes in different settings.   Abstract Introduction: Strabismus is an eye disorder characterized by misalignment of the eyes, which can occur in individuals of any age. This study explored the surgical outcomes of horizontal strabismus correction in patients, aiming to provide insights into the factors influencing success. Methods: A prospective study was conducted with 17 patients (n=17) who underwent surgery at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Preoperative factors, including age, duration of misalignment, and preoperative angle of strabismus, were analyzed for their impact on surgical success. The International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) for Macintosh version 27.0 was used for data analysis. Results: This study reviewed the medical records of 17 research samples (n=17). A significant change in the median angle of deviation prism diopters (PD) preoperatively was indicated by the median Postoperative Deviation (PD) (p<0.001). A significant difference in median age at surgery was observed between successful and unsuccessful cases (p=0.035), with younger individuals exhibiting a higher success rate. The duration of misalignment emerged as a crucial factor, with a shorter duration correlating positively with a higher probability of surgical success (p<0.001). Notably, successful outcomes were achieved by all children (100%), suggesting a potential trend indicating age as a predictor of success. While the preoperative angle of strabismus did not significantly impact success, a trend emerged (p=1), indicating a potential threshold effect for more significant angles. Conclusion: Knowing the significance of age and duration of misalignment on the success rate of strabismus surgery allows for enhanced preoperative assessments, optimized timing of surgery, and developed predictive models to assist in clinical decision-making, ultimately leading to more efficient and successful surgical outcomes.
Comprehensive Surgical Approaches for Paralytic Esotropia Widayanto, Fredy; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.60-66

Abstract

Introduction: Paralytic esotropia occurs due to paralysis of the lateral rectus muscle due to sixth nerve paralysis. One of the etiologies of sixth nerve palsy is trauma. Examination and holistic management should be done in patients with sixth nerve palsy, as this condition will have a psychosocial impact on the patient. In this case series, the authors will report on the different approaches to comprehensive management in paralytic esotropia cases. Case Presentation: The first patient had 30Δ paralytic esotropia in the right eye for ten months after an accident, experiencing diplopia in the primary gaze worsening in the left gaze, with abduction limitation. He underwent a 7 mm medial rectus recession as the first step, followed by vertical rectus transposition with Foster modification after three months. This treatment successfully restored orthophoria with no diplopia in the primary gaze. The second patient developed paralytic esotropia (10) after a traffic accident one year prior, with minimal motility limitation. He underwent a 4 mm medial rectus recession, restoring binocular vision and allowing him to return to work. Conclusion: Sixth cranial nerve paralysis is the most common cause of eye-related nerve paralysis, leading to loss of lateral rectus muscle function, diplopia, and significant psychosocial impacts. Surgical treatment for chronic paralytic esotropia depends on the severity of muscle weakness, with different procedures recommended based on the ability of the lateral rectus to contract. Case studies showed that appropriate surgical interventions, such as medial rectus recession and vertical rectus transposition, effectively managed the condition and improved patient outcomes.
Studi Literatur Pengaruh Penggunaan Gadget terhadap Kejadian Astenopia Mata pada Mahasiswa Brilianti, Natasya Nurvita; Wahyuni, Indri; Loebis, Rozalina
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i12.55376

Abstract

Penggunaan gadget di kalangan mahasiswa pada zaman modern telah menjadi suatu keharusan dimana seluruh individu mahasiswa dipastikan menggunakan smartphone atau laptop. Hanya saja, penggunaan gadget yang tidak tepat memiliki resiko pada peningkatan gangguan kesehatan mata seperti astenopia. Oleh karena itu, peneliti bermaksud melakukan studi literatur mengenai pengaruh penggunaan gadget terhadap astenopia mata mahasiswa. Penelitian ini tergolong pada penelitian kualitatif dengan studi literatur yang mengkaji sumber materi dari artikel ilmiah yang dianggap relevan dan dikumpulkan dari berbagai database baik Google Scholar maupun Garuda dengan menuliskan kata kunci yang berkaitan dengan penelitian yaitu penggunaan gadget, astenopia, kelelahan mata, dan mahasiswa. Hasil studi literatur menemukan 18 artikel mengenai pengaruh penggunaan gadget terhadap kejadian astenopia pada mahasiswa, serta 14 artikel yang mengonfirmasi bahwa terdapat pengaruh penggunaan gadget terhadap kejadian astenopia di kalangan mahasiswa. Kemudian, studi literatur ini juga mengonfirmasi bahwa terdapat berbagai faktor yang berkaitan dengan penggunaan gadget yaitu faktor durasi penggunaan gadget, jarak penggunaan gadget, posisi penggunaan gadget, serta jenis gadget. Adapun terdapat berbagai bentuk keluhan astenopia yang ditemukan pada artikel-artikel penelitian terdahulu yang termasuk pada kategori astenopia sedang hingga astenopia berat.
Anterior Segment Dysgenesis in A Child, A Rare Case Report: What Should We Do? Poster Presentation - Case Report - Resident Permatasari, Devi Sarah Intan; Hermawan, Dicky; Loebis, Rozalina
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: 10.35749/76yvsp50

Abstract

Introduction : Anterior segment dysgenesis affects a various range of ocular structure, including: cornea, iris, ciliary body, anterior chamber, and lens associated with approximate 50% of glaucoma Case Illustration : A 20 month-old boy presented with bilateral corneal opacity. VA was 6/480 on both eye. Examination revealed bilateral central corneal opacity with keratolenticular adhesions, anterior lens dislocation and opacification, aniridia, and posterior segment were difficult to evaluate. The IOP were 17.3 mmHg and 14.6 mmHg in the right and left eye respectively. The aforementioned feature contributed to the diagnosis of Type II Peters Anomaly (PA). Lens aspiration combined with adhesiolysis on the LE was performed. Patient was given topical antibiotic, corticosteroid, and anti- glaucoma medication post-operatively. Postoperative course showed no complication and the corneal opacity diminished Discussion : Lens aspiration in combination with adhesiolysis was performed because the presence of cataract interfered the visual axis and increased the risk of corneal decompensation due to keratolenticular adhesions. We considered to perform the surgery on the LE first because the corneal opacity was milder than the RE. Glaucoma is an almost ineluctable issue and medical therapy are necessary. Further evaluation was required to determine if a similar procedure is needed for the fellow eye and whether the IOL implantation was going to enhance the visual prognosis in the future Conclusion : The keratolenticular adhesions and corneal opacity in type II PA make the surgical approach more challenging. Cautious manipulation can prevent further corneal decompensation. In addition, parents should receive extensive counseling regarding the complications and prognosis
The Relationship between Characteristics and Underlying Eye Disorders with Optical Aid Selection and Visual Acuity Status Differences in Children with Low Vision Before and After Optical Aid Selection Sidohutomo, Andityo; Deneska, Ria Sandy; Loebis, Rozalina
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: 10.35749/6mad5m93

Abstract

Background: Low vision is a vision disorder that can have a significant impact on a person's independence, especially in children. According to WHO data from 2019, 246 million people suffer from low vision. Ophthalmologists must prioritize low-vision services such as refractive correction and low-vision assessment. This study aims to learn more about the relationship between characteristics and underlying eye disorders with optical aid selection, as well as differences in visual acuity status in children with low vision before and after optical aid selection. Methods: This study was an analytic observational retrospective cohort using medical records of children with low vision in RSUD Dr. Soetomo Surabaya. This study analyzed the relationship between characteristics (gender, age, education level, intervention history) and underlying eye disorders with optical aid selection using the Chi-Square test, while visual acuity status differences before and after optical aid selection were analyzed using the Wilcoxon test. Results: There were no relationships between characteristics (gender, age, education level, intervention history) and underlying eye disorders with optical aid selection (p > 0.05). There were differences in visual acuity status before and after optical aid selection (p < 0.05) with a minimum decrease of 0.1 logMAR which means an increase in visual acuity in all 72 samples of children with low vision after optical aid selection. Conclusion: These data provide new evidence of essential links between visual acuity status before and after optical aid selection. However, characteristics (gender, age, education level, intervention history) and underlying eye disorders were not associated with optical aid selection.
The Etiology of Paralytic Strabismus at an Indonesian Tertiary Hospital from 2017 to 2022 Azizah, Aulia Rachma Nur; Loebis, Rozalina; Hidayati, Hanik Badriyah; Wahyuni, Indri; Wulandari, Lely Retno
Folia Medica Indonesiana Vol. 60, No. 1
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Highlights: 1. This study investigated the etiology of paralytic strabismus, a condition that requires further research to prevent its incidence, particularly in adults. 2. The findings of this study provided valuable insight into the primary etiology of paralytic strabismus and its underlying factors. Abstract Paralytic strabismus is the most common cause of adult-onset strabismus. It can result from paralysis of the third, fourth, or sixth cranial nerves, either separately or in combination, which are responsible for innervating the ocular motor muscles. Paralysis of these cranial nerves occurs due to congenital disorders, neoplasms, trauma, intracranial processes, idiopathic diseases, and other causes. This study aimed to determine the etiology of paralytic strabismus incidence at the Department of Ophthalmology of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, between 2017 and 2022. This study employed a retrospective methodology and utilized total sampling. The medical records of patients diagnosed with paralytic strabismus were used to collect secondary data. Out of the total of 282 cases, the most common condition was combined ocular motor cranial nerve palsy, which accounted for 102 (36.2%) cases. The main factors contributing to this condition were neoplasms (37.2%), intracranial processes (25.5%), trauma (25.5%), other causes (8.8%), idiopathic diseases (2%), and congenital disorders (1%). The incidence of third cranial nerve palsy and sixth cranial nerve palsy was equally prevalent, each accounting for 86 (30.5%) cases. Meanwhile, fourth cranial nerve palsy was the least frequent with just eight (2.8%) cases. This study concluded that the most frequent etiology of paralytic strabismus was combined ocular motor nerve paralysis, which primarily results from neoplasms.
Sodium Hyaluronate Eye Drops for College Students with Computer Vision Syndrome in Indonesia Zulkarnain, Bambang Subakti; Loebis, Rozalina; Aryani, Toetik
Folia Medica Indonesiana Vol. 58, No. 4
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Highlights: • Computer vision syndrome (CVS) that causes dry eyes becomes a health problem for college students. • Sodium hyaluronate eyedrops can be used as one of the CVS therapy strategies for students suffering from CVS. Abstract: The use of computers and mobile devices is increasing. Computers and mobile devices help our daily work or study. However, prolonged use of them may cause computer vision syndrome (CVS). Nowadays, CVS becomes a health problem for everyone working with computers or mobile devices including college students because it causes dry eyes. It may disrupt reading, doing professional work, or using a computer which is important for college students to complete academic tasks. Sodium hyaluronate can be used to overcome the dry eye problem due to CVS. To assess the effectiveness of sodium hyaluronate eyedrops on students suffering from CVS, pre- and post-administration of sodium hyaluronate was measured for two weeks. Inclusion criteria for this study were college students aged 20-35 years, using a computer for >2 hours a day, not using nonsteroidal anti-inflammatory drugs (NSAIDs), not consuming drugs, or having a disease that affects tear production and bearing no pregnancy. Parameters assessed include tear break-up time using the Tear Break-Up Time (TBUT) test, tear production using the Schirmer I test, the number of clinically subjective symptoms, and Ocular Surface Disease Index (OSDI) scores. Data were analyzed using student paired t-tests or Wilcoxon Rank Test. There were statistically significant differences before and after the TBUT (4.4 vs 6.7 seconds; p<0.0001); the Schirmer I Test (4 vs 6 mm; p<0.05), and the number of clinically subjective symptoms (3 vs 0 clinically subjective symptoms; p<0.0001). The OSDI scores did not show statistical differences before and after administration of sodium hyaluronate (27 vs 21; p>0.05), but there was a positive impact from moderate to mild dry eye. Sodium hyaluronate eyedrops can be used as one of the CVS therapy strategies for students suffering from CVS.
Co-Authors ABDI ROY NABABAN Adam Surya Romadhon Andriana Kirana Puspa Anggisari Danastri Dharma Aquirina Caesari Putri Aulia Rachma Nur Azizah Azizah, Aulia Rachma Nur Bambang Subakti Zulkarnain Brilianti, Natasya Nurvita Budiatin, Aniek Setiya Deneska, Ria Sandy Devi Sarah Intan Permatasari Djoni Susanto Hanik Badriyah Hidayati,* Mohammad Hasan Machfoed,* Kuntoro,** Soetojo,*** Budi Santoso,**** Suroto,***** Budi Utomo****** Hening Laswati Putra Hermawan, Dicky Heru Setiawan Indri Wahyuni Indri Wahyuni Indriaswati, Dyah Kusworini Irwanto, Irwanto Joni Susanto, Joni Komaratih, Evelyn Lely Retno W Mohammad Sjaifullah Noer Naimatuningsih, Nanning Ni Wayan Tirthaningsih Niken Indah Noerdiyani Ninik Asmaningsih Soemyarso Nisrina, Shafiya Fildza Nuswantoro, Djohar Praba, Venansya Maulina Prastiya Indra Gunawan Prastyani, Reni Primitasari, Yulia Qorib, Mohammad Fathul Reni Prastyani MD Reyhana Khansa Mawardi Ria Indah Wahyuningtyas Risky Vitria Prasetyo Setiawati, Rosy Sidohutomo, Andityo Soebagjo, Hendrian Sri Andreani Utomo, Sri Andreani Subagiono, Arya Agung Hari Tjujitno, Aurellia Valmai Toetik Aryani Umiastuti, Pirlina Widayanto, Fredy Wigati, Kristanti Wanito Windya Tri Hapsari Zulkarnain, Bambang Subakti