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All Journal Majalah Kedokteran Journal of Community Empowerment for Health Ophthalmologica Indonesiana Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Gilbert W. S. Simanjuntak
Department Of Ophthalmology, Faculty Of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia
Education Health Professions Medicine & Pharmacology Nursing Public Health

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Retrobulber Neuritis Post Nephrectomy Gilbert W. S. Simanjuntak; Reinne C. Natali; Golda A. M. Simanjuntak
Majalah Kedokteran UKI Vol. 30 No. 2 (2014): APRIL - JUNI
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstract

Abstract A 52 years old lady was referred due to a sudden decrease of vision. She underwent nephrectomy two days before being admitted to the Department of Ophthalmology. The examination showed that the right eye visual acuity was 1/60, left eye 20/70, ascertained with Marcus Gunn pupil reflex. Electroretinography examination revealed a retrobulber optic nerve disorder, diagnosed as neuritis. She received medication of methylprednisolone injection, followed by oral. On the last examination right eye visual acuity was 4/60, left eye 20/30 with S +0,50, and no more inflammation.Keywords: retrobulbar neuritis, nephrectomy, complication Abstrak Seorang perempuan berusia 52 tahun datang dengan keluhan tajam penglihatan turun mendadak. Penderita mengalami nefrektomi dua hari sebelumnya, dan kemudian dirujuk ke Departemen Penyakit Mata. Pada pemeriksaan ditemukan visus mata kanan 1/60 dan visus mata kiri 20/70 yang disertai refleks pupil Marcus Gunn. Pemeriksaan elektroretinografi memperlihatkan hasil gangguan di nervus optikus retrobulber. Pasien dengan neuritis retrobulber diterapi dengan injeksi metilprednisolon, dilanjutkan pemberian oral. Pada pemeriksaan terakhir didapatkan visus mata kanan 4/60 dan mata kiri 20/30 dengan S +0,50, dan tidak ditemukan lagi tanda peradangan.Kata kunci: neuritis retrobulber, nefrektomi, komplikasi
Gambaran Klinis Penderita Demam Dengue di Rumah Sakit Umum UKI Catharina D.W. Utami; Santa U. Marpaung; Gilbert W.S. Simanjuntak
Majalah Kedokteran UKI Vol. 32 No. 2 (2016): APRIL - JUNI
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstract

Abstrak Infeksi virus dengue mengakibatkan penyakit dengue fever (DF) dan dengue hemorrhagic fever (DHF). Penelitian dilakukan untuk mengetahui gambaran infeksi virus dengue sekaligus merupakan kajian audit medis di Rumah Sakit Umum Universitas Kristen Indonesia (RSU UKI). Desain penelitian adalah deskriptif retrospektif dengan melakukan analisis rekam medik. Indikasi perawatan dan tata laksana selama perawatan dievaluasi dan dibandingkan dengan protokol World Health Organization (WHO). Dilakukan evaluasi besaran biaya perawatan dan dibandingkan dengan cakupan Badan Penyelenggara Jaminan Sosial (BPJS). Infeksi virus dengue terbanyak adalah DF (79,5%), lebih sering terjadi pada anak perempuan (54,5%), berusia 5-14 tahun (75,0 %), lebih banyak dengan status gizi normal (70,5%). Sebagian besar pasien dirawat atas permintaan keluarga (76,5 %) dan datang dengan gejala khas DHF. Pasien DF datang pada hari ke-4 atau ke-5 demam, sedangkan pasien DHF pada hari ke-4 demam. Jumlah trombosit kurang dari 100 000 sel/mm3 ditemukan antara hari ke-3 dan ke-5 demam, sedangkan peningkatan trombosit hingga di atas 50 000 sel/mm3 terdapat antara hari ke-6 dan ke-7 demam. Tata laksana DHF sudah sesuai dengan protokol WHO, akan tetapi indikasi pulang pasien belum sesuai dengan indikasi pulang menurut WHO. Biaya rawat inap sudah sesuai dengan paket BPJS, tetapi biaya pada pasien kelas satu masih perlu dikaji kembali. Disimpulkan bahwa dengue fever merupakan kasus terbanyak yang diderita oleh anak usia 5-14 tahun. Demam antara hari ke-3 dan ke-5 perlu mendapat perhatian karena terjadi penurunan trombosit yang signifikan.Kata kunci : Infeksi virus dengue, hematokrit, trombositopenia, BPJS Abstract Dengue virus infection results in dengue fever (DF) and dengue hemorrhagic fever (DHF) diseases. The study was conducted to evaluate its distributions, as well as for medical audit in Universitas Kristen Indonesia General Hospital (RSU UKI). A retrospective descriptive study was done using medical records of patients diagnosed clinically having dengue infection. Indications for treatment and management of care were evaluated and compared to standard WHO protocols. The cost were also evaluated and compared with the coverage of the social insurance (BPJS). Dengue virus infection is mostly DF (79.5%), and mostly found in children aged 5-14 years (75.0%), with a normal nutritional status (70.5%). The majority of patients were treated at the request of the family (76.5%) and admitted with the typical symptoms of DHF. Patients with DF came on day-4 or day-5 of fever, whereas DHF patients on day-4. Decreased platelet counts <100 000 cell/mm3 was found between day-3 and day-5 of fever, while increased in platelets counts > 50 000 cell/mm3 was found between day-6 and day-7. Management of DHF was in accordance with the standard WHO protocol, but indication for discharging patient was not in accordance with WHO indication. The cost of hospitalization was in concordance with BPJS package, but the cost of the class-1 patients still need to be reviewed. It is concluded that dengue fever was the most frequent dengue virus infection in children aged 5-14 years old. Fever between day-3 and day-5 needs special attention because of a substantial decline in platelet counts. Keywords : dengue fever, hematocrit, thrombocytopenia, BPJS package
Cigarette smoking and duration of sun exposure as risk factor for cataract formation Reinne Natali Christine; Abigail Serapina; Gilbert Simanjuntak; Janes Fritz Tan
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.57464

Abstract

Cataract is the most common cause of vision loss in Indonesia. It involves many risk factors, such as age, trauma, persistent intra-ocular inflammation, ultraviolet radiation, diabetes mellitus, hypoparathyroidism, prolonged corticosteroid administration, and high body mass index. However, the role of smoking and sun exposure in cataracts has received less attention despite of the high number of cigarette smokers in Indonesia and this country also has strong sunshine all year round. The aim of this study was to investigate the relationship of cigarette smoking and duration of sun exposure with senile cataracts in Jakarta, Indonesia. This was a cross-sectional study without knowing risk factor before. A total of 100 patients participated in this study selected with consecutive sampling technique. They were divided into two groups: first was the case group consisting of 50 subjects aged more than 40 years old and diagnosed with senile cataracts and the second was the control group consisting of subjects aged more than 40 years old without cataract disease. All participants had to complete the questionnaire related to the history of smoking and duration of outdoor activity per day as it related to sun exposure. The sample was taken from the eye screening program in Puskesmas Cawang, East Jakarta. This research discovered a relationship between cigarette smoking and duration of sun exposure more than seven hours per day with the incidence of senile cataract (p=0.001) Statistical tests also showed an association between smoking duration more than 20 years and incidence of senile cataract (OR 7.25, 95% CI: 1.43 - 36.6; p = 0.02). However, the results revealed that there was no relationship between the number of cigarettes smoked per day with the incidence of senile cataract (p = 0.915). Overall, cigarette smoking and its duration appear to increase the risk of senile cataract formation.
Oral Acetazolamide Administration to Control Intraocular Pressure on First Day Post Phacoemulsification Surgery : Is It Necessary ? Reinne Natali christine; Henricus Datu Respatika; Gilbert Simanjuntak
Majalah Oftalmologi Indonesia Vol 43 No 2 (2017): 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.v43i2.151

Abstract

Introduction : The incidence of early postoperative intraocular pressure (IOP) increase is reported to be 2.3–8.9% in phacoemulsification surgery. This increase typically peaks at 3–7 hours after surgery and persists during the first 24 hours. Although most eyes can tolerate the transient IOP elevation that occurs after cataract surgery, IOP spikes are potentially more dangerous if it persist. In order to minimize postoperative intraocular pressure (IOP) rise, routine medication by oral acetazolamide has been widely used among ophthalmologists. Objective of this study is to investigate the relationship between IOP changes on first day after phacoemulsification with administration of oral acetazolamide. Method : This is a descriptive study. The samples were include 50 patients diagnosed with cataract who underwent phacoemulsification surgery with intraocular lens implantatios. Samples were randomized divided into two groups. First group is patient who treated with 250 mg acetazolamide post operative and other group is untreated. All respondents must have no history of glaucoma or ocular hypertensive and attend follow up on the first day postoperative. IOP is measured with non-contact tonometer. Results : Mean age of respondents is 61  9.8 years old. Preoperative IOP mean is 18.04  3.6 mmHg and postoperative IOP mean is 18.58  6.9 mmHg. This study revealed that there is no significant relation between oral administration of acetazolamide and the lowering of intraocular pressure on first day post phacoemulsification(p = 0.2) Visual acuity pre operative and nuclear density of cataract are also no relationship with the IOP on first day postoperative (p = 0.2 ) Conclusion : The use of oral acetazolamide is not significantly related to the IOP on first day post phacoemulsification surgery.
Reimplantasi Lensa Setelah Komplikasi Operasi Katarak Simanjuntak, Gilbert W. S.
Kesmas Vol. 6, No. 4
Publisher : UI Scholars Hub

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Abstract

Ada keterbatasan laporan implementasi lensa intraokuler sekunder di Indonesia. Penelitian ini bertujuan untuk melaporkan hasil implementasi lensa intraokuler sekunder di Rumah Sakit Communion of Churches in Indonesia (CCI) Cikini, Fakultas Kedokteran Universitas Kristen Indonesia Jakarta. Penelitian dengan sumber data sekunder rekam medis pasien dengan bedah inclusi eventful dengan atau tanpa implementasi lensa dan setiap komplikasi post operasi, termasuk penurunan penglihatan dan inflamasi katarak. Segmen anterior dan posterior diperiksa secara menyeluruh dan dicatat. Sinechiolisis dilakukan 360o dan viskoelastik disuntikkan untuk membuka ruangan antara iris dan kapsul rensi remain. Remain vitreous di depan chamber dipotong dan diangkat. Intraocular lens (IOL) ditanam di sulkus. Hasilnya yaitu ada 8 pasien yang memenuhi kriteria inklusi yang kemudian dievaluasi (50% adalah pria), 6 pasien underwent extracapsular catarac extraction (ECCE), dan 2 pasien underwent phacoemulsification before. Semua pasien mempunyai kornea sentral yang jernih. Ada 5 pasien dengan Jakarta. Penelitian dengan sumber data sekunder rekam medis pasien dengan bedah inclusi eventful dengan atau tanpa implementasi lensa dan setiap komplikasi post operasi, termasuk penurunan penglihatan dan inflamasi katarak. Segmen anterior dan posterior diperiksa secara menyeluruh dan dicatat. Sinechiolisis dilakukan 360o dan viskoelastik disuntikkan untuk membuka ruangan antara iris dan kapsul rensi remain. Remain vitreous di depan chamber dipotong dan diangkat. Intraocular lens (IOL) ditanam di sulkus. Hasilnya yaitu ada 8 pasien yang memenuhi kriteria inklusi yang kemudian dievaluasi (50% adalah pria), 6 pasien underwent extracapsular catarac extraction (ECCE), dan 2 pasien underwent phacoemulsification before. Semua pasien mempunyai kornea sentral yang jernih. Ada 5 pasien dengan cadalah 56,3 + 18,5 tahun. Rata-rata best corrected visual acuity (BCVA) sebelum operasi 0,33 + 0,26 dan setelah operasi 0,89 + 0,16 (p = 0,000). Rata-rata intraocular pressure (IOP) adalah 20,25 + 8,2 dan 15,25 + 3,5 mmHg sebelum dan sesudah operasi secara berurutan (p = 0,140). Pemantauan dilakukan 1 - 60 bulan. Implementasi IOL sekunder dapat memperbaiki penglihatan dan mengurangi subjektif dan temuan klinik setelah operasi katarak sebelumnya. There are limited reports of secondary intraocular lens implantation in Indonesia. The purpose of study is to report the result of secondary intraocular lens implantation in Cikini Communion of Churches in Indonesia (CCI) Hospital/Faculty of Medicine University Universitas Kristen Indonesia Jakarta. Retrospective study of medical records of patients with inclusion eventful cataract surgery with or without lens implantation with any complications postoperatively, including reduced vision and inflammation. Anterior and posterior segment findings were examine thoroughly and recorded. Synechiolysis done 360 degree and viscoelastic injected to open space between iris and remain lens capsule. Remain vitreous in anterior chamber cut and removed. Intraocular lens (IOL) implanted in the sulcus. There are 8 patients that fulfills inclusion criteria which then evaluated (50% are men), 6 patients underwent extracapsular catarac extraction (ECCE), and 2 patients underwent phacoemulsification before. All patient have clear central cornea. There are 5 patients with uveitis and vitreous opacity. There are 1 patients with (AC IOL), 2 patients with (PC IOL) dislocated some part to vitreous cavity and the rest aphakic. All surgical procedures were done under local retrobulbar anesthesia and IOL implanted in the sulcus without fixation. Mean age were 56,3 + 18,5 years. Mean best corrected visual acuity (BCVA) preoperatively 0,33 + 0,26 and postoperatively 0,89 + 0,16 (p = 0,000). Mean intraocular pressure (IOP) were 20,25 + 8,2 and 15,25 + 3,5 mmHg pre and post operative respectively (p = 0,140). Follow up was 1 - 60 months. Secondary IOL implantation can improve vision and reduce subjective and clinical findings after remarkable cataract surgery.
Kepuasan Pasien Pengguna Kartu Jakarta Sehat di Unit Rawat Jalan Rumah Sakit MP Hutabarat, Caroline; Kusumayati, Agustin; WS Simanjuntak, Gilbert
Kesmas Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Peluncuran Kartu Jakarta Sehat (KJS) pada bulan November 2012 mengakibatkan jumlah kunjungan pasien yang melonjak drastis di fasilitas kesehatan, khususnya rumah sakit, baik itu rumah sakit pemerintah pusat, rumah sakit pemerintahdaerah maupun rumah sakit swasta yang berkomitmen dengan Pemerintah Daerah Jakarta. KJS memberikan kemudahan akses layanan kesehatan agar pasien dapat berobat secara gratis. Namun persoalan yang muncul kemudian adalah pasien harus mengantre lama di loket pendaftaran, ruang pemeriksaan, maupun ruang pengambilan obat. Penelitian ini bertujuan untuk mengetahui hubungan faktor sosial budaya, pribadi, dan psikologis dengan kepuasan pasien pengguna KJS pada 110 responden di Unit Rawat Jalan RSU UKI, dan telah dilaksanakan pada bulan Maret 2013. Rancangan penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan potong lintang. Hasil penelitian menunjukkan kepuasan pasien KJS sebesar 40,9%. Akses ke rumah sakit, motivasi, informasi baik dan informasi tidak baik berhubungan signifikan dengan kepuasan pasien KJS, tetapi motivasi adalah hal yang paling dominan berhubungan. Selain itu, kepuasan pasien KJS juga berhubungan bermakna dengan pemanfaatan kembali layanan dan minat merekomendasikan layanan pada orang lain. Jakarta Health Card (JHC) was launched on November 2012, followed by sudden increase number of patient in any hospital accordingly. Jakarta Health Card ease the patient to afford health care without payment. We conducted study on the relation among socio-culture, demographic characteristics, and psychology factors toward patient satisfaction in using JHC. The study subjects were 110 outpatient of UKI Hospital, with study design descriptive quantitative with cross sectional approach. The result showed 40,9% of the patients were satisfied with the hospital service. Factors such as hospital access, motivation, good information and bad information were associated with patient satisfaction significantly, and motivation was the dominant factor. Besides, patient satisfaction also has significant correlation with revisiting/reusing and recommendation of the hospital to other patients.
Co-Authors Abigail Serapina Agustin Kusumayati Caroline MP Hutabarat Catharina D.W. Utami Datu Respatika Golda A. M. Simanjuntak Janes Fritz Tan Reinne C. Natali Reinne Natali Christine Reinne Natali christine Santa U. Marpaung