Aslim, D Sihotang
Fakultas Kedokteran USU

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THE PREVALENCE OF DIABETIC RETINOPATHY Fitriani Fitriani; Aslim D Sihotang; Delfi Delfi
Jurnal Kesehatan Prima Vol 11, No 2 (2017): Jurnal Kesehatan Prima
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32807/jkp.v11i2.7

Abstract

Diabetic Retinopathy is a damage retina caused by complication of diabetes mellitus. Approximately 40% of the diabetes cases tend to be retinopathy diabetic, even 8% of those cases are going to have blindness. The research aimed to describe diabetic retinopathy prevalence at H Adam Malik Hospital in Medan. The research method was retrospective descriptive and samples ware acquired from medical record during July in 2011 to June in 2012 at H Adam Malik Hospital in Medan. The findings indicated that there was no significant difference of a number of diabetic retinopathy patients between man and women. Mostly diabetic retinopathy patients were approximately 50 – 59 years old with duration of diabetes mellitus for 5 to 10 years old. The conclusion is the height of prevalence diabetic retinopathy is influenced by age and duration of diabetes mellitus.
Karakteristik penderita katarak senilis yang dilakukan tindakan pembedahan katarak di RSUP H. Adam Malik Medan tahun 2012 Safriati Eka; Delfi dr; D Sihotang Aslim
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 3 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background : Cataracts are a cloudiness in the lens. The WHO defines cataracts as a keen eyesight is less than 3/60 which is a cause of blindness worldwide. Cataract surgery is one of the important management against a significant lens cloudiness affects vision.1,2Objective : To know the characteristics of the patients with senile cataract who performed cataract surgery based on age and gender of the most incisive, sharp vision cataract the average pre operation, sharp vision average post surgery, systemic disease history, the use of companion planting and lens power lens planting an average of cataract surgery, the type most used on patients with cataract surgery is performed by 2012.Methods: This is a descriptive retrospective observational study on senile cataract sufferers who performed cataract surgery in the Hospital of Haji Adam Malik, Medan from January 2011 to December 2012 and control routine post-operative week VIII until 2012.Results : Of the total samples there are 152 samples sufferers cataract senilis done surgically, age most be found at age 60- 69 year namely 73 people (48%). Man 89 people (58.5% ), women 63 (41.4%), sharp of sight average pre operation most 1/300 for 48 people (31.5%), systemic disease history companion most is diabetes mellitus that is, (43.4%), discharging lens cropping (92.1%) and strength lens cropping average is 20.00D (23.5%), sharp of sight after operation <6/18-6/60 60 samples (39.4%), type surgically cataract most used is ECCE, 118 samples (77.6%).Conclusion : From an examination of the senile cataract sufferers sample 152 performed cataract surgery in 2012 found the largest age group 60-69 years of age, male gender more than women and sharp vision on average pre-operation is 1/300 and have a history of systemic disease of most Companion is diabetes mellitus. Sufferers who performed surgery on average using the lens with the lens power plant the largest planting was 20 D. Sharp vision under average operating <6/18-6/60, the type of cataract surgery is the most used is the ECCE.Keywords : senile cataract; cataract surgery; sharp vision pre operation; sharp vision post surgery; systemic diseas
AUROLAB AQUEOUS DRAINAGE IMPLANT IN YOUNG ADULT WITH NEOVASCULAR GLAUCOMA AND TUBERCULOSIS HISTORY: A CASE REPORT Barii Hafidh Pramono; Masitha Dewi Sari; Aslim D. Sihotang
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100170

Abstract

Introduction: Neovascular glaucoma (NVG) is historically known as rubeotic glaucoma, from “rubeosis iridis” that refers to the iris neovascularization. One of several causes that lead to rubeosis iridis is changes in Pigment Epithelium-Derived Growth Factor (PEDF) that may be caused by Mycobacterium tuberculosis. The influence of NVG may cause intraocular pressure (IOP) to rise rapidly. It can be decreased by Aurolab Aqueous Drainage Implant (AADI). Case Report: A 34-year-old male complained of left eye pain and sudden decreased vision for the past 2 months. He had been diagnosed with tuberculosis since 8 months ago. The patient’s blood pressure, blood sugar, cholesterol, and triglycerides were within normal limit. Diabetes Mellitus (-). Human Immunodeficiency Virus (-). Visual acuity of left eye was hand movement. The pupil was dilated and non-reactive, anterior chamber depth is shallow, and rubeosis iridis (+). IOP is 60 mmHg. Medical management was failed to decrease the IOP. Funduscopy image showed cup-disc ratio was 0,7. Ganglion cell complex parameters showed 80,91. On the next day after AADI implantation surgery, the patient’s left eye IOP was reduced to 10 mmHg. On the 14th day post operative visual acuity was 2 meter counting finger. The anterior segment of the conjunctiva bulbi was hyperemic and conjunctival injection was reduced. The camera oculi anterior showed remainder of the implant. In the iris, rubeosis iridis disappeared, pupil was dilated, IOP was increased to 12 mmHg Discussion: Neovascular glaucoma was caused by the growth of the fibrovascular membrane on the surface of the iris and the anterior chamber angle. The three most common causes of neovascular glaucoma were diabetes mellitus, central retinal vein occlusion, and carotid artery occlusion. Conclusion:AADI is a safe and effective option for patients with neovascular glaucoma following tuberculosis.