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Mayang Rini
Department Of Ophthalmology, Faculty Of Medicine, Padjadjaran University Cicendo National Eye Center, Bandung, West Java
Health Professions Medicine & Pharmacology Public Health

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Clinical Outcomes of Laser In Situ Keratomileusis (LASIK) Using Microkeratome and Laser Femtosecond Flap in Myopic Patients Sesy Caesarya; Hikmat Wangsaatmadja; Mayang Rini; Feti Karfiati
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.v41i2.28

Abstract

Background: This study aimed to compare postoperative visual acuity and complications between flap LASIK creation using microkeratome and femtosecond laser. Method: This is a retrospective observational study. Data were collected from medical record, patient with microkeratome and femtosecond laser flap creations with best corrected visual acuity 6/6 preoperatively.Uncorrected postoperative visual acuity at 1 day, 1 week and 1 month, also complications were recorded. Result: The microkeratome and femtosecond laser group comprised of 130 and 184 eyes respectively. Visual acuity at 1 day follow up were 99.23% ≥6/12 in microkeratome group and 96.20% ≥6/12 in femtosecond laser group (P=0.19), at 1 week follow up were 99.23% ≥6/12 in microkeratome group and 97.82% ≥6/12 in femtosecond laser group (P=0.36) and 1 month follow up were 99.23% ≥6/12 in microkeratome group and 98.37% ≥6/12 in femtosecond laser group (P=0.60). There were significant differences in intraoperative (P=0.00) and postoperative (P=0.04) complications between two groups. Conclusion: There was no significant difference in visual acuity between LASIK flap creation using microkeratome and femtosecond laser at 1day, 1 week and 1month follow up. There were significant differences in intra and postoperative complications between two groups. Keywords: LASIK, microkeratome, femtosecond laser
Measurement of the Cut Off Score of Visual Function Questionnaire on Vision Related Quality of Life to Predict Severity of Diabetic Retinopathy Fauziah Hayati; Arief Kartasasmita; Mayang Rini; Feti Karfiati
Majalah Oftalmologi Indonesia Vol 41 No 3 (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.v41i3.46

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Background: Diabetic retinopathy has a negative impact on quality of life. In order to investigate the effects of visual impairment in self-perception of quality of life, vision related questionnaires such as the National Institute Visual Function Questionnaire (NEI-VFQ-25) has been developed. The aim of this study is to predict severity of diabetic retinopathy using NEI-VFQ-25 Version 2000 by measuring the cut off score of visual function questionnaire on vision related quality of life Methods: Cross Sectional study by examining 49 diabetic retinopathy patients who meet the inclusion criteria. All patients requested to answer the questionnaire. All question have a score and all question scores then categorized into a number of subscales that can be averaged to yield the subscale scores (lowest to highest range 0-100). Higher score on the VFQ–25 indicates better visual function and health related quality of life. Average scoring then being analyzed by ROC curve in order to gain the cut off score value between retinopathy and sight threatening diabetic retinopathy. Results: The cut off score value between retinopathy and sight threatening diabetic retinopathy is 90.90. The VFQ-25 classification score is in the range of <90.90 consider threatening diabetic retinopathy and ≥90.90 consider retinopathy. Conclusion: VFQ-25 is one of the instruments to confirm that diabetic retinopathy significantly impair quality of life. The cut off score value between retinopathy and sight threatening diabetic retinopathy is 90.90. Keywords: Diabetic retinopathy, NEI-VFQ-25
Red-Free Fundus Photograph and Fluoroscein Angiography Aggreement in Assessing Retinal Nonperfusion Area Kurniawan Chalid; Iskandar Erwin; Rini Mayang
Majalah Oftalmologi Indonesia Vol 41 No 3 (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.v41i3.50

Abstract

Background: Retinal nonperfusion area assessment in retinal vein occlusion (RVO) patient is valuable to evaluate progression, therapy, and prognosis. Noninvasive method such as red free fundus photograph that has been processed using a specific program are expected to have correspondence with fundus fluorescein angiography (FFA), as the gold standard in assessing nonperfusion area. Methods: A cross-sectional study. 24 pairs of red free image and FFA were collected from RVO patients at Cicendo Eye Hospital selective consecutively admission from March until August 2013. Red free digital image processing was done by a technician and nonperfusion area was deliminated by a vitreoretina expert. Statistical analysis Wilcoxon signed ranks test was used to compared the nonperfusion area, Spearman correlation test to assessed the correlation coefficient, and the overlapping ratio was used to assessed the morphology suitability between two method. Results: Nonperfusion area analysis between two method showed no statistical difference (Zw 4.257, p=0.161, Wilcoxon) and have a high correlation(r>0.988, p=0.000, Spearman). Suitability was determined by the ratio of morphology overlap that approaches one (overlapping ratio was 0.89). Conclusion: Red free fundus photograph digital image processing has compatibility with the FFA in assessing nonperfusion area. It’s a noninvasive method, easy, safe, and can be used as an alternative for assessing nonperfusion area of RVO patients. Keywords: Nonperfusion area, red free fundus photograph, FFA, retinal vein occlusion
Barriers for Cataract Surgical Services in West Java Province of Indonesia Nina Ratnaningsih; Mayang Rini; Aldiana Halim
Majalah Oftalmologi Indonesia Vol 42 No 1 (2016): 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.v42i1.68

Abstract

Background: Prevalence of blindness in West Java province according to RAAB survey is 2.8% withconfidence interval 2.0-3.5%, and cataract is the main cause with the proportion of 77.1%. It meansthere are 257,600 blind people of 50 and above, 198,609 of them have cataract blindness. In the termof cataract problems, West Java government has been implementing the prevention of blindness andlow vision program since 2005, but backlog of cataract is still high. Lots of barriers on cataract surgicalservices program come from provider and population. Five main kind of barriers come from populationare costs, distance, social and culture, community awareness, and trust to provider. Information ofbarriers is important for program planning to overcome the barriers. The purpose of this research is toreport the barriers of cataract surgical services program in West Java province according to RAABsurvey.Methods: This study is West Java population-based cross sectional study using Rapid Assessment ofAvoidable Blindness (RAAB) protocol, with multistage cluster sampling that was conducted in 2014.Results: Cataract blindness prevalence was 0.8% (95% CI 0.2-1.3%) for male and 2.2% (95% CI 1.4-2.9%) for female. Cataract surgery was performed more in male (44.1%) than female (25.8%). Mainbarriers in male group of cost, need no felt, fear, and unaware of treatment are possible; while thebarriers in female group were cost and fear. An unaware of the treatment is possible.Conclusion: The barriers of cataract surgical services in West Java were cost, need no felt, fear, andunaware of the treatment are possible. We need to manage the cost and increase community awarenessand willingness of cataract surgery to encounter the problem cataract blindness and visual impairmentin West Java province.
Co-Authors Aldiana Halim Arief S. Kartasasmita Erwin Iskandar Fauziah Hayati Feti Karfiati Memed Hikmat Wangsaatmadja Kurniawan Chalid Nina Ratnaningsih Sesy Caesarya