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All Journal Ophthalmologica Indonesiana
Suhardjo Suhardjo
Department of Ophthalmology, Faculty of Medicine, Universitas Gadjah Mada Sardjito Hospital, Yogyakarta
Health Professions Medicine & Pharmacology Public Health

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Intraocular Pressure Fluctuation after Cataract Surgery: Comparison between Phacoemulsification & Small-Incision Cataract Surgery Banu Aji Dibyasakti; Suhardjo Suhardjo
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.v42i1.63

Abstract

Background: To measure and compare intraocular pressure (IOP) fluctuation before & after cataractsurgery with phacoemulsification & small-incision cataract surgery (SICS) in a mass cataract surgeryheld by Departemen of Ophthalmology, Faculty of Medicine, Universitas Gadjah Mada – SardjitoHospital.Methods: This is a cohort study involving 100 eyes from 100 age-related cataract patients who underwentnon-complicated cataract surgery (been done by multiple surgeons, including senior ophthalmologists,fellowships, and residents). The subject were divided into 2 groups: 37 patients were performed withphacoemulsification & 63 with SICS. IOP fluctuation (before, day 2, 5, & 28 after cataract surgery)was measured by using non-contact tonometry. The incidence of high IOP (>22 mmHg) between twomethods were compared respectively by using chi-square analysis.Results: The mean IOP for phacoemulsification were: 14 (before), 12.83 (day 2), 13.7 (day 5), 12.45(day 28); while SICS were: 14.13 (before), 17.32 (day 2), 11.40 (day 5), 10.39 (day 28). The incidence ofhigh IOP for phacoemulsification were: 4.2% (day 2), 4.3% (day 5), 0% (day 28); while SICS were: 22.7%(day 2), 5.9% (day 5), 0% (day 28). We found statistically significant difference in the incidence of highIOP between two methods on day 2 after cataract surgery (p=0.047) and no statistically significantdifference on day 5 (p=0.799).Conclusion: Phacoemulsification gives more stable IOP fluctuation than SICS. There is IOP spikes onday 2 after SICS. Keywords: cataract, phacoemulsification, small-incision cataract surgery, high intraocular pressure
Comparing Myopic Progression in Urban and Rural Junior High School in Yogyakarta Widya Prafitri Rasmiyati; Suhardjo Suhardjo; Angela Nurini Agni
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.v42i1.71

Abstract

Background: To compare myopic progression rates in junior high school in Yogyakarta betweenurban and rural areas.Methods: A school-based survey was initially conducted. Five junior high schools were selected inboth urban and rural areas. A longitudinal follow up study was conducted 1 year later. Age range from12 to 15 years old. The refractive state of each student was measured with autorefractometer.Results: A total of 195 junior high school children participated in the study. One hundred and ninteenchildren were from urban area and 76 children came from rural area. A follow up study after 1 year,mean myopic progression in junior high school in urban area was around 0.5 D/year faster than in rural,which was 0.37 D/year. There were statistically significant difference in nearwork activities betweenchildren in urban and rural areas, with p=<0.001. Risk factor such as gender and myop status of parentsdid not relate with myop progression, only age and sosioeconomic had significant effect into the myopprogression. Mean myopic progression in junior high school children (age 12-15) in the urban area wasaround -0.50 D/year. The average progression rate was fastest in 14 years old.Conclusion: There is significant difference in increasing of myop progression between junior highschool children in urban and rural areas. This difference may be related to difference of nearworkactivities between children in urban and rural areas. Keywords: myopia, urban, rural, myop progression, junior high school
Co-Authors Angela Nurini Agni Banu Aji Dibyasakti Widya Prafitri Rasmiyati