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Profil Dry Eye pada Penderita Diabetes Melitus ; Ahmad Ashraf Amalius; Andi Akhmad Faisal
Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100497

Aim: To evaluate dry eye syndrome patients based on meibomian gland evaluation, tear break up time test, Schirmer test, and ocular surface disease index form the diabetic mellitus patients. Materials And Methods: A Cross Sectional Study used to determine the profil of dry eye Syndrome on 15 diabetic mellitus patients in Eye center Hasanuddin University from December 2019 until February 2020 Results: 15 participants have included in this study. From the meibomian gland evaluation, there are 10 participants with mild dry eye. From the tear break up time test, there are 10 participants with dry eye. From the Schirmer test, there are 8 participants having dry eye on Schirmer 1 test and 8 participants with dry eye on Schirmer 2 test. And, from the ocular surface disease index, 11 participants with severe dry eye disease were identified. Conclusion: Patients with diabetes mellitus have a high potential for dry eye. Dry eye screening examinations such as tear break up time and Ocular Surface Disease Index (OSDI) are recommended to use in patients with diabetic retinopathy.

Implementation of Integrated People-Centered Eye Care at Sub-District Level in Barru Rahmat Priyangga Rakatama; Ahmad Ashraf Amalius; Andi Akhmad Faisal; Muhammad Irfan Kamaruddin
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: 10.35749/6nhwk522

Purpose: Integrated People-Centered Eye Care (IPCEC) was initiated by the World Health Organization as a global strategy in community-centred and integrated health services. In Indonesia, the Rapid Assessment of Avoidable Blindness survey showed the largest number of moderate and severe visual impairment was found in South Sulawesi, particularly uncorrected refractive error (33.8%). The results of this study are expected to initiate and introduce IPCEC-based eye health services and promotion at the sub-district level. Methods: The program started with advocacy of eye health programs at the sub-district level to policy makers. In schools, education and training for visual acuity examination were given to teachers. All children who failed the screening or have ocular abnormalities are referred to eye care center. Mass counseling and examination were also carried out at the health center simultaneously with screening for mass cataract surgery at the Barru District Hospital. Results: Implementation of IPCEC was welcomed by Barru District government. School eye health program conducted by the teachers in 5 schools screened 1263 students with 90.74% of the students had normal visual acuity. Mass screening at the Pekkae and Pancana Public Health Centers found that most participants had cataracts (58%) followed by refractive error (38%). Conclusion: Visual acuity examination among school-age children by the teacher will improve early detection of refractive errors. Screening by eye health worker at public health center needs to be carried out to identify blindness causes often found in the community, and proceed with prescribing drugs, eyeglasses, and mass cataract surgery as definitive step in eradicating blindness.

HUMAN RESOURCES DEVELOPMENT IN CHILDREN EYE HEALTH SERVICES IN SOUTH SULAWESI Ahmad Ashraf Amalius; Habibah Setyawati Muhiddin; Andi Muhammad Ichsan; Andi Akhmad Faisal; Muhammad Irfan Kamaruddin; Marlyanti N. Akib; Satya Prabha Kotha
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/rc04ab34

Introduction: Children eye health are one of the most common problems in ophthalmology that are getting attention globally and nationally especially in South Sulawesi. To optimize its services quality and quantity of human resources are required. This study aims to report the human resources development in children eye health services in South Sulawesi. Methods: Surveys were carried out in several districts to assess the availability of human resources in children eye health services. Creating collaborations with several institutes such as Faculty of Medicine, Hasanuddin University and related professional organizations. Conducting several trainings in provinces, districts, subdistricts, village, and urban village. Results: Preparation and dissemination of materials and media on prevention of blindness in children, improvement of human resources in the form of District Trainer training in 24 districts that recruited 98 people who were ready to become trainers. For 2 years conducting tiered training at 24 districts, they produced human resources of 1,395 officers at the Puskesmas, 11,145 posyandu cadres, and 3,826 teachers. The results of this built system revealed that 3,248 paediatric patients were screened with vision problems, 3,528 toddlers in Integrated Health Centre were screened and referred to Health Centre as many as 426 toddlers, and at the School Health Unit it was recorded that 173,778 children were screened and there were 28,845 (17%) children who had visual disturbances. Conclusion: Development of human resources in children eye health in Indonesia was not only the responsibility of the government and the health sector but also need cross-sectoral roles.

DISTRIBUTION OF HEALTH FACILITY SERVING CATARACT SURGERY IN SOUTH SULAWESI ANNISA IKHSANIAH ARIFFIN; Ahmad ashraf Amalius; Andi Akhmad Faisal; Muhammad Irfan Kamaruddin
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/xsyzmt48

Introduction & ObjectivesOne of the elements in Vision 2020: the right to sight is the fulfillment of resources to reduceavoidable blindness. According to the Indonesian’s prevention of blindness roadmap about sources,we need to collect the data about health facilities serving cataract surgery. The aim of this study isto provide the data about health facilities serving cataract surgery in South Sulawesi Province. MethodsA descriptive study using a questionnaire which is distributed to hospitals/clinics in South SulawesiProvince. In addition, secondary data was also used from previous research conducted by one of theresidents of Ophthalmology at Hasanuddin University. All the data were collected from Januari toJune 2022. ResultsThe distribution of health facilities in all districts/cities in South Sulawesi has at least one healthfacility serving cataract surgery, with the most distribution in Makassar. Twelve of 62 hospitals andfive of 27 eye clinics have not provided cataract surgery services..There are 6 districts (25%) thathave not fullfil the minimum number standard of ophthalmologist according to WHO. Alldistrict/cities in the Province have all the instrument required for cataract surgery. ConclusionEvery district/city in South Sulawesi has at least one health facility serving cataract surgery.Information on the distribution of health facilities serving cataract surgery needs to be routinelyconducted twice a year according to Indonesian’s prevention of blindness roadmap.

SITUATIONAL ANALYSIS OF EYE CARE SERVICES IN SOUTH SULAWESI NABITA AULIA; Ahmad Ashraf Amalius; Andi Akhmad Faisal; Muhammad Irfan Kamaruddin
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: 10.35749/90m95h19

Introduction & ObjectivesGlobal initiative, also known as “VISION 2020: the Right to Sight”, suggested that determining thenational target of human resources in eye health substantially reduces avoidable blindness andvisual impairment. Shortage of human resources is currently recognized as one of the mainproblems in achieving progress in eye health services to attain the global initiative. The purpose ofthis study is to analyze the situation of eye services in South Sulawesi. MethodsA descriptive study with a qualitative and quantitative approach was performed through aquestionnaire to ophthalmologists in South Sulawesi Districts and also secondary data fromophthalmologists, ophthalmic nurses, the Indonesian Ophthalmologists Association committee,provincial and district health office staffs Hospital in 2022. ResultsThe total population of South Sulawesi Province in 2022 was 9.07 million people. Human resourcedata showed 116 ophthalmologists (ratio 1:250,000 population), 108 trained ophthalmic nurses(ratio of 10 nurses per 1 million population), 1536 trained instructors, 10.918 posyandu cadres, 5trained eye cadres, and 71 refractionists/optometrists (ratio is 20 persons per 1 million people).There were 7 of 24 regencies/cities that have complete mandatory diagnostic examinationequipment. ConclusionThe ophthalmologist ratio in South Sulawesi is normal, however, their distribution is uneven,necessitating a rise in the number of nurses and optometrists with a balanced distribution.

Visual And Refractive Outcomes of Myopia Astigmatism After Small Incision Lenticule Extraction (ReLEx SMILE) Procedures; Retrospective Study: Oral Presentation - Observational Study - Ophthalmologist ANDI AKHMAD FAISAL; Nashrul Ihsan; Ucok P. Pasaribu; Vidyapati Mangunkusumo
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/a8wdcw27

Abstract Introduction & Objectives : Small Incision Lenticule Extraction (ReLEx SMILE) is becoming more popular as a flapless and minimally invasive form of laser vision correction for the treatment of myopia and myopia astigmatism. This study aimed to assess postoperative visual and refractive outcomes of SMILE- based correction of myopia astigmatism, to evaluate the efficacy, predictability, safety, and stabilityof this procedure over a one-month postoperative period Methods : This retrospective study evaluated 200 eyes of 100 patients who underwent ReLEX SMILE technique, using the Zeiss VisuMax Laser between July 2020 and October 2022. Before surgery, 1 day and 1 month after surgery, the efficacy, predictability, safety, and stability of the procedure were assessed. Results : The preoperative Mean Uncorrected Distance Visual Acuity (UCVA) was 1.55 ± 0.53. Corrected Distance Visual Acuity (BCVA) was 20/20 or better in 74.50% and 90% of eyes in 1 day and 1 month after surgery, respectively. MRSE reduced from -5.22 ± 2.44 to -0.22 ± 0.54 at 1 day post-operative, and -0.19 ± 0.51 at 1 month. 75% of eyes had an unchanged BCVA between 1 day and 1 month after surgery. 72% of eyes achieved spherical equivalent within ±0.5 D and 94% of eyes were within ±1.0 1 month after surgery. The intraoperative complication was suction loss in two patients. Conclusion : SMILE can be considered an effective and safe refractive surgery for the treatment of myopia astigmatism.

Comparison of Pain and Anxiety Scales in The First and Second Cataract Surgeries in Patient with Bilateral Cataract: Oral Presentation - Observational Study - Resident SARAH EISYA PUTRI; Ahmad Ashraf Amalius; Andi Akhmad Faisal; M. Irfan Kamaruddin
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/vfagfh36

Abstract : Introduction & ObjectivesPain and anxiety in cataract surgery can be investigated as subjective experiences and satisfaction. This study was to evaluate and compare pain and anxiety scale reported by patients with bilateral cataract in the first and second surgery. Methods : This prospective study was based on patients in Jakarta Eye Centre Orbita Makassar between August-October 2022. Consecutive patients undergoing bilateral cataract surgery with the first and second surgery separated by minimum of two weeks with phacoemulsification method and used topical anaesthesia, by three surgeons. Patients with traumatic cataract, secondary cataract, and other ocular abnormality, also patients with intraoperative complications were excluded. Patients completed questionnaires of Numerical Rating Scale to evaluate pain and Amsterdam Preoperative Anxiety and Information Scale (APAIS) to evaluate anxiety divided into no, mild, moderate, severe, and very severe anxiety. Results : A total of 42 patients with an average of 64,5 years old were included. There were 2 (4.7%) patients reported more pain in the first surgery, 30 (71%) patients reported more pain in the second surgery, and 10 (23%) patients reported same pain between the first and second surgeries (p=0,000). Most patients reported mild anxiety in the first surgery and no anxiety in second surgery. Conclusion : Patients with bilateral cataracts reported more pain on the second surgery than the first surgery. The anxiety was reported more severe before and during the first surgery than the second surgery. This report can be used in giving informed concern and in the management of bilateral cataract surgeries consecutively.

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