Article Per Year (5 Year)
p-Index From 2021 - 2026
4.511
P-Index
This Author published in this journals
All Journal PROSIDING SEMINAR NASIONAL BALI MEDICAL JOURNAL (BMJ) Medicina E-Jurnal Medika Udayana Jurnal Keperawatan Anak Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Universa Medicina International Journal of Retina ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Kedokteran Universitas Palangka Raya Journal of Holistics and Health Sciences (JHHS) Journal of Social Research POLICY, LAW, NOTARY AND REGULATORY ISSUES (POLRI) IJRETINA - International Journal of Retina Prosiding Seminar Nasional dan Call For Paper Kebidanan Universitas Ngudi Waluyo PEDAMAS (Pengabdian Kepada Masyarakat) Ophthalmologica Indonesiana International Journal of Psychology and Health Science Jurnal Jurisprudence
Ari Andayani
Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana, Denpasar, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Energy Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

Published : 38 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 38 Documents
Search

 1   2   3   4 
Asuhan Kebidanan Continuity of Care pada Ny “N” Usia 30 Tahun dengan Riwayat Persalinan Sectio Caesarea Yuliarta, Marliana; Andayani, Ari
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Maternal and infant mortality rates are one indicator to measure the health status of a country. Efforts for early detection and prevention of morbidity and mortality in mothers, babies and toddlers can be carried out by implementing continuous care or Continuity of Care (COC) starting from pregnancy, childbirth, postpartum, newborns, to family planning. The aim of this research is to provide midwifery care to Mrs. N comprehensively and continuously starting from pregnancy, childbirth, postpartum, neonates and family planning. The type of descriptive research used is a case study, the research instrument uses a descriptive approach method and is documented in SOAP form. In this treatment, the author collected data through interviews, observations, physical examinations, supporting examinations, documentation studies and literature studies. This research was carried out in August-October 2024. From the results of providing pregnancy care, problems were found, namely stiffness in the legs and back. During the birth process, a cesarean section was carried out because the previous history of pregnancy was that Mrs. N gave birth at the Pertaminan Hospital in Balikpapan. Postpartum care is carried out 4 times. On caring for newborns in By. Mrs F was done 3 times and had no complaints. in family planning services, Mrs. N used an IUD after the placenta was born. The conclusion of this study is that as health workers, midwives can apply COC midwifery care in  improving  the  quality  of  services  that  require continuous  relationships  between  patients  and  health workers,  namely  monitoring  the  condition  of  pregnant women  from  early  pregnancy  to  delivery  to  health workers, monitoring newborns. from signs of infection, postnatal complications as well as facilitators for couples of childbearing age in family planning services.   Abstrak Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur status kesehatan suatu negara. Upaya deteksi dini penanggulangan kesakitan dan kematian ibu, bayi, dan balita dapat dilakukan dengan melaksanakan perawatan berkelanjutan atau Continuity Of Care (COC) mulai dari kehamilan, persalinan, nifas, bayi baru lahir, hingga keluarga berencana. Tujuan penelitian ini adalah memberikan asuhan kebidanan pada Ny. N secara komprehensif dan berkesinambungan mulai dari kehamilan, persalinan, nifas, neonatus dan KB. Jenis penelitian deskriptif yang digunakan adalah studi kasus, instrumen penelitian menggunakan metode pendekatan deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam perawatan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi kepustakaan. Penelitian ini dilaksanakan pada bulan Agustus-Oktober 2024. Dari hasil pemberian asuhan kehamilan ditemukan masalah yaitu pegal-pegal pada kaki dan punggung.Pada saat proses persalinan dilakukan sectionio cesaria karena riwayat persainan sebelumnya adalah pengiriman Sectio cesaria Ny.N bersalin di RS Pertaminan Balikpapan. Pada pengasuhan nifas dilakukan sebanyak 4 kali. Pada pengasuhan bayi baru lahir pada By. Ny F dilakukan sebanyak 3 kali dan tidak ada keluhan. dalam pelayanan KB, Ny. N menggunakan IUD setelah plasenta lahir. Kesimpulan dari penelitian ini adalah sebagai  tenaga  kesehatan  bidan  dapat  menenerapkan asuhan  kebidanan  secara  COC  dalam  meningkatkan kualitas pelayanan yang membutuhkan hubungan terus menerus  antara  pasien  dan  tenaga  kesehatan,  yaitu memantau kondisi ibu hamil mulai dari awal kehamilan sampai  proses  persalinan  ke  bidan  ,  serta  memantau perkembangan bayi baru lahir, adakah komplikasi setelah melahirkan  serta  fasilitator  untuk  pasangan  usia  subur dalam pelayanan keluarga berencana.
Asuhan Kebidanan Continuity of Care pada Ny “N” Usia 27 Tahun di Puskesmas Sepaku Rohana; Andayani, Ari
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Maternal and infant mortality rates are one of the indicators to measure the health status of a country. Early detection efforts to overcome morbidity and mortality for mothers, infants and toddlers can be carried out by implementing continuous care or Continuity Of Care (COC) starting from pregnancy, childbirth, postpartum, newborns, to family planning. The purpose of this study is to provide comprehensive and continuous midwifery care to Mrs. N starting from pregnancy, childbirth, postpartum, neonates and family planning. The type of descriptive research used is a case study, the research instrument uses a descriptive approach method and is documented in the form of SOAP. In this care, the author collects data through interviews, observations, physical examinations, supporting examinations, documentation studies and bibliography studies. This study was conducted in June-September 2024. From the results of the provision of pregnancy care, the mother complained of back pain and was given acupressure care. The labor process was spontaneous with 60-step APN. Postpartum care went normally, no signs of complications were found during the postpartum period. In newborn care, everything was found to be within normal limits, the baby was given 1 mg of vitamin K care, hepatitis B0 immunization. Mrs. N's family planning care used a 3-month injection. The conclusion of this study is that as health workers, midwives can apply COC midwifery care in  improving  the  quality  of  services  that  require continuous  relationships  between  patients  and  health workers,  namely  monitoring  the  condition  of  pregnant women  from  early  pregnancy  to  delivery  to  health workers, monitoring newborns. from signs of infection, postnatal complications as well as facilitators for couples of childbearing age in family planning services.   Abstrak Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur derajat kesehatan bagi suatu negara. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Tujuan penelitian ini mampu memberikan asuhan kebidanan pada Ny. N secara komprehensif dan berkesinambungan mulai dari kehamilan, bersalin, nifas, neonatus dan KB. jenis penelitian deskriptif yang digunakan adalah studi kasus (case study), Instrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dilakukan pada bulan Juni-September 2024. Dari hasil pemberian asuhan kehamilan, ibu mengeluh nyeri punggung dan diberikan asuhan akupresure. Proses persalinan secara spontan dengan APN 60 langkah. Asuhan nifas berjalan normal, tidak ditemukan tanda-tanda penyulit pada masa nifas. Pada asuhan bayi baru lahir didapatkan semua dalam batas normal, bayi diberikan asuhan vitamik K 1 mg, imunisasi hepattis B0. Kesimpulan dari penelitian ini adalah sebagai  tenaga  kesehatan  bidan  dapat  menenerapkan asuhan  kebidanan  secara  COC  dalam  meningkatkan kualitas pelayanan yang membutuhkan hubungan terus menerus  antara  pasien  dan  tenaga  kesehatan,  yaitu memantau kondisi ibu hamil mulai dari awal kehamilan sampai  proses  persalinan  ke  bidan  ,  serta  memantau perkembangan bayi baru lahir, adakah komplikasi setelah melahirkan  serta  fasilitator  untuk  pasangan  usia  subur dalam pelayanan keluarga berencana.
Asuhan Kebidanan Continuity of Care pada Ny “R” Usia 38 Tahun dengan Anemia Ringan Supraptini, Hemi; Andayani, Ari
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Maternal and infant mortality rates are one of the indicators to measure the health status of a country. Early detection efforts to overcome morbidity and mortality of mothers, infants and toddlers can be carried out by implementing continuous care or Continuity Of Care (COC) starting from pregnancy, childbirth, postpartum, newborns, to family planning. The purpose of this study is to provide comprehensive and continuous midwifery care to Mrs. R starting from pregnancy, childbirth, postpartum, neonates and family planning. The type of descriptive research used is a case study, the research instrument uses a descriptive approach method and is documented in the form of SOAP. In this care, the author collects data through interviews, observations, physical examinations, supporting examinations, documentation studies and bibliography studies. This study was conducted in June-September 2024. Pregnancy care, the mother complained of dizziness, easily tired and lethargic, HB 10.5 gr / dL and was given nutritional education care and provision of 1x1 fe table, 1x1 vitamin C, the mother experienced back pain and was given acupressure care. The labor process was spontaneous with 60-step APN and was given effluent massage care. Postpartum care, the mother complained of low breast milk production and was given oxytocin massage care, no signs of infection were found during the postpartum period. In newborn care, everything was found to be within normal limits, the baby was given 1 mg vitamin K care, hepatitis B0 immunization. Mrs. R's family planning care uses IUD birth control.   Abstrak Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur derajat kesehatan bagi suatu negara. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Tujuan penelitian ini mampu memberikan asuhan kebidanan pada Ny. R secara komprehensif dan berkesinambungan mulai dari kehamilan, bersalin, nifas, neonatus dan KB. jenis penelitian deskriptif yang digunakan adalah studi kasus (case study), Instrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dilakukan pada bulan Juni-September 2024. asuhan kehamilan, ibu mengeluh pusing, mudah Lelah dan lesu, HB 10,5 gr/dL dan diberikan asuhan edukasi pola nutrisi dan pemberian table fe 1x1, vitamin C 1x1, ibu mengalami nyeri punggung dan diberikan asuhan akupresure. Proses persalinan secara spontan dengan APN 60 langkah dan diberikan asuhan massage efflurage. Asuhan nifas ibu mengeluh produksi asi sedikit dan diberikan asuhan pijat oksitosin, tidak ditemukan tanda-tanda infeksi pada masa nifas.  Pada asuhan bayi baru lahir didapatkan semua dalam batas normal, bayi diberikan asuhan vitamik K 1 mg, imunisasi hepattis B0. Asuhan KB Ny. R menggunakan KB IUD.
COMBINED IMMEDIATE PARS PLANA VITRECTOMY AND PHACOEMULSIFICATION AS AN EFFECTIVE TREATMENT ON MACULA-OFF RHEGMATOGENOUS RETINAL DETACHMENT Hendrawan, Kevin Anggakusuma; Andayani, Ari; Siska, Siska; Umbu Lapu, Ervan Suryanti; Yudistira, Yudistira
International Journal of Retina Vol 8 No 1 (2025): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2025.vol008.iss001.295

Abstract

Introduction: Macula-off rhegmatogenous retinal detachment (RRD) is a complicated condition which can caused poor visual prognosis if not treated properly. Recent studies have been proposed an early surgical treatment on this condition to get better anatomical and functional outcomes. Case Report: A 55-year-old male patient presented with history of blurred vision in left eye of 18 hours duration. Patient had history of seeing flashing light and black dots prior to the symptoms. On evaluation there was a macula-off RRD with immature senile cataract. Immediate phacoemulsification followed by pars plana vitrectomy was done. Good visual recovery with best corrected visual acuity 0.00 logMAR was obtained 3 months after the initial surgery. Discussion: In patient with macula-off RRD, delaying the surgical treatment could possibly worsen the visual prognosis. Accurate diagnosis with timely surgical intervention give a good visual outcome by allowing faster rearrangement of macula anatomy. Conclusion: Early surgical intervention is required to provide better visual outcome on macula-off RRD. In the presents of cataract, combined phacoemulsification with PPV as the main intervention may be considered an appropriate approach. The development of ERM is one of the difficulties that RRD patients face, and it needs to be carefully evaluated to avoid the need for additional surgery.
Differences of Retinal Nerve Fiber Layer and Ganglion Cell Layer-Inner Plexiform Layer Thickness in Patients without Diabetes Mellitus, with Diabetes Mellitus Type 2 without Diabetic Retinopathy and with Diabetic Retinopathy Sukmawati, Nurindah; Suryathi, Ni Made Ari; Andayani, Ari; Pantjawati, Ni Luh Diah; Widiana, I Gde Raka; Yuliawati, Putu; Juliari, IGAM
International Journal of Retina Vol 8 No 1 (2025): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2025.vol008.iss001.314

Abstract

Introduction : Prevention of Diabetic Retinopathy (DR) require an examination method that can identify earliest damage before clinical symptoms observed. This study aimed to determine the novel and objective way to detect those damage through RNFL and GCL-IPL thickness. Method : This analytical cross sectional study research conducted at the eye polyclinic and the Diabetic Center of IGNG Ngoerah Hospital, Denpasar. This study comparing the difference in thickness of RNFL and GCL-IPL in patients without DM, with Type 2 DM without DR and with DR in average and each quadrant thickness through Kruskal Wallis and One Way Anova test. Result : The sample was 59 people which then divided into three groups, namely 20 samples in the group without DM, 19 samples in the DM group without DR and 20 samples with DR. The samples were then examined for RNFL and GCL-IPL and the results were compared between groups. The mean age of the subjects were 58.80±9.65 years old. In the RNFL measurement, it was found that there were differences in values ​​between groups in all quadrants except the temporal quadrant (p=0.518). After covariate analysis by variables of age, HbA1c, blood pressure, visual acuity, IOP and axial length, the results change with the nasal and inferior quadrants as the only found significant. In the GCL-IPL analysis there were significant differences between groups, especially in the superotemporal, temporal and inferotemporal quadrants (p<0.005). These results remained after being controlled by covariate analysis. Conclusion : This study proved a neurodegeneration process that occured focally in certain areas that can be detected through the RNFL and GCL-IPL measurement modalities. These examinations were expected to be useful in terms of screening both primary and secondary in patients with type 2 DM.
Asuhan Kebidanan Continuity of Care pada Ny “M.B.” Usia 29 di Puskesmas Weri Lolo Yamba kodi, Elvira; Andayani, Ari
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Maternal and infant mortality rates are one of the indicators to measure the health status of a country. Early detection efforts to overcome morbidity and mortality of mothers, infants and toddlers can be done by implementing continuous care or Continuity Of Care (COC) starting from pregnancy, childbirth, postpartum, newborns, to family planning. The purpose of this study is to provide comprehensive and continuous midwifery care to Mrs. M.B starting from pregnancy, childbirth, postpartum, neonates and family planning. The type of descriptive research used is a case study, the research instrument uses a descriptive approach method and is documented in the form of SOAP. In this care, the author collects data through interviews, observations, physical examinations, supporting examinations, documentation studies and bibliography studies. This study was conducted in September - December 2024. pregnancy care, the mother sometimes had dizzy eyes, easily tired and lethargic, HB 10.0 gr / dL and was given nutritional education care and provision of 1x1 fe table, 1x1 vitamin C, the mother experienced back pain and was given acupressure care. The labor process was spontaneous with 60-step APN and was given deep breathing relaxation care. Postpartum care for the mother went normally and no signs of infection were found during the postpartum period. The mother was given postpartum care according to the standard of postpartum visit care. In newborn care, everything was found to be within normal limits, the baby was given 1 mg vitamin K care, hepatitis B0 immunization. Family planning care for Mrs. M.B uses 3-month injection birth control. It is hoped that health workers will increase education for pregnant women regarding nutritional needs during pregnancy and the benefits of Fe tablets to prevent anemia in pregnancy.   Abstrak Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur derajat kesehatan bagi suatu negara. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Tujuan penelitian ini mampu memberikan asuhan kebidanan pada Ny. M.B secara komprehensif dan berkesinambungan mulai dari kehamilan, bersalin, nifas, neonatus dan KB. jenis penelitian deskriptif yang digunakan adalah studi kasus (case study), Instrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dilakukan pada bulan September - Desember 2024. asuhan kehamilan, ibu kadang mata berkunang-kunang, mudah Lelah dan lesu, HB 10,0 gr/dL dan diberikan asuhan edukasi pola nutrisi dan pemberian table fe 1x1, vitamin C 1x1, ibu mengalami nyeri punggung dan diberikan asuhan akupresure. Proses persalinan secara spontan dengan APN 60 langkah dan diberikan asuhan relaksasi nafas dalam. Asuhan nifas ibu berjala dengan normal dan tidak ditemukan tanda-tanda infeksi pada masa nifas. Ibu diberikan asuhan nifas sesuai dengan standar asuhan kunjungan nifas. Pada asuhan bayi baru lahir didapatkan semua dalam batas normal, bayi diberikan asuhan vitamik K 1 mg, imunisasi hepattis B0. Asuhan KB Ny. M.B menggunakan KB Suntik 3 Bulan. Diharapkan tenaga kesehatan meningkatakan edukasi kepada ibu hamil mengenai kebutuhan nutrisi pada saat hamil dan manfaat tablet Fe untuk mencegah anemia pada kehamilan.
Effect in Pain Scale of Trocar Insertion, Onset, and Duration of Anesthesia of Subtenon Anesthesia without Premedication Compared with Premedication in Pars Plana Vitrectomy: A Randomized Controlled Trial Andayani, Ari; Agrasidi, Putu Anindya; Sutyawan, I Wayan Eka; Widiana, I Gde Raka; Widnyana, I Made Gede; Pemayun, Cok Istri Dewiyani
International Journal of Psychology and Health Science Vol. 3 No. 2 (2025): International Journal of Psychology and Health Science (April - June 2025)
Publisher : Greenation Publisher & Yayasan Global Research National

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/ijphs.v3i2.810

Abstract

Effect in Pain Scale of Trocar Insertion, Onset, and Duration of Anesthesia of Subtenon Anesthesia without Premedication Compared with Premedication in Pars Plana Vitrectomy: A Randomized Controlled Trial. Background: Pars plana vitrectomy (PPV) has traditionally been performed under general anesthesia. However, in recent years, regional anaesthetic techniques such as subtenon block have gained popularity due to their safety and effectiveness, reducing the risk of severe complications associated with needle-based blocks. Patients and Methods: This randomized controlled trial (RCT) was conducted between November 2023 to March 2024 at a tertiary teaching hospital in Indonesia. A total of 30 patients undergoing vitrectomy were randomized assigned to one of two groups: with premedication or without premedication. The primary outcomes evaluated were the pain scale during trocar insertion, the onset of anesthesia, and the duration of anesthesia. Statistical analyses were performed using the Mann-Whitney U test and ANCOVA. Results: No significant differences were observed between the two groups regarding the pain scale during trocar insertion, the onset of anesthesia, or the duration of anesthesia (p<0.001). However, after adjusting for diagnosis and type of the therapy, the group without premedication demonstrated a significantly longer duration of anesthesia. Conclusion: Subtenon anesthesia without premedication represents a viable alternative for pars plana vitrectomy. It offers practical benefits, such as eliminating the need for fasting and intravenous line placement, while maintaining patient and operator comfort.    
Diabetic retinopathy: pathogenesis, pathophysiology, and treatment Yudistira, Yudistira; Hendrawan, Kevin Anggakusuma; Andayani, Ari; Suryathi, Ni Made Ari
Universa Medicina Vol. 44 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.270-284

Abstract

Diabetic retinopathy (DR) is the most common microvascular complication of diabetes mellitus (DM) and one of the leading causes of vision impairment worldwide. Prolonged hyperglycemia initiates a cascade of molecular events including chronic inflammation, oxidative stress, advanced glycation end products, and the activation of plasma kallikrein and protein kinase C signaling pathways, which leads to endothelial damage and pericyte loss. The resulting endothelial barrier dysfunction promotes serum leakage and retinal edema, while advanced disease stages are characterized by ischemia-driven retinal neovascularization mediated by elevated intraocular vascular endothelial growth factor (VEGF) levels. Current therapeutic strategies for diabetic retinopathy include laser therapy, intravitreal administration of anti-VEGF agents or corticosteroids, and vitreoretinal surgery. Despite their efficacy, a number of patients experience suboptimal responses. Consequently, novel therapeutic approaches are under investigation, including alternative anti-angiogenic agents, gene therapies, and visual cycle modulators currently undergoing clinical trials. A comprehensive understanding of the pathogenesis and pathophysiology of diabetic retinopathy is essential to improve existing treatment modalities and address current limitations in patient outcomes. In this review, we systematically searched and analyzed articles published in English from 2014 to 2024 using PubMed, ScienceDirect, SpringerLink, and Google Scholar. Relevant search terms included “diabetic retinopathy,” “pathophysiology,” “pathogenesis,” “treatment,” and “diabetic macular edema.” This review presents recent insights into the pathogenesis of diabetic retinopathy, including oxidative stress, inflammation, and neurodegeneration, followed by an overview of its pathophysiology such as microvascular dysfunction and neovascularization. Finally, current and emerging treatment modalities, encompassing both pharmacological and surgical approaches, are discussed. This structured approach provides essential background to understand the complexity of diabetic retinopathy and recent advances in its management.
GUIDELINES FOR THE DIAGNOSIS AND MANAGEMENT OF DIABETIC RETINOPATHY AND DIABETIC MACULAR EDEMA IN INDONESIA Harley, Ohisa; Hertanto, Martin; Sembiring, Sindy Boru; Yustiarini, Ima; Susilo, Teguh; Dharma, Andhika Guna; Sjahreza, Emil; Firmansyah, M; Iskandar, Erwin; Agustiawan, Referano; Andayani, Ari; Dewi, Nadia Artha; Andayani, Gitalisa; Djatikusumo, Ari; Elvioza, Elvioza; Ichsan, Andi M; Kartasasmita, Arief S
International Journal of Retina Vol 7 No 2 (2024): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2024.vol007.iss002.300

Abstract

Diabetic retinopathy (DR) and diabetic macular edema (DME) are among the microvascular complications in individuals with diabetes mellitus (DM) that can lead to blindness if not diagnosed early and managed appropriately. Both disorders can be diagnosed and treated using a variety of techniques. Treatment modalities include laser photocoagulation therapy, vitrectomy surgery, intraocular steroid injections, and anti-vascular endothelial growth factor (anti-VEGF) injections. These methods can help avoid blindness when used in conjunction with metabolic control. These recommendations were created with the use of evidence-based medicine principles to help medical professionals—particularly ophthalmologists—identify and treat cases of DR and DME.The primary objective is to provide consensus recommendations and hopefully reduce the incidence of blindness caused by DR and DME in Indonesia.
POST-EVACUATION OF SILICONE OIL COMPLICATIONS IN RHEGMATOGENOUS RETINAL DETACHMENT PATIENTS WHO UNDERWENT PARS PLANA VITRECTOMY AT TERTIARY HOSPITAL IN BALI, INDONESIA Andayani, Ari; Wibawa, I Made Dwi Surya; Suryathi, Ni Made Ari; Triningrat, Anak Agung Mas Putrawati; Manuaba, Ida Bagus Putra
International Journal of Retina Vol 6 No 1 (2023): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2023.vol006.iss001.221

Abstract

Introduction: Pars plana vitrectomy with silicone oil injection has become a standard procedure to treat retinal detachment with complex cases. Considerations related to the use of silicone oil are the need for additional surgical procedures to remove silicone oil after the retinal condition is declared stable or because emulsification of silicone oil has occurred. Methods: An analytical observational study with a cross-sectional approach. Data were collected retrospectively by collecting medical records of patients who underwent silicone oil evacuation in 2021. Result: The research subjects were 23 people, where 52.2% of the subjects were women with a median age of 51 years. Most of the subjects (65.2%) had no complications, with the most complications occurring were secondary glaucoma (13%) and redetached retina (13%). There was no statistically significant difference between visual acuity before and after the evacuation of silicone oil with a P value of 0.202 and there was no statistically significant difference between IOP before and after evacuation of silicone oil with a P value of 0.132. Conclusion: Evacuation of silicone oil is a follow-up action after PPV with SO tamponade. Complications which may arise are detach dan glaucoma. There was no significant difference in visual acuity and IOP before and after SO evacuation.
Co-Authors Agrasidi, Putu Anindya Agus Kurniawan Agus Kurniawan Agus Kurniawan Agustiawan, Referano Agustinus Bimo Gumelar Amicipta Sanjaya Anak Agung Mas Putrawati Triningrat ANASARY, A. A. AYU PUTRI PREMATURA SRI Anasary, Anak Agung Ayu Putri Prematura Sri Andayani, Gitalisa andriyani, fajar Angelina S Tallo Anggrawati, Anggrawati Ari Suryathi, Ni Made Arief S. Kartasasmita Ariesanti Tri Handayani, Ariesanti Tri Arismaya, Anggun Mita Baiq Hilda Astriana, Baiq Hilda Bella Safitri Bobby Kristianto Bora, Elaria Dharma, Andhika Guna Djatikusumo, Ari Elvioza Elvioza, Elvioza Firmansyah, M fitriani, indra Harley, Ohisa Hendrawan, Kevin Hendrawan, Kevin Anggakusuma Heni Setyowati I Gde Raka Widiana I Gusti Ayu Ratna Suryaningrum I Made Gede Widnyana I Putu Budhiastra, I Putu I Wayan Gede Jayanegara I Wayan Losen Adnyana Ichsan, Andi M Ida Bagus Putra Manuaba Iskandar, Erwin Jayawarsa, A.A. Ketut Juliari, I Gusti Ayu Made Juliari, IGAM Komang Putra Tridiyoga Kristianto, Bobby Liviyanti, Liviyanti Lulyana, Lulyana Made Agus Kusumadjaja Made Ayu Hapsari Dwi Ambarini Maria Rumperiai, Juliana Martin Hertanto Minarni, May Moneca Diah Listiyaningsih N. M. Lienderi-Wati Nadia Artha Dewi Nadiah Nadiah Ni Made Ari Suryathi Ni Made Ayu Surasmiati Ni Made Laksmi Utari Ninik Christiani Noviantari, I Gusti Agung Ratna Nurlaili, Ilfi nurliah, nurliah nurlistiani, umi Nyoman Novita Rismawati, Nyoman Novita P. Budhiastra Pande Putu Adityo Ananta Ardika Pantjawati, Ni Luh Diah Pemayun, Cok Istri Dewiyani Pitanatri, Nyoman Brahmani Priscilla Christina Natan Putrawati Triningrat, Anak Agung Mas Putu Budhiastra Putu Budhiastra Retnaningtyas, Erma Retno Palupi Ririn Sulistyowati rizmi sliviana, zelda Rohana Satya Nugraha Sembiring, Sindy Boru Siska Siska Siti Haryani Sjahreza, Emil Sukartini Djelantik, Anak Agung Ayu Sukidja, Sukidja Sukmawati, Nurindah supraptini, hemi Suryanadi, Ni Made Suryawijaya, Ernes Erlyana Susilo, Teguh Sutyawan, I Wayan Eka Titiek, Ernawati Tridiyoga, Komang Putra Triningrat, A.A. Mas Putrawati Triningrat, Anak Agung Mas Putrawati Tya Lestari Umbu Lapu, Ervan Suryanti Wahyu Setya Ningsih Wibawa, I Made Dwi Surya Widayati, Wijayati, Made Paramita Winly, Winly Yamba kodi, Elvira Yudistira Yudistira Yuliarta, Marliana Yuliawati, Putu Yustiarini, Ima