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Efektivitas Vitamin D sebagai Terapi pada Dry Eye Izzati Mujahidah; Hendriati Hendriati; Kemala Sayuti; Muhammad Syauqie; Ulya Uti Fasrini; Erlina Rustam
Jurnal Ilmu Kesehatan Indonesia Vol 4 No 1 (2023): Maret 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i1.1024

Latar Belakang: Dry eye merupakan salah satu penyakit yang dapat mempengaruhi kualitas hidup seseorang dan merupakan penyakit yang cukup sering dikeluhkan. Terapi dry eye beragam, vitamin D diduga dapat menjadi salah satu pilihan terapi. Vitamin D diduga dapat menjadi salah satu pilihan terapi dry eye karena memiliki peran sebagai anti inflamasi, sehingga dapat memutus lingkaran setan dry eye, namun belum diketahui secara pasti efek yang dapat ditimbulkan vitamin D pada dry eye. Objektif: Tujuan penelitian adalah untuk mengetahui efek vitamin D sebagai terapi pada dry eye. Literatur didapatkan dari database PubMed dan Google Scholar. Metode: Penelitian berupa studi literatur naratif yang menganalisis literatur mengenai efek vitamin D pada dry eye dari tahun 2016 hingga 2021. Hasil: Didapatkan 12 literatur yang sesuai dengan seleksi judul serta kriteria inklusi dan eksklusi. Efek yang dilihat berdasarkan pemeriksaan pada battery test TFOS-DEWS II. Kesimpulan: Vitamin D memperbaiki secara signifikan keadaan dry eye. Diperlukan penelitian lebih lanjut mengenai perbandingan vitamin D dengan pilihan terapi lainnya dan kadar optimal vitamin D untuk terapi dry eye.

HUBUNGAN MIOPIA DENGAN AMPLITUDO AKOMODASI PADA SISWA SMP NEGERI DI KOTA PADANG Rozy Oneta; Kemala Sayuti; Rinda Wati
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 1 (2023): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i1.20455

Background: Decrease in eye accommodation response is a result of eye growth in children with myopia. Less than normal accommodation response to near focus increased lag of accommodation which decreased image quality of the retina due to hyperopic defocus. If it left uncorrected over a prolonged period of time, it will activate feedback mechanism which ultimately increases progression of myopia. Objective: This study aims to determine the relationship between myopia and accommodation amplitude in junior high school students in Padang city. Methods: This was a cross-sectional study involved 384 students with myopia from four state junior high schools in Padang. Visual acuity was determined using Snellen Chart, and refractive error was diagnosed by autorefractometer. The amplitude of accommodation was measured by RAF rule (Zabby). Results: Based on the degree of myopia, we found 64.58% low myopia, 27.87% moderate myopia, and 7.55% high myopia. The mean amplitude of accommodation in low myopia was 13.73 Â± 1.30 Diopters, moderate myopia 10.52 Â± 1.26 Diopters, and high myopia 8.41 Â± 0.60 Diopters. Significant decreased in amplitude of accommodation were found between low versus moderate myopia, low versus high myopia, also moderate versus high myopia. Conclusion: there is significant correlation between myopia and amplitude of accommodation (p <0,05), higher grades of myopia show decreasing amplitude of accommodation. Keywords:myopia, amplitude of accommodation, RAF rule.

ANALISIS FAKTOR RISIKO KEJADIAN DRY EYE DISEASE PADA TENAGA KEPENDIDIKAN FAKULTAS KEDOKTERAN UNIVERSITAS ANDALAS Febiyola Ratu Khairani; Hendriati Hendriati; Husnil Kadri; Kemala Sayuti; Tofrizal Tofrizal; Moestafa Nur
HUMAN CARE JOURNAL Vol 8, No 3 (2023): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v8i3.2691

ABSTRAKDry eye disease (DED) atau penyakit mata kering merupakan penyakit multifaktorial pada mata yang memengaruhi penglihatan, aktivitas sehari-hari, produktivitas kerja, dan kualitas hidup secara umum sehingga penting untuk mengontrol faktor risiko yang dapat dimodifikasi. Penelitian ini bertujuan untuk mengetahui hubungan antara jenis kelamin, usia, penggunaan komputer, penggunaan ruangan ber-AC serta kebiasaan merokok dengan risiko kejadian dry eye disease pada tenaga kependidikan Fakultas Kedokteran Universitas Andalas. Metode yang digunakan adalah analitik observasional dengan desain penelitian cross sectional menggunakan kuesioner OSDI dengan uji korelasi Mann-Whitney dan Rank Spearman. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara usia (p=0,012) dan penggunaan komputer (p=0,000) dengan DED dimana dengan bertambahnya usia dan semakin lama durasi penggunaan komputer maka semakin tinggi risiko DED namun tidak terdapat hubungan yang signifikan antara jenis kelamin (p=0,877), penggunaan AC (p=0,463), dan kebiasaan merokok (p=0,206) dengan DED. ABSTRACTDry eye disease (DED) is a multifactorial disease that occurs on the eye. DED symptoms can affect vision, daily activities, productivity at work and general quality of life therefore the modifiable risk factors is important to control. This study was aimed to determined the relationship between gender, age, use of computers, use of air-conditioner rooms, and smoking habits to the risk of dry eye disease in educational staff at the Faculty of Medicine Universitas Andalas. The method used was an observational analytic with a cross sectional design was using the OSDI questionnaire with the Mann-Whitney correlation test and Spearman Rank correlation test. The results of the study showed that there was a significant relationship between age (p=0,012) and computer use (p=0,000) to DED, increasing age and the longer duration of computer use, the higher risk of suffer from dry eye disease but there was no significant relationship between gender (p=0,877), use of air-conditioner (p=0,463), dan smoking habits (p=0,206) to DED.

Performing Ocular Examinations as A Component of Self-Care For Individuals with Leprosy with The Aim of Eradicating Social Stigma and Prejudice Hendriati Hendriati; Tutty Ariani; Havriza Vitresia; Kemala Sayuti; Andrini Ariesti; Julita Julita; Qaira Anum; Satya Wydya Yenny; Rina Gustia; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Astria Rima Rara Yuswir; Novian Novian; Rizki Dwayana; Agustin Vira; Rika Desviorita; Rendra Darma Satria
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.537-546.2024

Leprosy is still a health problem in several countries, including Indonesia. Disability due to leprosy is a health threat for sufferers and causes quality-of-life problems that can disrupt the productivity of leprosy patients. Ocular involvement in leprosy is joint, but little data has been reported. Apart from multi-drug treatment (MDT), leprosy sufferers must also be able to carry out continuous self-care to prevent further disability. This is a collaborative activity between the Department of Ophthalmology and Dermatology Venereology of the Faculty of Medicine, the University of Andalas in Puskesmas Pauh Kamba district of Padang Pariaman. This is an advocacy activity on self-care (3M: Seeing, Examining, and Protecting) and eye examination. The activity was followed by interactive discussions and continued with a direct examination for skin abnormalities and disabilities, eye examination, and fundoscope. The activity results were obtained from 24 respondents, 11 men and 13 women. The age range is 16-59 years (67%), with the highest level of education being Elementry School graduates, which is 11 people (46%). In the self-care questionnaire of patients, 40% behaved well, and the results of eye examinations almost suffered from dry eye complaints without disabilities.

Myopia Progression in Children: A Comparative Analysis of Pre-Pandemic and Pandemic Periods Harsya Luthfi Anshari; Kemala Sayuti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 1 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i1.1175

Background: The COVID-19 pandemic brought about significant changes in children's lifestyles, including increased screen time and reduced outdoor activities due to school closures and lockdowns. These changes raised concerns about potential myopia progression in children. Methods: This study compared the spherical equivalent (SE) measurements of children aged 8-17 years from two time visits: one before the pandemic (September 2019 - February 2020) and one during the pandemic (March 2020 - February 2022). Data on family history of myopia, screen time, and outdoor activities were also collected. Paired t-tests were used to analyze the differences in SE between the two visits. Results: A total of 11 children participated in the study. The mean change in SE was -1.55 D, indicating a significant increase in myopia during the pandemic (p = 0.046). The average daily screen time was 201 minutes, while outdoor activity time was 42 minutes. Conclusion: The findings suggest a potential corelation between increased screen time, reduced outdoor activities, and myopia progression in children during the pandemic. It is crucial to encourage healthy visual habits, including limiting screen time and promoting outdoor activities, to mitigate the impact of the pandemic on children's vision.

Performing Ocular Examinations as A Component of Self-Care For Individuals with Leprosy with The Aim of Eradicating Social Stigma and Prejudice Hendriati Hendriati; Tutty Ariani; Havriza Vitresia; Kemala Sayuti; Andrini Ariesti; Julita Julita; Qaira Anum; Satya Wydya Yenny; Rina Gustia; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Astria Rima Rara Yuswir; Novian Novian; Rizki Dwayana; Agustin Vira; Rika Desviorita; Rendra Darma Satria
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.537-546.2024

Leprosy is still a health problem in several countries, including Indonesia. Disability due to leprosy is a health threat for sufferers and causes quality-of-life problems that can disrupt the productivity of leprosy patients. Ocular involvement in leprosy is joint, but little data has been reported. Apart from multi-drug treatment (MDT), leprosy sufferers must also be able to carry out continuous self-care to prevent further disability. This is a collaborative activity between the Department of Ophthalmology and Dermatology Venereology of the Faculty of Medicine, the University of Andalas in Puskesmas Pauh Kamba district of Padang Pariaman. This is an advocacy activity on self-care (3M: Seeing, Examining, and Protecting) and eye examination. The activity was followed by interactive discussions and continued with a direct examination for skin abnormalities and disabilities, eye examination, and fundoscope. The activity results were obtained from 24 respondents, 11 men and 13 women. The age range is 16-59 years (67%), with the highest level of education being Elementry School graduates, which is 11 people (46%). In the self-care questionnaire of patients, 40% behaved well, and the results of eye examinations almost suffered from dry eye complaints without disabilities.

Evaluasi Berbagai Tatalaksana Rekonstruktif pada Pasien dengan Defek Besar yang Melibatkan Margin Palpebra Inferior: Kajian Sistematis Azharudina, Adiba; Fortuna, Fory; Sayuti, Kemala; Saputra, Deddy; Ilahi, Fitratul; Elmatris, Elmatris
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 2 (2025): Juni 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i2.987

Latar Belakang: Palpebra atau kelopak mata berperan dalam melindungi mata dari trauma dan benda asing. Trauma pada palpebra dapat menimbulkan defek. Defek dianggap besar jika melibatkan lebih dari separuh margin palpebra dan dibutuhkan tatalaksana rekonstruktif untuk mengembalikan fungsi dan estetikanya. Tatalaksana tersebut tidak lepas dari kemungkinan komplikasi yang akan terjadi. Objektif: Mengevaluasi berbagai tatalaksana pada pasien dengan defek besar yang melibatkan margin palpebra inferior berdasarkan komplikasi yang muncul. Metode: Penelitian ini merupakan kajian sistematis. Pencarian literatur dilakukan melalui 2 sumber basis data yaitu Pubmed dan Google Scholar dalam rentang publikasi dari tahun 2017-2021. Artikel diseleksi berdasarkan kriteria eligibilitas yang telah ditentukan. Penelitian ini membahas pilihan tatalaksana rekonstruktif pada pasien dengan defek besar yang melibatkan margin palpebra inferior. Hasil. Terdapat 2.363 publikasi yang diseleksi hingga tercapai tujuh studi yang akan dikaji. Dari ketujuh studi ditemukan berbagai tatalaksana rekonstruksi yang dapat digunakan untuk mengatasi masalah ini, seperti penggunaan Smith-Modified Kuhnt szymanowski, flap Tenzel, flap Advancement V-Y, flap Hughes termodifikasi, kombinasi graft kondromukosal nasal dengan flap, serta kombinasi tarsoconjunctival graft dengan myocutaneus flap. Flap tenzel memiliki nol pasien yang mengalami komplikasi. Kesimpulan: Kesimpulan dari penelitian ini adalah flap Tenzel menjadi tatalaksana rekonstruktif terbaik dengan tidak ditemukannya komplikasi pada pasien

Myopic Progression of Children in RSUP Dr M Djamil During COVID-19 Pandemic Devilen, Yuki San; Sayuti, Kemala; Desmawati, Desmawati
Jurnal Ilmu Kesehatan Indonesia Vol. 4 No. 4 (2023): Desember 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i4.1185

Background: Myopia (nearsightedness) is an eye condition when a far object reflection is focused in front of the retina without accommodation, so far object cannot be seen clearly. The elongation of the eye's axial length primarily causes myopia. Lack of outdoor activities and excessive near work (screentime) during home confinement duringthe COVID-19 pandemic have increased the risk of myopia development, primarily in school children. Objective: This study aims to see children's myopic progression during the COVID-19 pandemic. Methods: This research was an observational analytic study by a retrospective cohort about children's myopic progression based on the difference between the spherical equivalent (SE) of 34 patients in RSUP Dr. M. Djamil from before (September 2019–February 2020) followed up to late (September 2021–February 2022) of COVID-19 pandemic from their medical records. Results: The results showed that myopic progression majorly occurredin children who were females (47.0%), had myopic parents (67.6%), ≥ 2 hours of outdoor activity (61.7%), > 5 hours of screentime (79.4%); with slow annualized myopic progression (61.7%). The median of SE from before and late the COVID-19 pandemic are -4.00 (-16.00 – -0.25) D and -4.62 (-17.00 – -0.25) D respectively; p<0.001. Conclusion: Children did have myopia worsening during the COVID-19 pandemic. Keywords: Myopia, Progression, COVID-19, Children, Spherical Equivalent

Changes in Retinal Ganglion Cell (RGC) and Retinal Nerve Fiber Layer (RNFL) Thickness in Children with Type 1 Diabetes Mellitus at Dr. M. Djamil General Hospital, Padang, Indonesia lonanda, Gama Agusto; Kemala Sayuti; Havriza Vitresia; Hendriati; Andrini Ariesti; Weni Helvinda
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 8 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i8.1047

Background: Type 1 diabetes mellitus (DM) is a chronic metabolic disorder that causes hyperglycemia and increases the risk of morbidity and mortality. Diabetic retinopathy, a microvascular complication that often occurs in DM patients, can cause visual impairment and even blindness. Regular eye examinations are important for early detection of diabetic retinopathy. Optical coherence tomography (OCT) is a non-invasive method that can be used to measure the thickness of retinal layers, including RGC and RNFL. It is thought that thinning of the retinal layer can be a sensitive biomarker in detecting diabetic retinopathy in type 1 DM patients. This study aims to determine changes in RGC and RNFL thickness in children with type 1 DM. Methods: This cross-sectional design analytical observational study was conducted at the eye polyclinic of Dr. M. Djamil General Hospital Padang in November 2023-March 2024. A total of 46 eyes from 46 people, divided into two groups: the type 1 DM group and the control group, were recruited in this study. RGC thickness was measured using AS-OCT GC-IPL thickness analysis and RNFL with optic disc RNFL thickness analysis. Data analysis was carried out using the unpaired T-test. Results: The results showed RGC depletion in the type 1 DM group (RGC 83.48 ± 3.75) compared to the control group (RGC 86.70 ± 4.87) with a value of p = 0.016 (p < 0.05). There was no statistical difference in RNFL thickness between the type 1 DM group (RNFL 102 ± 11.80) and the control group (RNFL 100.96 ± 10.97) with a value of p = 0.581 (p> 0.05). Conclusion: This study found RGC thinning in type 1 DM patients, but did not find differences in RNFL thickness between the two groups. This RGC depletion is thought to be caused by apoptosis of retinal neuronal cells due to chronic hyperglycemia. Examination of RGC thickness with OCT can be developed as an early detection of diabetic retinopathy in children with type 1 DM.

Axenfeld Rieger Syndrome: an unusual case report: Poster Presentation - Case Report - Resident RAHMADIANSYAH, MUHAMMAD FADHIL; SAYUTI, KEMALA
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/mf7nvf10

Introduction : Axenfeld-Rieger Syndrome (ARS) is a rare autosomal dominant disorder that characterized by ocular manifestation, especially the cornea, iris, glaucoma, and systemic abnormalities in teeth, face, abdomen, heart and genitals. Case Illustration : A 7-year-old boy patient presented to policlinic with complaint of blurry vision in both eyes. No other abnormalities in history. On examination, visual acuity of right eye 5/60 and left eye 4/60. Slit lamp examination revealed hypoplasia iris, corectopia, and polycoria. Intraocular pressure (IOP) on right eye 25 mmHg and left eye 24 mmHg. Non ocular manifestation were flat face and teeth deformity. This patient was diagnosed ARS with secondary glaucoma. We managed the patient together with the dental and pediatric department in order to confirm and treat any systemic abnormality. Patient underwent cycloplegic refractive correction to achieve best corrected visual acuity right eye 20/200 and left eye 20/150 (LEA chart). Timolol 0,25% eye drop was given twice a day with IOP right eye 19 mmHg and left eye 20 mmHg after 2 weeks. Discussion : The diagnosis of patient was ARS with secondary glaucoma. The patients with ARS have a 50% lifetime risk of glaucoma. Comprehensive management to confirm and treat the systemic abnormalities from dental and pediatric departments was important. Management in our department includes correction of refractive errors and lowering of IOP. Conclusion : Axenfeld Rieger Syndrome that manifest ocular and non-ocular need to investigated thoroughly. Multidisciplinary contribution of this case is necessary to maintain the ocular stabilization and prevent any harm from systemic abnormalities.

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