Barii Hafidh Pramono, Barii Hafidh
Program Studi Pendidikan Dokter, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta

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Pengaruh Kitosan secara Topikal terhadap Penyembuhan Luka Bakar Kimiawi pada Kulit Rattus norvegicus Pramono, Barii Hafidh; Husein, Rizqi Afrian Jamaludin; Tasminatun, Sri; Wardono, Aditiya Pramudya
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 12, No 3 (2012)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v12i3.1046

Abstract

Kontak antara kulit dengan zat kimia iritatif seperti asam sulfat dapat menyebabkan luka bakar kimiawi. Senyawa yang telah diteliti efektif mempunyai kemampuan mengakselerasi proliferasi sel, migrasi sel PMN, daya antiinfeksi, dan bersifat basa adalah kitosan. Penelitian ini bertujuan untuk menganalisis pengaruh kitosan secara topikal terhadap penyembuhan luka bakar kimiawi pada kulit tikus putih terinduksi asam sulfat. Penelitian eksperimental invivo, sebanyak 30 ekor tikus dibagi enam kelompok (kontrol tanpa perlakuan, kontrol vaselin, kontrol Bioplacenton®, salep kitosan dosis 1,25%, 2,5%, dan 5%). Luka bakar kimiawi diinduksi dengan 0,1 ml asam sulfat 75%. Data dianalisis dengan metode ANAVA dilanjutkan uji Tuckey. Waktu sembuh paling cepat adalah kelompok salep kitosan dosis 2,5% (20,2±2 ,9 hari) dan yang paling lama adalah kelompok kontrol tanpa perlakuan (30,4±4 ,8 hari). Pemberian salep kitosan dosis 1,25%, 2,5%, dan 5% signifikan mempercepat waktu sembuh dibandingkan kontrol tanpa perlakuan dan vaselin. Salep kitosan 2,5% paling signifikan mempercepat waktu sembuh dibandingkan kontrol tanpa perlakuan dan vaselin (p=0,003; p=0,006). Persentase penyembuhan kelompok salep kitosan 1 ,25%, 2,5%, dan 5% mempunyai kurva peningkatan persentase lebih tinggi dari semua kelompok kontrol. Salep kitosan 2,5% signifikan meningkatkan persentase penyembuhan dibandingkan semua kelompok kontrol termasuk kontrol positif® ( p=0,  Contact between skin with chemicals substance such as sulfuric acid can cause chemical burns. A compound that had been researched effective have ability to accelerate cell proliferation, migration of PMN cells, the anti-infective, and the base pH is Chitosan. The aims is to determine the effect of topical chitosan on chemical burn healing in skin rat induced sulfuric acid. Experimental in-vivo with  30 female rats divided into six groups (control without treatment, Vaseline control, Bioplacenton® control, Chitosan ointment 1.25%, 2.5%, and 5% dose). Chemical burn was induced with 0.1 ml of 75% sulfuric. Data were analyzed by Anova method continued with Tuckey test. The results of healing time which fastest was Chitosan ointment 2.5% (20.2±2.9 days) and which longest was control without treatment group (30.4±4.8 days). Chitosan ointment 1.25%, 2.5%, and 5% dose significantly accelerated healing time compared with without treatment and Vaseline control groups. Chitosan ointment 2.5% most significantly accelerated the healing time compared with without treatment and Vaseline control (p=0.003 p=0.006). The healing percentage of Chitosan ointment 1.25%, 2.5%, and 5% dose have higher percentage increasing curve than all control groups. Chitosan ointment 2.5% dose significantly increased the healing percentage than all control groups including positive control (p=0.008). It was concluded that chitosan have an influence on the healing of chemical burn. 
Exploring the Distinct Characteristic of Two Procedures for Sulcus Implementation following Posterior Capsular Rupture during Phacoemulsification: Single-piece Foldable IOLs and Polymethylmethacrylate IOLs: Poster Presentation - Case Report - Ophthalmologist Pramono, Barii Hafidh; Sophian, Darmawan M.
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/frndhg14

Abstract

Introduction : Posterior capsular rupture (PCR) is one of the most feared complications of phacoemulsification. In? the?bag implantation of the lens becomes difficult if the PCR was large. Implantation of rigid polymethylmethacrylate (PMMA) or single?piece foldable IOL is implanted in the sulcus Case Illustration : After noting the PCR on both patients, single?piece foldable IOL of the same power was implanted in the ciliary sulcus. Same action was implemented to PMMA IOLs by enlarging the main port twice. Intracameral pilocarpine was injected and vitrectomy anterior was performed. The wound was closed with hydration on single-piece foldable IOL, meanwhile on PMMA IOLs, one hecting is required in the middle of mainport wound. The postoperative VA on day 1 from 0.12 on single-piece foldable IOLs and 0.25 on PMMA IOLs. Corneal edema, increased anterior chamber reaction was seen on single-piece foldable IOLs. Raised IOP was not found on both patients Discussion : Complications implantation single?piece foldable IOLs such as pigment dispersion syndrome, increased IOP. A surgical peripheral iridectomy can be created as a solution. Complication less likely occurred on the patient with longer axial length. The AL on this patient is AL 23.33 mm (single?piece foldable IOLs) and 24.08 mm (PMMA IOLs). The weakness of single piece foldable acrylic lenses are poor choice for ciliary sulcus placement and PMMA IOLs can induce astigmatism. Conclusion : Single-piece foldable IOLs are not designed for sulcus implantation. PMMA IOLs implantation can induce astigmatism.