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Sangging, Putu Ristyaning Ayu
Fakultas Kedokteran, Universitas Lampung
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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ARTICLE REVIEW: KLASIFIKASI DAN TATALAKSANA RETINOPATI PREMATURITAS Cholyviona W.S Handhayani; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.689

Abstract

Retinopathy of Prematurity (ROP) is a condition or illnesses of the retina that frequently affects infants. Retinopathy of Prematurity is an abnormal development of blood vessels in the eye which typically affects infants born prematurely. Premature Retinopathy is a condition that affects many nations on a global scale, with an expected incidence of over 45 cases for every 100,000 pregnancies. According to the International Classification of Retinopathy of Prematurity (ICROP), there are five stages of the disease based on the severity and three zones of retinal development based on where they form. The retina is the innermost layer of the eyeball that receives light and transmits it to the brain, allowing us to see distinctly. Disturbances in the retina can produce visual disturbances. As a result, any visual disturbances must be treated promptly and precisely. Cryotherapy, laser photocoagulation, anti-VEGF drugs, and vitrectomy healing measures at an advanced level are treatments that can be used in instances of Premature Retinopathy in premature babies. This writing employs the article review technique, with sources sourced from journals and books. This writing seeks to discover the definition, classification, and treatment of Premature Retinopathy, with the hope of improving standards and quality of care for Premature Retinopathy.
Diagnosis dan Tatalaksana Mata Kering Faiq Razaan Razaan; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.690

Abstract

Dry eye disease is a multifactorial disease of the tears and the surface of the eye that gives rise to unsafe indications, visual problems, and tear film instability with the potential to damage the eye surface. This condition can be followed by an increase in tear film osmolarity and inflammation of the ocular surface. This dry eye can occur due to reduced aqueous humor fluid produced by the ciliary body or increased production of tear evaporation that occurs due to disruption of the function of the meibomian glands. Based on these triggers, dry eyes can be classified into two categories: dry eyes due to aqueous deficiency (MKDA) and evaporative dry eyes (MKE). The diagnosis of dry eye order of examination of dry eyes include a patient history using a questionnaire, tear film break-up time with fluorescein, eye surface staining using fluorescein or lissamine green, Schirmer I test with or without anesthesia, Schirmer II test with nasal stimulation, and eyelid examination. and meibomian glands. Treatment of dry eye disease can be pharmacological or non-pharmacological. The management of dry eye disease depends on the severity of the disease, An example of a drug for the management of dry eye disease is cendo lyters.  Non-pharmacological treatment for preventing dry eye disease is avoiding its causes, such as vehicle fumes, limiting using gadget, and also being able to use sunglasses if there are indications of red and dry eyes. This paper uses the article review method by using sources such as journals. The purpose of this writing is to know the definition, diagnosis, and management of dry eye. The results of this paper found that the diagnosis of dry eyes can be established by history and physical examination. The conclusion obtained is that the management of dry eyes depends on the symptoms found in the history and physical examination.
Tinjauan Pustaka : Keratokonus Ardian Reza Putra; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.691

Abstract

sexes and all ethnicities. The estimated prevalence in the general population is 54 per 100,000. Ocular signs and symptoms vary depending on the severity of the disease. The initial shape is usually unknown unless closure topography is performed. Disease progression is manifested by a loss of visual acuity that cannot be compensated for by spectacles. Edge thinning often sucks ectasia. In moderate and more severe cases, a hemosiderin arc or circular line, known as a Fleischer ring, is often seen around the base of the needle. Vogt's striae, which are fine vertical lines produced by compression of Descemet's membrane, are another characteristic. Most patients eventually develop scar tissue. Munson's sign, V-shaped deformation of the lower eyelid in the downward position; Rizzuti's sign, bright reflection of the nasal limbal region when light is directed to the temporal limbal region; and damage to Descemet's membrane leading to acute stromal edema, known as hydrops, is observed in advanced stages. . Genetic, biomechanical, and biochemical theories about the causes of keratoconus have been put forward. Treatment varies depending on the severity of the disease. This article provides a review of the definition, epidemiology, etiology, pathogenesis, clinical features, diagnosis of keratoconus.
Article Review: Diagnosis dan Tatalaksana Rhinitis Medikamentosa Rahmi Zuraida; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.692

Abstract

Rhinitis medicamentosa (RM) is a condition caused by overuse of nasal decongestants. This can be seen when patients use topical decongestants for more than 5 consecutive days and are accompanied by symptoms of persistent nasal congestion and secretions. The term rhinitis medicamentosa is also called rebound or chemical rhinitis. In addition, rhinitis medicamentosa is also a term for nasal congestion after using drugs other than topical decongestants. These drugs are antihypertensives, antipsychotics, PDE5 inhibitors, analgesics, hormones, and miscellaneous. However, there are differences in the mechanism through which congestion is caused by topical nasal decongestants and oral medications. Very few prospective rhinitis medicamentosa studies have been conducted and most of the knowledge about the condition comes from case reports and histological studies. Histologic changes consistent with rhinitis medicamentosa include nasociliary loss, squamous cell metaplasia, epithelial edema, epithelial cell denudation, goblet cell hyperplasia, increased epidermal growth factor receptor expression, and inflammatory cell infiltration. Because the cumulative dose of nasal decongestants or the length of time needed to start rhinitis medicamentosa has not been definitively determined, these medications should only be used for the shortest period needed. Validated criteria need to be developed and further tests also need to be carried out to establish a better diagnosis. Stopping nasal decongestant use is the first line of treatment for rhinitis medicamentosa. If necessary, intranasal glucocorticosteroids should be used to speed recovery.
Penegakan Diagnosa dan Tatalaksana Severe Dry Eyes pada Pasien Steven Johnson Syndrome Aulia Nur Fitriatsani; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.695

Abstract

Severe dry eyes or what can be called as severe dry eyes is a disease that is often encountered and could be happen to anyone. This disease is a multifactorial disease and is more common in women than men. Risk factors that can cause dry eyes are classified into several categories, namely individuals, environment, chronic disease, autoimmune disease, drugs, and history of injury. One of the factors that causes dry eyes, namely the use of drugs both topical and systemic drugs. The use of five or more drugs simultaneously can increase the risk of dry eyes. One disease that can trigger severe dry eyes in Steven Johnson Syndrome (SJS). SJS is a form of skin and mucous membrane disease caused by the body’s hypersensitivity reaction to a drug or infection. After the damage caused by the acute stage begins to subside, there will be severe visual disturbances and severe dry eyes. In the acute stage, ocular complications occur in 77% of SJS patients. Severe dry eyes can reduce the patient’s quality of life because it can interfere with vision, especially during daily activities. Severe dry eyes in SJS patients involve three important mechanisms, namely tear deficiency, decrease corneal surface moisture, and increase evaporation processes. Treatment of dry eyes can be given with artificial tears and stop using drugs that trigger dry eyes or replace drugs with other drugs. It is important to suppress chronic inflammation of the ocular surface and 2% rebamipide opthalmic solution can help restore stability to the ocular surface.. contact lenses can also be used to improve the patient’s visual acuity and reduce the symptoms associated with severe dry eyes.
ARTICLE REVIEW PERDARAHAN SUBKONJUNGTIVA Syiva Ulhayah; Rani Himayani; Putu Ristyaning Ayu Sangging
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.696

Abstract

One of the common complaints in emergency departments and outpatient clinics is red eyes. One of the causes of red eyes that often occurs is subconjunctival hemorrhage which is a disorder that can occur in most benign situations but can also occur at certain times as a clinical manifestation of a diagnosis of a dangerous disease, especially if the bleeding occurs continuously or recurrently. . Usually, subconjunctival hemorrhages are painless. The conjunctiva consists of two parts, namely the bulbar part which covers the sclera and the tarsal part which covers the inside of the eyelids. The occurrence of subconjunctival hemorrhage is due to tearing of the small blood vessels on the surface of the eye above the sclera. This leaking blood then enters the lower Tenon's capsule and its condition becomes more pronounced when the blood leaks into the externally exposed portion of the bulbar conjunctiva. Subconjunctival hemorrhage can occur in elderly or young patients where the main risk factors in young patients are trauma and contact lens use and in elderly patients are systemic vascular diseases, such as hypertension, diabetes, and arteriosclerosis. In its treatment, subconjunctival hemorrhage does not require special treatment and will heal within 1-2 weeks. However, several factors need to be considered in the management of subconjunctival hemorrhage, including whether the patient experiences irritation, whether subconjunctival bleeding is accompanied by decreased vision, and whether there is a history of trauma. Subconjunctival hemorrhage has a good prognosis.
Penegakan Diagnosis dan Penatalaksanaan Retinopati Hipertensi Maria Devi; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.697

Abstract

Hypertension is a global health problem that requires good management. Hypertension is also commonly known as silent killer because it often arises in patients without any symptoms or complaints. There are several factors that affect the prevalence of hypertension such as race, age, obesity, high salt intake, and a history of hypertension in the family. The World Health Organization (WHO) states that in 2019 the prevalence of world hypertension sufferers is 22% of the total world population, and more than four thirds of those with hypertension do not make attempts to control blood pressure that causes hypertension complications. Blood vessels and the retina are highly suggestible structures when a patient suffers from hypertension, one of the target organs of complications of hypertension is the eye, prolonged and uncontrollable hypertension can trigger sclerosis in small blood vessels, the subtle changes in the retinal arteries that are then hardened by hypertension known as hypertensive retinopathy. Most patients with hypertensive retinopathy have no visible symptoms at the beginning, but in some cases the general symptoms often associated with hypertensive retinopathy are those of headaches and eye pain. A vascularization of the retina as a result of hypertension if untreated, would become retinal hypertension, leading to a serious complication of blindness. The higher the blood pressure of people and the longer hypertension continues to cause greater damage. Keyword: Hipertension, hypertensive retinopathy, diagnose, management
Dakriosistitis Muhamad Zaidan Algifari; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.698

Abstract

Dacryocystitis is characterized by inflammation of the nasolacrimal sac. This is due to obstruction within the nasolacrimal duct and stagnation of tears in the lacrimal sac. Obstruction that occurs in the nasolacrimal duct can cause secondary infection in the form of dacryocystitis. Obstruction that occurs at an early age is caused by the nasolacrimal membrane not opening, whereas in adults it is due to pressure on the nasolacrimal duct. The most common organisms found in dacryocystitis are staphylococcal species (mostly S. aureus, S. pneumoniae, and S. epidermidis). Symptoms found in dacryocystitis are redness, swelling, and pain above the lacrimal sac, especially just below the anatomical boundary of the medial canthal ligament. Conservative therapy is carried out by applying warm compresses 3 times a day, given analgesics and oral antibiotic therapy. The most common surgical procedure for dacryocystitis is Dacryocystorhinostomy (DCR). DCR has been reported to be over 93% to 97% successful. Complications that can occur as a result of not being handled properly are presptal cellulitis or orbital cellulitis. In general, the prognosis for dacryocystitis is good.
ARTICLE REVIEW DETEKSI DINI AMBLIOPIA Nabila Yoli Rahmadani; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.700

Abstract

Amblyopia is a developmental disorder of vision. It is caused by failure of visual cortical development in one or both eyes due to congenital abnormalities early in life. Amblyopia occurs early in life when the developing visual system fails to transmit sharp images to the visual cortex. It can be caused by media opacities, cataracts, strabismus, or an anisometropic refractive error that places one eye at a developmental disadvantage in the other. Amblyopia is the leading cause of monocular vision loss in children, with an estimated prevalence of 1% to 6% and is responsible for permanent vision loss in 2.9% of adults. In general, amblyopia does not cause symptoms, so it is very important to perform visual function screening to detect the risk of developing amblyopia. Accurate screening methods that pediatricians, family care practitioners, nurses, or community organizations can use can identify amblyopia at a time when treatment is most effective, so amblyopia can be treated more effectively when detected early. This paper uses the article review method using sources such as journals and books. The purpose of this writing is to find out the steps for early detection of amblyopia. The results of this paper found that early detection can be done by visual screening consisting of risk history factors and visual acuity abnormalities (preferential search techniques (Teller acuity cards, Cardiff acuity tests), fixation preference tests or image charts (Kay charts and Lea symbols). and Photoscreening) in children aged 3-5 years. The conclusion obtained is that early amblyopia screening can help with treatment and a better prognosis.
Diagnosis dan Tatalaksana Otitis Media Supuratif Kronik Rizqiani Astrid Nasution; Putu Ristyaning Ayu Sangging; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.701

Abstract

Chronic suppurative otitis media or also known as CSOM is a chronic inflammation or infection of the middle ear with a perforation of the tympanic membrane accompanied by or without discharge in the ear canal for at least 2-6 weeks. Chronic suppurative otitis media may start as otitis media with progressively worsening tympanic membrane perforation. The presence of cholesteatoma, namely the keratinized squamous epithelium in the middle ear can worsen the patient's condition to the point of complications. The diagnosis of chronic suppurative otitis media includes anamnesis, physical examination, and supporting examinations. In the anamnesis, the patient experiences symptoms such as decreased hearing function, discharge from the ear canal, tinnitus, a feeling of fullness in the ear, and can be accompanied by otalgia and high fever which indicates complications. The physical examination was carried out by examining the ear canal, examining the middle ear, and examining the hearing test in the form of a tuning test consisting of a Rinne test, Weber test, and Schwabach test, as well as a whispered voice test. In supporting examination of chronic suppurative otitis media, pure tone audiometry, Brainstem Evoked Response Audiometry (BERA) and otomicroscopy were performed. Management of chronic suppurative otitis media consists of non-operative management and operative management. Non-operative management is carried out with an aural toilet, administration of topical and systemic antibiotics, and education. Operative management is in the form of surgery consisting of myringoplasty, tympanoplasty, and mastoidectomy. Operative management is carried out if the patient with chronic suppurative otitis media is not responsive to topical or systemic medical therapy with appropriate aural toilet.
Co-Authors Adinda Husna Cahyana Agung Ikhssani Agustyas Tjiptaningrum Ahmad Duta Al-Ihya Alghani, Sulthan Rafi Almaina Puteri Jasmine Almaina Amira Nabila Andi Nafisah Angelica Philia Christy Anggraeni Janar Wulan Annisarahma, Lyvia Aprilia, Intan Rahma Ardian Reza Putra Arfa Salma Firnandya Ari Irawan Ari Irawan Ari Wahyuni Aulia Nur Fitriatsani Aurora Awindya Nareswari Azizah Nur Rahmah Bagus Pratama Brigitta Shinta dewi Carissa Aprilia Y Cholyviona W.S Handhayani Citra Yuliyanda Pardilawati Cut Karel Dithia Daffa Fahreiza Daffa Fahreiza Devina Hardianto Devira Fitriani Kamal Devya Aulia Dian Isti Angraini Dilla Syahra Noor Fitri Dzakwan Cedri Ketierteu Ellysa Angguman Putri Evan Christian Christian Fadila Gustiani Daraz Fadilah Alwiyah Faiq Razaan Razaan Farid Hammadi Faridi Pani Farraz Kanya Syahra Fayza Syachrani Fityah Zabrina Hidayat Ganesha Rahman Hakim Ghina Salsabila Fenty PNR Gusnirwan, Alief Hanifah Qollama Astrid Hanna Mutiara Hendri Busman Herlambang, Geri Indra Imtinan Khoirunnisa Indah Kurnia Putri Waruwu Indah Salsabila Indri Windarti Intanri Kurniati Isabela Irene Pangestu Jhons Fatriyadi Suwandi Julianti, Dinul Aliya Kalih, Abigael Ludwina Kamila Nastiti Karima, Nisa Keziah Tirtawijaya Khairun Nisa Kurnia Fithrananda Kurniawaty, Evi Laja, Rana Salsabila Putri Lintang Lestari Cahya Sawitri Mafalda Marzon Maria Devi Melni Armadani Mentari Putri Maharani Mira Yustika Mochamad Fauzan Dava Muhamad Zaidan Algifari Muhammad Ammar Naufal Muhammad Arsy Kamal Faadhil Muhammad Maulana Muhammad Rizki Akbar, Muhammad Rizki Mukhbita, Khalila Alya Mukhlis Imanto, Mukhlis Nabila Alsa Sagia Nabila Shafira Nabila Yoli Rahmadani Nadhia Wihelga Nahrassyiah Rahma Putri Ni Putu Sari Widiyani Noval Ramadirta Nurul Fadhilah Az-zahro Nurul Utami Oktafany Oktafany Oktoba, Zulpakor Pardilawati, Citra Yulianda Pardilawati, Citra Yuliyanda Prasetyo, Muhammad Purwono Qoriba, Fathan RA Genta Syakira Hatta Rachel Agustin Inggrid Zefanya Rafi Gutra Aslam rahmawati, selvi Rahmi Zuraida Raihanah Nabilah Rani Himayani Rani Himayani Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Regita Dwi M Reisyah Syahfira Rifka Putri Dewi Rika Lisiswanti Risti Graharti Rizqiani Astrid Nasution Rudiyanto, Waluyo Salsabila Haqya Kusuma Salshabilla, Annisa Sembiring, Dustin Delano Pranata Setiorini, Anggi Shiddiq, Muhammad Nasrullah Nur Shinta Nareswari, Shinta Simanungkalit, Jesica Natalia Sinulingga, Anselmus Libreya Siti Shafira Elfreda Suharmanto Suryani Agustina Daulay Susianti Susianti Sutarto Sutarto Sutyarso Sutyarso Syahrani Alya Murfi Syalwa Meutia Syiva Ulhayah Tamaulina Br Sembiring Tiasti, Jania Tri Umiana Soleha Tsurayya Fathma Zahra Yashila Rahimah Zahra, Siti Aqila Zayatri Nurul Jannaty Zheva Aprillia Yozevi