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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Majalah Kedokteran Sriwijaya Syntax Literate: Jurnal Ilmiah Indonesia Buletin Farmatera International Journal of Retina Jurnal Biomedika dan Kesehatan Bioscientia Medicina : Journal of Biomedicine and Translational Research Scientia Psychiatrica Sriwijaya Journal of Surgery Sriwijaya Journal of Ophthalmology Eureka Herba Indonesia Jurnal Pengabdian Masyarakat: Humanity and Medicine Open Access Indonesian Journal of Medical Reviews Archives of The Medicine and Case Reports Bioscientia Medicina : Journal of Biomedicine and Translational Research Community Medicine and Education Journal Journal of Anesthesiology and Clinical Research Conferences of Medical Sciences Dies Natalis IJRETINA - International Journal of Retina Sriwijaya Journal of Forensic and Medicolegal Ophthalmologica Indonesiana
Ramzi Amin, Ramzi
Universitas Sriwijaya
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Branch Retinal Vein Occlusion with Vitreous Hemorrhage Identified During Intraoperative Vitrectomy Sukmono, Nafila Mahida; Amin, Ramzi
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : International Journal of Retina

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Abstract

Introduction Retinal vein occlusion is the largest group of retinal blood vessels after diabetic retinopathy. Occlusion occurring in the retinal vein is divided into central retinal vein occlusion (CRVO) occlusion and branch retinal vein occlusion (BRVO) occlusion. The Beijing Eye Study, reported a higher incidence of BRVO than CRVO, where 10-year incidents for BRVO were 1.6 per 100 subjects, and CRVO was only 0.3% 100 subjects.1 To report a case of Branch Retinal Vein Occlusion with vitreous hemorrhage identified during intraoperative vitrectomy Method: A 49-year-old woman with a history of 15 years of hypertension had right eye vision complaints, increasingly blurred since last 2 months. The right eye visual acuity 2/60 cannot be corrected and left eye 6/30 cannot be corrected. The posterior segment on right eye is difficult to assess. USG B-Scan right eye found vitreous echospike appearance of vitreous bleeding. We manage with vitrectomy and during intraoperative we identified bleeding and ghost vessel in superotemporal area. Bleeding in the superotemporal quadrant is done by photocoagulation laser action. Results: First day postoperative there was increased in visual acuity to 6/60 with a posterior segment that could be assessed, obtained tortous blood vessels, slight bleeding and ghost vessel in the superotemporal area with laser injury. Conclusion: In this case report, patients with BRVO with complications of vitreous hemorrhage performed vitrectomy with additional endolaser in the ischemic area. The result of this action of visual acuity improvement in patient.
Anti-VEGF Therapy In Central Retinal Vein Occlusions Rahmah, Meidina; Amin, Ramzi; Ansyori, AK
International Journal of Retina Vol 1 No 2 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : International Journal of Retina

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Abstract

Introduction: Central retinal vein occlusion (CRVO) is the second most common retinal vascular disease after diabetic retinopathy and is estimated to affect more than 16 million adults worldwide. Treating the underlying cause of occlusion of the central retinal vein, reducing the risk factors, and early and proper management are the keys toward a better prognosis in patients with CRVO. Repeated frequent treatment of CRVO with macular edema with intravitreal anti-vascular endothelial growth factor (anti-VEGF) is an effective treatment to improve visual outcome. In this case report we assess the 3-month efficacy of anti-VEGF therapy in CRVO. Method: In this case, a 52-year-old man presented with an acute loss of vision over the last week in his left eye. His baseline visual acuity was 1/60 and his central retinal thickness (CRT) on Optical Coherence Tomography (OCT) was 523 μm. Fundus examination revealed a hemorrhage in all four quadrants, hard exudates, swelling of the optic nerve, and macular edema. Laboratory test confirms hyperlipidemia and we consult this patient to Internal Medicine Department. This patient got 3 monthly injections of 1,25 mg Bevacizumab. Results: By 3 months, the OCT appeared fairly normal and the visual acuity improved to 6/60 Conclusion: Anti-VEGF therapy is effective for treating macular edema secondary to CRVO
Urine Albumin Creatinine Ratio Among Diabetic Retinopathy Patient With And Without Diabetic Macular Edema In Moh. Hoesin Hospital Palembang Astuti, Rina; Ansyori, AK; Amin, Ramzi
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : International Journal of Retina

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Introduction: Diabetic Macular Edema is a diffuse thickening in macula which can be found in various severity of Diabetic Retinopathy. There are issue about relationship between Diabetic Macular Edema and albuminuria caused by chronic renal failure. The aim of this study is to know and compare urine albumin creatinine ratio among Diabetic Retinopathy patients with and without Diabetic Macular Edema in Moh. Hoesin Hospital. Methods: Cross sectional study with 25 sample was conducted. Diabetic Retinopathy and Diabetic Macular Edema was classified base on Early Treatment Of Diabetic Retinopathy Study (ETDRS) criteria. T-test, odd ratio and multiple logistic regretion analysis was used to analysed sociodemography characteristic (age and gender), clinical characteristic (duration of DM, hipertension, treatment, body mass indeks and antioksidan consumption), ophtalmology characteristic (visus, anterior segment anomaly and posterior segment/ severity of Diabetic Retinopathy), laboratory characteristic (HbA1c, ureum, creatinine, urine albumin creatinine ratio, and lipid profile). Result: Urine albumin creatinine ratio mean (2146.77 ± 3796.19) in Diabetic Macular Edema and (49.0 ± 45.35) in non-Diabetic Macular Edema; cutoff point 62.00 mg/dL. Odd ratio adjusted for urine albumin creatinine ratio = 18,8. In this research, risk factors which has significantly were urine albumin creatinine ratio (p=0.047) and High-Density Lipoprotein/HDL (p=0.028) with odd ratio 8.571 and 6.67 respectively. Urine albumin creatinine ratio showed significantly high Mann whitney analysis 0.02 (p<0.005). Conclusion: Urine albumin creatinine ratio in Diabetic Retinopathy with Diabetic Macular Edema was higher than without Diabetic Macular Edema. Urine albumin creatinine ratio and High Density Lipoprotein (HDL) are the two important risk factors associated with Diabetic Macular Edema.
Management of Rhegmatogenous Retinal detachment with Buckle Sclera and Cryoretinopexcy Mutiara, Ria; Amin, Ramzi
International Journal of Retina Vol 1 No 2 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : International Journal of Retina

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Abstract

Introduction: Retinal detachment is divided into three categories. The most common type is the regmatogen retinal detachment (rhegmatogenous retinal detachment), which is the result of the tearing of the retinal lining. Actions can be Buckle Sclera, vitrectomy pars plana and pneumatic retinopexy. The purpose of this case report to reported Management of Rhegmatogenous Retinal detachment with Buckle Sclera and Cryoretinopexcy. Method: A 58 years old man with chief complaint The left eye blurred like a curtain covered since 5 days,floaters (+), photopsia (+),headache (+), Patients never complain of lost vision suddenly before, eyeball pain is not there.History of trauma (+),On examination, the visual acuity 6/9 RE and 1/60 LE, anterior segment lens cloudy (+)nuclaer gr III, fundus photograph we found retinal contours of the blood vessels well, tear (+) is directed at 2-3 hours of superior-temporal and fovea reflex (-), B-scan ultrasound of the posterior segment the retina is not intact, Membran like lession detachment which attach to optic nerve. Results: The Sclera buckles and cryoretinopexy were performed under general antesthesia. Visual acuity post-operative on left eye 2/60. subconjunctival bleeding (+), the fundus photographs retinal attach but the macular reflex is still negative. post-operative theraphy with topical steroid and antibiotic eye drops, oral antibiotic, and oral analgetic. follow up 1-month post-operative visual acuity 5/60 with fundus photograph obtained retina attach. Conclusion: a diagnosis of retinal detachment can be found, with the discovery of fullthickness breaks or defects occurring from the retinal neurosensory, this break will allow the vitreous to enter the defect gap between the retinal neurosensory and RPE. Based on the clinical features of the posterior segment, the detachment area was found with the location of the Linchoff Rule 2 break based on the American Academy of Ophthalmology. The objective of operative therapy was to reattach the retinal portion of which one of them was buckle sclera and cryoretinopexcy.
The Difference of Visual Field Defect on Diabetic Retinopathy Patients Treated with Panretinal Laser Photocoagulation with 20-Milisecond and 100-Milisecond Duration Herdana, Nova; Ansyori, AK; Amin, Ramzi; Saleh, Irsan
International Journal of Retina Vol 1 No 2 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : International Journal of Retina

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Abstract

Introduction: Panretinal laser photocoagulation (PRP) is a standard treatment for severe nonproliferative and proliferative diabetic retinopathy. Twenty-milisecond duration PRP show same effectiveness with 100-ms standard PRP in inhibit neovascularization progression. This shorter pulse tend to minimize retinal neuronal defect and visual field defect. This study aim to analyze the difference of visual field defect in diabetic retinopathy (DR) patients treated with 20-ms PRP compared with 100-ms PRP in Moh. Hoesin Hospital Palembang. Methods: A clinical trial with single blinding on severe-very severe NPDR and early PDR eyes treated with PRP between June and August 2016. Forty eyes (25 patients) were randomized into two groups. Twenty eyes were treated with 20-ms PRP, and other 20 eyes treated with 100-ms PRP. Visual field defect was evaluated using Humphrey Field Analyzer 30-2 SITA Standard at baseline and 2 weeks follow-up. Result: Unpaired t-test showed significant difference in mean deviation (MD) after laser on NPDR eyes (p=0.042, p<0.05), meanwhile there was no significant difference in early PDR eyes (p=0.17, p>0.05). In NPDR eyes, more MD improvement was found in 20-ms PRP group (0.79±0.93 dB) than in 100-ms group (-0.04±0.61 dB). In early PDR eyes, MD improvement was bigger (1.0±0.88 dB) in 20-ms PRP group than in 100-ms group (0.10±1.47 dB). There was no significant difference in pattern standard deviation (PSD) on both group at any DR grade (p=0.208; p=0.201; p>0.05). Conclusion: After 2 weeks, 20-ms PRP caused more improvement and lesser visual field defect (p=0.042, p<0.05) on NPDR eyes. There was no significant difference in PSD on both groups.
ASSOCIATION OF DISEASE HISTORY WITH RHEGMATOGENOUS RETINAL DETACHMENT AMONG PATIENTS IN DEPARTMENT OF OPHTHALMOLOGY AT DR. MOHAMMAD HOESIN ACADEMIC GENERAL HOSPITAL PALEMBANG Amin, Ramzi; Septadina, Indri Seta; Putri, Dwi Octaverina
Buletin Farmatera Vol 4, No 2 (2019)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.029 KB) | DOI: 10.30596/bf.v4i2.2988

Abstract

Abstract. Retinal detachment is the detachment of neuroretina from pigmented retinal epithelial layer which supplying it. Retinal detachment which is untreated could lead into permanent visual impairment. According to its etiology, retinal detachment can be classified into rhegmatogenous and non-rhegmatogenous, where rhegmatogenous cause is more common that the other. Rhegmatogenous retinal detachment is associated with many previous disease history. Research was to determine the association between previous disease history and rhegmatogenous retinal detachment in the patient in Department of Ophthalmology at Dr. Mohammad Hoesin Academic General Hospital, Palembang. This was an analytical observational study using cross sectional design. Population of study was patients which had been diagnosed as having retinal detachment at the study site. One hundred and fifty-five of 267 patients were taken as study sample by using consecutive sampling technique. Data was obtained from patients’ medical records from 1 January 2015 to 31 August 2018. Analysis of association showed the following results: previous cataract surgery (p=0,038; PR=1,309), high degree myopia (p=0,014; PR=1,400) and trauma history (p=0,036; PR=1,350). There were significant associations between previous cataract surgery, high degree myopia and trauma history with rhegmatogenous retinal detachment.Keywords: Previous cataract surgery, myopia, trauma, rhegmatogenous retinal detachment.
Kemajuan Visus Penderita Retinopati Diabetik yang Diterapi dengan Laser Fotokoagulasi dan atau Injeksi Intravitreal di Rumah Sakit Mohammad Hoesin Palembang Mulyati Mulyati; Ramzi Amin; Budi Santoso
Majalah Kedokteran Sriwijaya Vol 47, No 2 (2015): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v47i2.2754

Abstract

Retinopati diabetes adalah kelainan retina yang ditemukan pada penderita diabetes melitus. Insiden retinopati diabetik mencapai 40-50% penderita diabetes dan prognosisnya yang kurang baik terutama bagi tajam penglihatan. Penelitian ini bertujuan untuk mengetahui kemajuan visus penderita retinopati diabetik berdasarkan penatalaksanaan dengan laser fotokoagulasi dan atau injeksi intravitreal anti VEGF. Penelitian ini adalah penelitian deskriptif observasional. Penelitian dilaksanakan di Bagian Mata RSUP Dr. Mohammad Hoesin Palembang dengan data yang berasal dari Bagian Rekam Medik Rawat Jalan periode Januari 2012 sampai Juni 2014. Dari 155 arsip pasien retinopati diabetik diperoleh 43 penderita retinopati diabetik yang memenuhi kriteria. Perempuan adalah kelompok yang paling banyak menderita retinopati diabetik 62,8%. Kelompok usia yang paling banyak menderita retinopati diabetik adalah 46-58 tahun (69,8%). Pasien terbanyak didiagnosis dengan PDR (64,3%). Penderita banyak dilakukan tindakan injeksi intravitreal anti VEGF meskipun persentase kemajuan visus lebih besar pada tindakan laser fotokoagulasi.
Karakteristik Klinis Pasien Retinopati Diabetik Periode 1 Januari 2014–31 Desember 2015 di RSUP Dr. Mohammad Hoesin Palembang Dyah Rahayu Utami; Ramzi Amin; Nyayu Fauziah Zen
Majalah Kedokteran Sriwijaya Vol 49, No 2 (2017): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v49i2.8376

Abstract

Retinopati diabetik merupakan suatu komplikasi kronik DM karena mikroangiopati vaskular retina, terkadang tanpa gejala, namun dapat menyebabkan kebutaan pada orang dewasa. Faktor risiko yang sangat berperan dalam kejadian retinopati diabetik yaitu lama menderita diabetes, peningkatan kadar HbA1c, peningkatan tekanan darah sistolik, dan peningkatan kadar profil lipid. Penelitian ini bertujuan untuk mengetahui karakteristik pasien retinopati diabetik di RSUP Dr. Mohammad Hoesin Palembang. Penelitian ini merupakan penelitian deskriptif observasional dengan menggunakan data sekunder. Variabel yang diteliti yaitu usia, jenis kelamin, tekanan darah, GDS, HbA1c, total kolesterol, HDL, LDL dan trigliserid. Sampel yang diambil adalah rekam medik seluruh pasien DM yang didiagnosa retinopati diabetik yang dirawat di RSUP Dr. Mohammad Hoesin Palembang pada periode 1 Januari 2014–31 Desember 2015. Dari 75 pasien yang diteliti, didapatkan paling banyak (82.7%) pada kelompok usia 45-64 tahun. Mayoritas adalah perempuan (64%). Distribusi retinopati diabetik berdasarkan tekanan darah terbanyak adalah prehipertensi (33.3%). Dari 70 pasien, mayoritas adalah (58.7%) dengan kadar GDS ?200 gr/dl. Dari 34 pasien yang data HbA1c ada, yang paling banyak (25.3%) memiliki kadar >8%. Dari 43 pasien retinopati diabetik berdasarkan kadar total kolesterol terbanyak (30.7%) dengan kadar ?240. Pasien retinopati diabetik paling banyak (16%) memiliki LDL >190. Responden yang data trigliserid ada, paling banyak (29.3%) dengan kadar <150. Dari 42 pasien retinopati diabetik paling dominan (32%) memiliki kadar HDL 41-59. Faktor risiko paling banyak ditemui adalah perempuan dengan kelompok usia 45-64 tahun, pasien dengan keadaan prehipertensi, kendali gula darah yang buruk, serta keadaan dislipidemia.
Penilaian Sensitivitas Makula Pada Pasien Diabetes Melitus Dengan MetodePhototest Recovery Time Test Ramzi Amin; Indri Seta Septadina; Ashita Hulwah A
Majalah Kedokteran Sriwijaya Vol 46, No 1 (2014): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v46i1.2679

Abstract

Angka kejadian diabetes melitus di Indonesia semakin meningkat tiap tahunnya sehingga angka mortalitas akibat komplikasi diabetes melitus pun meningkat. Salah satu komplikasi dari diabetes melitus (DM) adalah makulopati diabetes. Pada makulopati diabetes akan terjadi penurunan sensitivitas makula. Penurunan sensitivitas makula dapat dinilai dengan menggunakan metode photostress recovery time test. Tujuan dari penelitian ini adalah untuk menilai rata-rata photostress recovery time (PRT) pada pasien DM. Penelitian ini merupakan studi potong lintang yang dilakukan pada pasien DM di RSUP Moh. Hoesin Palembang pada bulan September sampai Desember 2013. Besar subjek penelitian yang didapat adalah 24 orang pasien DM, yang terdiri dari 9 orang laki-laki dan 15 orang perempuan dengan jumlah mata yang diteliti sebanyak 48 mata. Rata-rata PRT pada pasien DM dengan retinopati diabetes adalah 50 detik (SD ±18,318). Rata-rata PRT pada pasien dengan makulopati diabetes adalah 60,83 detik (SD ± 19,783). Kedua mata yang mengalami retinopati diabetes maupun makulopati diabetes memiliki nilai PRT yang lebih panjang dibandingkan dengan pasien DM tanpa retinopati diabetes maupun makulopati diabetes.
Clinical Efficacy of the Use of Honey as Wound Treatment in Surgical Site Infection due to Hysterectomy Patient with Type 2 Diabetes Mellitus Hartati; Mufida Muzakkie; Yusuf Effendi; Ferry Yusrizal; Ramzi Amin; Cindy Kesty; Vicela Patricia Virgyna
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 8 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i8.343

Abstract

Introduction: Honey is believed to be used in the topical treatment of wounds and burns due to its anti-bacterial and wound healing promotion activities. The sugar content in honey is high enough to inhibit microbial growth. This case report reports the clinical efficacy of using honey as a postoperative hysterectomy wound dressing with type 2 diabetes mellitus complications. Case Presentation: A woman, 40 years old, lived in Palembang, housewife, came with complaints of open surgical scars and smelling pus. The patient is a postoperative patient with cesarean section with indications of a prolonged latent phase and macrosomia. The patient also had a history of uncontrolled diabetes mellitus since 8 years ago. Intraoperatively, a wound dehiscence is obtained in the lower uterine segment and adhesions between the anterior uterine body and the omentum and transverse colon. The patient finally underwent a supracervical hysterectomy and the surgical secretions were examined for bacterial culture and antibiotic resistance. During wound care, the patient's surgical wound was treated using honey dressings. Patient experienced improvement after treatment for 12 days post-operation. Conclusion: Honey has antibacterial and tissue regeneration ability which is high enough to heal surgical wounds. Further studies are needed for the application of honey to postoperative wounds more widely
Co-Authors A.A. Ketut Agung Cahyawan W A.K Ansyori Ahmad Ghiffari Alfin Radhian Alfurqon Alfurqon Ammar Fardhana Ansyori, A.K. Ansyori, AK Ansyori, AK. Anwar, Chairil Ashita Hulwah A Ayu Aliyah Aziztama, Rezandi Budi Santoso Chairil Anwar Chairil Anwar Charil Anwar Cicilia, Monica Putri Cindy Kesty Defayudina Dafilianty Rosataria Devi Eryanti Devi Eryanti Dezca Nindita Dian Ariani Dian Puspita Sari Dina Fatwa Dio Asgira Rizky Dita Mintardi Dwiana Ocviyanti Dyah Rahayu Utami Elisa Taurisia Elza Iskandar, Elza Evasha, Agung Putra Faika Novadianaz Faiz Muhammad Ikhsan Faneisha Febrina Art Fensilia Yolanda, Gina Sonia Ferry Yusrizal Fidalia Galuh Ismayanti Ginda Chitra H. A. K. Ansyori H. A.K Ansyori Haloho, Agustina Br. Hamzah Hasyim Handayani, Retno Tharra Hartati Hartati Herdana, Nova Indiarsih, Tiara Bunga Indri Seta Septadina Irsan Saleh Kms Yusuf Effendi Krisna Murti Laksono Trisnantoro Linda Tri Wulandari M. Usman Salim Mandy Putriyudi Maria Ulfa Maya Ija Maya Sari, prima Mgs. Irsan Saleh, Mgs. Irsan Mistur Rozian Mufida Muzakkie Muhammad Baqir MUHAMMAD FAHMI Muhammad Irsan Saleh mulyati mulyati Mutiara, Ria Nailul Authoriyah Naufallah Dinda Harumi Nova Herdana Nur Farida Rahmawati Nyayu Fauziah Zen Oliffa Salma Atthahiroh Petty Purwanita Prima Maya Sari Purwanita, Purwanita Putra, Chani Sinaro Putri, Dwi Octaverina Radiyati Umi Partan Rafika Rafika Novianti Rahmah, Meidina Rajendra Ekki Maulana Reny Violeta Rika Anggraini Rika Anggraini Ririn Rahayu Ririn Rahayu MS Rizma Adlia Syakurah Roland Iqbal Rosataria, Defayudina Dafilianty Salim, Muhammad Usman Shaelva Lassa Sabatini Shariff, Muhammad Apriliandy Silvia Rahmi Siti Pradyta Phiskanugrah Sukmono, Nafila Mahida Syarif Husin Theodorus Tiara Mayasari Tribowo, Anang Vicela Patricia Virgyna Widya Wira Putri Yuanita Windusari Yuanita Windusari Zamzam, Avizena Muhammad Zen Hafy