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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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Prognostic Value of Retinal Microvascular Alterations Detected by Fundus Examination in Critically Ill Patients: A Meta-Analysis Ramzi Amin; Faiz Muhammad Ikhsan
Journal of Anesthesiology and Clinical Research Vol. 5 No. 2 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i2.728

Abstract

Introduction: The ocular fundus provides a unique window into the human microcirculation. Retinal microvascular alterations (RMVAs), such as hemorrhages, cotton wool spots, and vessel caliber changes, are observed in critically ill patients and may reflect systemic microvascular dysfunction, a key element in the pathophysiology of critical illness and organ failure. However, the prognostic significance of these findings in the intensive care unit (ICU) setting remains uncertain due to variability among individual studies. This meta-analysis aimed to synthesize existing evidence on the association between RMVAs detected by fundus examination and mortality in critically ill adult patients. Methods: We conducted a systematic literature search across PubMed, Embase, Scopus, and Web of Science databases for observational studies published between January 1st, 2013, and December 31st, 2023. Studies evaluating the association between RMVAs during ICU stay and mortality in adult ICU patients were included. Two reviewers independently performed study selection, data extraction, and quality assessment using the Newcastle-Ottawa Scale (NOS). Data on the presence versus absence of any significant RMVA and mortality were pooled using a random-effects model to calculate an overall odds ratio (OR) with a 95% confidence interval (CI). Heterogeneity was assessed using the I² statistic and Cochrane's Q test. Results: Our search yielded 1,872 unique records, of which 28 were assessed in full text. Six cohort studies, published between 2015 and 2023, met the inclusion criteria, encompassing a total of 1,358 critically ill patients. The included studies varied in population characteristics (medical, surgical, mixed ICUs) and methods of RMVA assessment. The overall quality of included studies was moderate to good (median NOS score 7, range 6-8). The prevalence of any significant RMVA ranged from 18% to 45% across studies. The pooled analysis demonstrated a statistically significant association between the presence of any RMVA detected on fundus examination and increased odds of mortality (Pooled OR = 2.48; 95% CI: 1.65–3.71; p < 0.0001). Moderate heterogeneity was observed among the studies (I² = 58%; p = 0.03 for Cochran's Q test). Conclusion: The presence of retinal microvascular alterations identified through fundus examination during ICU stay is significantly associated with an increased risk of short-term mortality in critically ill adult patients. These alterations may serve as an accessible marker of underlying systemic microvascular pathology and disease severity. Further large-scale, prospective studies with standardized protocols are warranted to confirm these findings and explore the utility of specific retinal signs.
Purtscher-like Retinopathy in Critically Ill Patients (Non-Traumatic Etiologies): A Systematic Review and Meta-analysis of Incidence, Associated Conditions, and Visual Outcomes Ramzi Amin; Dina Fatwa
Journal of Anesthesiology and Clinical Research Vol. 5 No. 1 (2024): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v5i1.732

Abstract

Introduction: Purtscher-like retinopathy (PLR) is an occlusive microvasculopathy presenting with funduscopic findings similar to Purtscher's retinopathy but occurring in the absence of direct head or chest trauma. Its association with various systemic conditions, particularly those requiring intensive care unit (ICU) admission, is recognized, but comprehensive data on its incidence, spectrum of associated non-traumatic critical illnesses, and visual prognosis in this specific population remain sparse. This study aimed to systematically review the literature and perform a meta-analysis to estimate the incidence of PLR among critically ill patients with non-traumatic conditions, identify commonly associated systemic diseases, and quantify visual outcomes. Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines. PubMed, Embase, Scopus, and Web of Science databases were searched from January 1st, 2013, to December 31st, 2023, for studies reporting PLR in critically ill adult patients admitted for non-traumatic reasons. Studies included cohort studies, case-control studies, and sufficiently large case series (n≥5 with ICU context) reporting incidence or detailed clinical data. Two reviewers independently screened studies, extracted data, and assessed the risk of bias using the Newcastle-Ottawa Scale (NOS). Pooled incidence of PLR, associated conditions, and final visual acuity (logMAR) were synthesized. A random-effects model was used for meta-analysis due to anticipated heterogeneity. Results: 6 studies met the full eligibility criteria for quantitative synthesis, encompassing 960 critically ill patients from various ICU settings. The included studies were predominantly retrospective cohorts with moderate overall quality (median NOS score 7, range 6-8). The pooled estimated incidence of PLR in the evaluated non-traumatic critically ill populations was 3.4% (95% Confidence Interval [CI]: 2.1% - 5.5%), exhibiting substantial heterogeneity (I² = 80%, p < 0.001). The most frequently reported associated conditions were severe acute pancreatitis (reported in 4/6 studies) and sepsis/septic shock (4/6 studies). Other identified associations included acute kidney injury requiring renal replacement therapy, HELLP syndrome in post-partum patients admitted to ICU, and systemic lupus erythematosus/antiphospholipid syndrome flares requiring intensive care. Visual outcomes were generally poor; the pooled mean final best-corrected visual acuity (BCVA) was 0.85 logMAR (approx. Snellen 20/140; 95% CI: 0.65 - 1.05 logMAR), again with significant heterogeneity (I² = 75%). Approximately 45% of affected eyes had a final BCVA of less than 20/200. Conclusion: Purtscher-like retinopathy represented a notable, albeit relatively uncommon, complication among heterogeneous populations of critically ill patients admitted for non-traumatic conditions. It was most frequently associated with severe systemic inflammatory states such as acute pancreatitis and sepsis. Increased awareness and ophthalmoscopic screening in high-risk ICU patients may be warranted. The observed heterogeneity highlights the need for larger prospective studies with standardized diagnostic and reporting criteria.
Penyuluhan mengenai pencegahan kebutaan akibat katarak di Puskesmas Merdeka Palembang Amin, Ramzi; Maya Sari, prima; salim, muhammad usman; nindita, dezca
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 6 No 1 (2025): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V6I1.166

Abstract

Unoperated cataracts and uncorrected refractive errors are the most common causes of visual impairment worldwide. Currently, around 94 million elderly people in the world (50 years and above) experience visual impairment or blindness that could be addressed through access to cataract surgery. The Community Ophthalmology Team from the Department of Ophthalmic Health at the Faculty of Medicine, Sriwijaya University, conducted an educational program aimed at enhancing participants' understanding of cataracts, with the goal of increasing awareness regarding prevention and improving community readiness for surgical intervention. A total of 45 participants, who are patients at Puskesmas Merdeka, engaged in the educational session effectively. The participants demonstrated high enthusiasm during the question-and-answer session, and observations indicated an improvement in their knowledge about cataracts. This educational program successfully enhanced public understanding of cataracts and preventive measures.
Edukasi komprehensif penyakit mata kering di Puskesmas Dempo Palembang Purwanita, Petty; Amin, Ramzi; Tribowo, Anang; Cicilia, Monica Putri
Jurnal Pengabdian Masyarakat: Humanity and Medicine Vol 6 No 1 (2025): Jurnal Pengabdian Masyarakat: Humanity and Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/Hummed.V6I1.167

Abstract

Educational Outreach on Dry eye disease at Puskesmas Dempo Palembang. Dry eye disease is one of the most common eye health concerns worldwide, including in our community. With modern lifestyle changes, such as increased use of digital devices and exposure to less favorable environmental conditions, the prevalence of dry eye is rising. This condition not only causes daily discomfort but can also lead to serious vision problems if not properly addressed. The Community Ophthalmology Team from the Department of Ophthalmology, Faculty of Medicine, Sriwijaya University, conducted an outreach program to enhance participants' understanding of dry eye disease, covering its causes, symptoms, prevention, and treatment. Through effective education, we can help the community recognize early signs of the disease, adopt habits that support eye health, and seek appropriate treatment early on. A total of 32 participants, who were patients of Puskesmas Dempo, actively participated in the outreach program. The participants showed great enthusiasm during the Q&A session, and observations revealed an increase in their knowledge about dry eye disease. This outreach program successfully enhanced the community's awareness of dry eye disease and the steps to prevent it.
Intravitreal Anti-VEGF Injection Monotherapy for Wet Age-Related Macular Degeneration: A Case Report Demonstrating Successful Visual and Anatomical Outcomes Ramzi Amin; Linda Tri Wulandari
Open Access Indonesian Journal of Medical Reviews Vol. 4 No. 4 (2024): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v4i4.735

Abstract

Neovascular (wet) age-related macular degeneration (nAMD) is a leading cause of severe vision loss in the elderly, characterized by choroidal neovascularization (CNV). Intravitreal anti-vascular endothelial growth factor (anti-VEGF) therapy has revolutionized nAMD management. This report details a case of nAMD successfully managed with anti-VEGF monotherapy. A 61-year-old male smoker with a history of hypertension presented with a two-year history of progressive blurred vision in his right eye (OD). Best-corrected visual acuity (BCVA) was 1/300 OD and 6/60 (pinhole 6/30) OS. Fundus examination OD revealed drusen, hard exudates, and reduced foveal reflex. Optical Coherence Tomography (OCT) OD confirmed intraretinal and sub-RPE fluid, pigment epithelial detachment (PED), and features suggestive of Type II CNV. The patient was diagnosed with nAMD OD and immature senile cataract bilaterally. He received intravitreal anti-VEGF injection OD. Seven days post-injection, BCVA OD improved to <1/60, with subjective improvement in vision. In conclusion, this case demonstrates the efficacy of intravitreal anti-VEGF monotherapy in improving visual and anatomical outcomes in a patient with nAMD. Despite known risk factors, timely intervention led to a favorable short-term response. Long-term management and monitoring remain crucial.
Stargardt Disease Unmasked During Primigravida Pregnancy: A Case Report on Diagnosis and Low Vision Management Ramzi Amin; Ginda Chitra
Open Access Indonesian Journal of Medical Reviews Vol. 4 No. 3 (2024): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v4i3.739

Abstract

Stargardt disease (STGD1), the most prevalent inherited macular dystrophy in juveniles and young adults, typically results from biallelic mutations in the ABCA4 gene. It leads to progressive central vision loss due to lipofuscin accumulation in the retinal pigment epithelium (RPE) and subsequent photoreceptor degeneration. While onset often occurs in the first two decades, presentation can vary. Managing STGD1 involves optimizing remaining vision through low vision rehabilitation and addressing the psychosocial impact, particularly crucial during significant life events like pregnancy. We report the case of a 23-year-old Indonesian female, primigravida at 35 weeks of gestation, referred from obstetrics for evaluation of a longstanding visual impairment before delivery planning. She reported progressive bilateral blurred vision since age 7, significantly worsening over the past three years, accompanied by photophobia and difficulty reading, requiring close proximity to text. Her younger sibling also had similar visual complaints. Best-corrected visual acuity was 1/60 OD and 2/60 OS, unamenable to refractive correction. Fundus examination revealed bilateral macular atrophy with a "beaten bronze" appearance, surrounding pisciform yellowish flecks extending towards the mid-periphery, and peripheral retinal dystrophy. Optical Coherence Tomography (OCT) confirmed foveal atrophy and RPE disruption. Fundus autofluorescence (FAF) showed hypoautofluorescence corresponding to atrophy, surrounded by areas of hyperautofluorescence (flecks). Amsler grid testing indicated bilateral central scotomas. Contrast sensitivity was severely reduced (1.25% Pelli-Robson bilaterally), and Ishihara testing revealed dyschromatopsia. Based on the clinical findings, family history, and characteristic imaging features, a diagnosis of Low Vision secondary to suspected Stargardt Disease was made. Obstetric examination was normal, and no contraindications for vaginal delivery were identified from an ophthalmic perspective. Low vision management included counseling, prescription of photochromic lenses, and demonstration of non-optical aids (typoscope, large print materials, handheld/stand magnifiers, glare control measures like hats/sunglasses, and a white cane for mobility). In conclusion, this case highlights the presentation of suspected Stargardt disease in a young primigravida woman, emphasizing the importance of thorough ophthalmic evaluation and multimodal imaging for diagnosis, even when symptoms have been present since childhood. Pregnancy provided the context for a formal diagnosis and initiation of low vision rehabilitation. Management focused on maximizing functional vision using appropriate aids, patient education regarding the condition's nature and inheritance, and addressing safety during mobility. Multidisciplinary care involving ophthalmology, obstetrics, and low vision services is crucial for optimal patient outcomes.
Successful Management of Rhegmatogenous Retinal Detachment with Concomitant Cataract Using Combined Phacoemulsification, Pars Plana Vitrectomy, and Scleral Buckling: A Case Report Ramzi Amin; Alfin Radhian
Open Access Indonesian Journal of Medical Reviews Vol. 4 No. 2 (2024): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v4i2.740

Abstract

Rhegmatogenous retinal detachment (RRD) coexisting with significant cataract presents a complex surgical challenge, often necessitating combined phacoemulsification, pars plana vitrectomy (PPV), and potentially scleral buckling (SB) for optimal anatomical and visual outcomes. This report details the successful management of such a case using a combined surgical approach. A 43-year-old female presented with a one-week history of a sudden-onset black shadow in the nasal visual field of her right eye (OD), preceded by photopsia for one month. Visual acuity was 1/60 OD and 1/60 OS, non-improving with pinhole. Ophthalmic examination revealed an RRD with a superior retinal tear between the 1-2 o'clock position in the OD, associated undulation, and retinal folds. Bilateral immature senile cataracts (Nuclear Opalescence Grade 2, Nuclear Color Grade 2) were also noted. The patient underwent combined phacoemulsification with intraocular lens (IOL) implantation, 360° SB, 23-gauge PPV, endolaser photocoagulation around the break, and silicone oil tamponade in the OD. Postoperatively, the retina remained attached under silicone oil. Visual acuity improved to 6/21 OD at the 8-day follow-up. Postoperative intraocular pressure (IOP) elevation (39.4 mmHg OD) was managed medically. In conclusion, combined phacoemulsification, PPV, and SB proved effective in achieving both retinal reattachment and significant visual improvement in this patient with RRD and concomitant cataract. Careful surgical planning and postoperative management, including IOP control, are crucial for successful outcomes in these complex cases.
EFFECT OF DIABETIC RETINOPATHY PROGRESSION ON VISUAL ACUITY IN TYPE II DM PATIENTS Amin, Ramzi; Rajendra Ekki Maulana; Syarif Husin
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 2 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i2.660

Abstract

This study aims to assess the effect of DR severity on visual acuity and to identify additional contributing factors. An observational analytic study with a cross-sectional design was conducted using medical records of Type II DM patients diagnosed with DR at Dr. Mohammad Hoesin General Hospital, Palembang, between January 2021 and October 2024. Statistical analysis was performed using Fisher’s exact test to evaluate significance, followed by logistic regression to determine the most influential factor. The results showed a significant association between DR severity and visual acuity (p=0.008), while other factors including macular edema (p=0.137), age (p=1.000), gender (p=1.000), intraocular pressure (p=1.000), HbA1c levels (p=1.000), and history of hypertension (p=1.000), were not significantly associated. In conclusion DR severity has a significant and dominant influence on the visual acuity of DR patients.
Impact of Glycemic Control on Amsler Grid Findings in Patients with Diabetic Retinopathy in Palembang, Indonesia Ramzi Amin; Ayu Aliyah
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 7 (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.v9i7.1330

Abstract

Background: Diabetic retinopathy (DR) remains a principal cause of vision impairment globally, frequently affecting the macula and central vision. This study aimed to investigate the association between glycemic control status and the presence of Amsler grid abnormalities in patients diagnosed with diabetic retinopathy in Palembang. Methods: This cross-sectional study was conducted at the outpatient ophthalmology and internal medicine clinics of a tertiary referral hospital in Palembang between January 2023 and December 2024. Patients aged 18 years or older with a confirmed diagnosis of type 1 or type 2 diabetes mellitus and any stage of diabetic retinopathy, capable of performing Amsler grid testing, were included after providing informed consent. Patients with other significant ocular pathologies affecting the macula or media opacities precluding fundus examination were excluded. Data collected included demographics, diabetes history, comprehensive ophthalmic examination findings, standardized Amsler grid testing results, and recent HbA1c levels. Glycemic control was categorized as good (<7.0%), fair (7.0-9.0%), and poor (>9.0%). Statistical analysis involved descriptive statistics, chi-square tests, t-tests/Mann-Whitney U tests, and multivariable logistic regression to assess the association between HbA1c levels and abnormal Amsler grid findings, adjusting for potential confounders. Results: A total of 385 patients with DR (mean age 58.2 ± 9.5 years; 53.8% female) were included. The mean duration of diabetes was 12.4 ± 6.8 years, and the mean HbA1c was 8.9% ± 2.1%. Abnormal Amsler grid findings were reported by 161 participants (41.8%). Patients with abnormal Amsler grid findings had significantly higher mean HbA1c levels compared to those with normal findings (9.8% ± 1.9% vs. 8.3% ± 1.8%, p < 0.001). In the multivariable logistic regression analysis, after adjusting for age, diabetes duration, DR severity, and hypertension, poor glycemic control (HbA1c >9.0%) was independently associated with significantly higher odds of having abnormal Amsler grid findings compared to good glycemic control (HbA1c <7.0%) (Adjusted Odds Ratio [aOR] = 3.45, 95% CI: 1.98-6.01, p < 0.001). Fair glycemic control (HbA1c 7.0-9.0%) also showed increased odds, although to a lesser extent (aOR = 1.82, 95% CI: 1.05-3.15, p = 0.032). Each 1% increase in HbA1c was associated with a 35% increased odds of abnormal Amsler findings. Conclusion: This study demonstrated a significant association between poorer glycemic control, as indicated by higher HbA1c levels, and the presence of abnormal Amsler grid findings among diabetic retinopathy patients in Palembang. These findings underscore the critical role of meticulous glycemic management in preserving not only retinal structure but also central visual function detectable through simple psychophysical tests. The Amsler grid serves as a valuable, accessible tool for functional monitoring in this patient population.
Successful Management of Central-Involving Diabetic Macular Edema with Sequential Anti-VEGF Injections in Moderate NPDR: A Case Study Ramzi Amin; Oliffa Salma Atthahiroh
Archives of The Medicine and Case Reports Vol. 5 No. 2 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i2.741

Abstract

Diabetic macular edema (DME), particularly central-involving DME (CI-DME), represents a primary cause of significant vision impairment among individuals afflicted with diabetic retinopathy (DR). The progression from non-proliferative diabetic retinopathy (NPDR) stages can be complicated by the development of CI-DME, which mandates prompt and effective intervention to preserve visual function. Intravitreal anti-vascular endothelial growth factor (anti-VEGF) agents have emerged as the definitive first-line therapeutic strategy for CI-DME, demonstrating considerable efficacy in reducing macular thickness and enhancing visual acuity outcomes. This report provides a detailed account of the successful clinical management of a patient presenting with moderate NPDR and concurrent CI-DME, utilizing a regimen of sequential intravitreal anti-VEGF injections. A 58-year-old female patient, with an established 3-year history of both type 2 diabetes mellitus and systemic hypertension, presented with a chief complaint of progressively deteriorating vision in her right eye (OD) over the preceding two-month period. Her pertinent ophthalmic history included cataract extraction with intraocular lens implantation OD performed three months prior, followed by an initial anti-VEGF injection administered OD one month before the current evaluation. Upon examination, her best-corrected visual acuity OD was measured at 4/60. Dilated funduscopic examination of the right eye revealed retinal findings characteristic of moderate NPDR, specifically the presence of microaneurysms distributed across two retinal quadrants and discernible venous beading within one quadrant. Optical Coherence Tomography (OCT) imaging objectively confirmed the diagnosis of CI-DME, demonstrating a central subfield thickness (CST) of 376 µm accompanied by evident intraretinal hyporeflective spaces indicative of fluid accumulation. The patient subsequently received sequential intravitreal injections of Ranibizumab 0.5mg. Following the second injection, a follow-up assessment conducted at three weeks revealed a notable improvement in visual acuity to 6/30 OD, corroborated by anatomical improvement observed on OCT, which showed a discernible reduction in intraretinal fluid. Consequently, planning for a third intravitreal injection was initiated. In conclusion, the administration of sequential intravitreal anti-VEGF therapy, specifically Ranibizumab in this patient's course, proved demonstrably effective in the management of CI-DME within the context of moderate NPDR. This intervention resulted in both clinically meaningful functional vision improvement and objective anatomical reduction of macular edema. This case serves to underscore the paramount importance of anti-VEGF agents as a foundational management strategy for CI-DME. Optimal patient outcomes are contingent upon meticulous patient selection, diligent and ongoing management of systemic comorbidities, particularly diabetes and hypertension, and adherence to a regular follow-up schedule.
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