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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kedokteran Diponegoro Journal of Biomedicine and Translational Research Diponegoro International Medical Journal (DIMJ) Ophthalmologica Indonesiana
Riski Prihatningtias, Riski
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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Journal : Ophthalmologica Indonesiana

 1 
Color Field Test Charts Vs HVFA In Detection Visual Field Defect Chronic Primary Glaucoma Tanoko, Ivana; Winarto, Winarto; Nugroho, Trilaksana; Prihatningtias, Riski; Rahmi, Fifin L
Majalah Oftalmologi Indonesia Vol 48 No 2 (2022): Ophthalmologica Indonesiana
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/journal.v48i2.100663

Abstract

Introduction: Glaucoma is syndrome consist of glaucomatous optic neuropathy, destruction of retinal nerve fiber layer, and typical visual field defects. Color field test charts (CFTC) is a simple and generous instrument used to detect central and paracentral scotoma in neuro-ophthalmology patient. Diagnostic study will perform in this research to compare visual field defects, detecting in chronic primary glaucoma patient between CFTC and HVFA SITA 10-2 as gold standard. Methods: Seventy two eyes from 50 patients with chronic primary glaucoma were examined visual acuity, funduscopy, color blindness, HVFA SITA 10-2 and CFTC. The results CFTC and HVFA were read by 2 ophthalmologists, and kappa agreement was done. Analysis was done to get sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy, positive and negative likelihood ratio (LR). Result: The sensitivity of CFTC was 87.93%, specificity 85.71%, PPV 96.22%, NPV 63.16%, accuracy 87.5%, positive LR 6.15 and negative LR 0.14 in detecting visual field defect chronic primary glaucoma patient compared to HVFA SITA 10-2. Area Under Curve (AUC) in this research was 0.86 (95% CI 0.751-0.985, p<0.001). Sensitivity, PPV, and accuracy was higher in MD >-12dB compared to <-12dB. There was strong correlation between it in location of defect (Cramer’s correlation; V=0.679, p<0.001), although the large of visual field defect was significantly different between 2 instruments (p<0.05). Conclusion: Color field test charts is comparable to HVFA SITA 10-2 in detecting visual field defect chronic primary glaucoma moderate and advance stage.
OPTICAL COHERENCE TOMOGRAPHY PREDICTS VISUAL RECOVERY OF PATIENTS WITH PITUITARY ADENOMA FOLLOWING SURGERY IN DR KARIADI HOSPITAL,SEMARANG Nitihapsari, Galuh Yulieta; Prihatningtias, Riski
Majalah Oftalmologi Indonesia Vol 49 No S1 (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/tfztq864

Abstract

Introduction and Objective: The characteristics, symptoms, and clinical manifestations of pituitary adenoma in Indonesia have not been widely studied. In 26 patients undergoing pituitary surgery at Dr. Kariadi Hospital, we compared visual acuity pre-operative and post-operative from normal and thin optical coherence tomography (OCT) of the retinal nerve fiber layer (RNFL) and ganglion cell layer-internal plexiform layer (GCL-IPL). Method: A retrospective study of the medical record from January 2020 to December 2022 was done. 21 of the 26 patients had surgery by the transsphenoidal route and the rest by craniotomy. All patients had macroadenoma (tumor size >1cm) and were histologically confirmed. Visual acuity before and after surgery was evaluated along with the patient’s OCT value. Result: The thinner pre-operative RNFL thickness was associated with worse visual acuity (VA). Patients with normal RNFL had a median VA of 20/200 while those with thin RNFL had to count their fingers (CF). The patients with normal pre-operative RNFL had a significant improvement in median VA after surgery, from 20/200 to 20/32 (p=0.022), whereas the patients with thin RNFL did not improve (CF to CF, p=0.026). The patients with normal pre-operative GCL-IPL had non-significant improvement in median VA after surgery from CF to 20/20 (p=0.505), also the patients with thin GCL-IPL from CF to 20/200 (p=0.151). Conclusion: The visual recovery after pituitary adenoma surgery is likely to be predicted by pre-operative OCT RNFL. Patients with normal RNFL thickness show an increased tendency in visual recovery after surgery. Keywords: Optical coherence tomography , visual acuity, pituitary adenoma
Swollen Disc in Children : Diagnostic Approach Prihatningtias, Riski
Majalah Oftalmologi Indonesia Vol 49 No S1 (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/y6tekc65

Abstract

Swollen disc is a clinical sign of eye disease, neurological or systemic. It happened because of the increase in intracranial. Some of the conditions that cause swollen disc are optic neuritis, optic neuropathy, retinal vein occlusion, papilloedema, or pseudo-disc swelling (e.g drusen). In children, the incidence of swollen discs differs from that in adults. Diagnosis can be made using OCT (Optical Coherence Tomography), ocular ultrasound, VEP (Visual Evoked Potential) and MRI (Magnetic Resonance Imaging) of the orbit and head
COMPARATIVE VALIDITY OF LEA CONTRAST SENSITIVITY CHART TO PELLI-ROBSON CONTRAST SENSITIVITY CHART IN NEURO-OPHTHALMOLOGY PATIENTS Valencia, Lovenia; Prihatningtias, Riski
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/ahbbs726

Abstract

INTRODUCTION AND OBJECTIVEThe Pelli-Robson and LEA contrast sensitivity chart are widely used to measure clinical contrastsensitivity. The Pelli-Robson is a gold standard with the limitation of its bulky size. The LEAcontrast sensitivity chart offers a reliable test in a way more practical and portable chart. Thiscondition led to a question of whether we can predict Pelli-Robson score based on the LEA score.This study developed a conversion method to facilitate the transition from the LEA to the PelliRobson and validating the conversion score. METHODSThis study retrospectively examined the relationship between LEA and Pelli-Robson ContrastSensitivity Test. There were 120 eyes included in this study. We produced a conversion tableusing the equipercentile equating method. Then, we evaluated the reliability and accuracy of thisalgorithm to convert the LEA to the Pelli-Robson contrast sensitivity score. RESULTSLEA scores were converted to Pelli-Robson scores according to a conversion table that achieveda reliability of 0.91 based on intraclass correlation. The accuracy of this algorithm was 81.6%within 1 point difference from the raw score. CONCLUSIONSThis study reported a reliable and comparable conversion algorithm for transforming LEA scoresinto converted estimated Pelli-Robson scores. This method will enhance the utility of existing datain clinical and research settings.
Co-Authors Arief Wildan, Arief Astuti, Ratih Kusuma Dhafira, Farhana Fifin Luthfia Rahmi Hermawan Istiadi Ivana Tanoko Lovenia Valencia, Lovenia Maharani Maharani, Maharani Nitihapsari, Galuh Yulieta Nugroho, Trilaksana Rahmi, Fifin L Rikiandraswida, Zahira Ryamizard, Rizal Ryan, Kevin Arfa Saubig, Arnila Novitasari Saubiq, Arnila Novitasari Syaqdiyah, Widya Halimatus Winarto Winarto