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All Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vision Science and Eye Health Journal
Rozalina Loebis, Rozalina
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Comprehensive Dental Care for Children with Visual Impairment Nisrina, Shafiya Fildza; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 3 No. 2 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i2.2024.45-50

Abstract

Introduction: Children with visual impairment are more susceptible to acquiring pathologies in the oral cavity than the general population, the most prevalent of which are dental caries, inflammation of the gums, and loss of the structures that support the teeth. The oral health care needs of visually impaired children are needed. Purpose: To provide a better understanding that can guide ophthalmologists about the importance of comprehensive dental care for children with visual impairments. Review: Factors that respond to the need for oral health care in visually impaired children are lack of ability to carry out oral hygiene habits, lack of knowledge on the part of health personnel to provide services adapted to the needs of this population, absence of promotion and education programs, and lack of public policies on oral health. This article discusses the dental aspects of visual impairment, its implications for obtaining dental care, associated oral conditions, and medical complications. Conclusion: It is imperative to prioritize the implementation of preventive methods and oral health education among visually impaired children. The function of the dentist is significant in the management of children with such conditions. Ophthalmologists should collaborate with dentists who possess a strong drive to provide care for children with special needs such as visual impairment and will discover that this endeavor offers significant opportunities to be an enriching experience.
The Correlation between Family Socioeconomic Status and the Delayed Treatment of Retinoblastoma Patients at Dr. Soetomo General Hospital Surabaya Naimatuningsih, Nanning; Soebagjo, Hendrian; Setiawati, Rosy; Loebis, Rozalina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 2 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (430.411 KB) | DOI: 10.20473/juxta.V10I22019.52-56

Abstract

Introduction: Retinoblastoma is a cancer with the highest incidence in children and the second type of cancer that most often causes death in children in Indonesia. The level of delay in attending treatment for retinoblastoma patients in Dr. Soetomo General Hospital Surabaya is still high, because generally the patients come with an advanced stage, they are already in serious condition or with a poor prognosis. Treatment delay from the patients can be caused by the patients that are not feeling disturbed by the disease, not aware of the dangers of the disease, feel afraid, have no cost, the family does not allow them to see the doctor, and the health facilities are unaccessable. One of the factors that influence decision making whether or not someone comes to seek treatment is their socioeconomic status. The aim of this research is to analyze the correlation between family socioeconomic status with the delayed treatment for retinoblastoma patients at Dr. Soetomo General Hospital Surabaya.Methods: This research used observational analytic cross-sectional study. This research was conducted with the help of 33 retinoblastoma patients and families of retinoblastoma patients in the Outpatient Unit of the Poli Onkologi Satu Atap (POSA) Mata at Dr. Soetomo General Hospital Surabaya, and was taken by total sampling.Results: The results were obtained from 33 samples, 18.2% of patients came with a good prognosis, and 81.8% of patients came with a poor prognosis. The Fisher's Exact Test analysis (α = 0.05) was used to determine the correlation between the father's educational level and the delayed treatment of retinoblastoma patients (p = 0.322), correlation between the mother's educational level and the delayed treatment of retinoblastoma patients (p = 0.129), correlation between the father's level of occupation and the delayed treatment of retinoblastoma patients (p = 0.028), correlation between the mother's occupational level and the delayed treatment of retinoblastoma patients (p = 0.640), correlation between the family income level and the delayed treatment of retinoblastoma patients (p = 0.026).Conclusion: There were significant correlation between father's occupational level and family income level with the delayed treatment of retinoblastoma patients. Meanwhile there were no significant correlation between father's educational level, mother's educational level, and mother's occupational level with the delayed treatment of retinoblastoma patients.
Duration of Gadget Use and Severity of Dry Eye Syndrome based on the Ocular Surface Disease Index (OSDI) Questionnaire in Final-Year Students of the Faculty of Medicine, Universitas Airlangga Subagiono, Arya Agung Hari; Komaratih, Evelyn; Umiastuti, Pirlina; Loebis, Rozalina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.36-42

Abstract

Highlights: Screen time is one of the risk factors for dry eye disease (DED). Therefore, students are at high risk for DED. The ocular surface disease index (OSDI) is one method used to assess dry eye disease based on subjective symptoms. However, the correlation between screen time and the incidence of dry eye and/or its severity based on OSDI produces varying results. The majority of respondents had dry eyes based on OSDI. There was no correlation between screen time and dry eye incidence or severity based on OSDI parameters. Females had higher mean OSDI scores than males.   Abstract Introduction: People’s screen time surged during and after the COVID-19 pandemic. Screen time was a risk factor for dry eye disease (DED). This study examined the correlation between screen time and DED severity based on an ocular surface disease index (OSDI) questionnaire in final-year undergraduate students of the Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. Methods: This was a cross-sectional study. Respondents were recruited via a total sampling method. One hundred eight students participated in this study. Independent variables were sex, average duration of device use per day, and degree of daily gadget usage time. Dependent variables were OSDI score, degree of dry eye based on OSDI score, and dry eye incidence. Chi-Square, Spearman, Kruskal-Wallis, and Mann-Whitney tests were used in data analysis. Results: There was no significant relationship between daily gadget use duration and OSDI score (p=0.497; r=-0.066) and between the degree of daily gadget usage time and dry eye severity (p=0.609; r=0.050). Sex was unrelated to dry eye incidence (p=0.072) nor severity (p=0.125). There were no significant differences in daily gadget use duration between dry eye vs non-dry eye respondents (p=0.926) and across dry eye severity (p=0.934). There were no significant differences in OSDI scores between degrees of screen time (p=0.978). There was no significant correlation between the incidence of dry eye and the degree of daily gadget usage time (p=0.640). Female respondents had higher mean OSDI scores than males (p=0.009). Conclusion: Screen time was not related to the incidence and severity of dry eye based on OSDI. However, many respondents had dry eyes based on OSDI.
Predictors of Success in Horizontal Strabismus Surgery: Insights from a Prospective Study Tjujitno, Aurellia Valmai; Prastyani, Reni; Susanto, Joni; Loebis, Rozalina; Indriaswati, Luki; Wulandari, Lely Retno
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.57-62

Abstract

Highlights: The younger age and shorter duration of misalignment are significant predictors of success in horizontal strabismus surgery. Younger patients tend to have higher success rates, and shorter durations of misalignment correlate with better surgical outcomes. Despite variations in population and surgical methods, the overall success rate of 82.3% for horizontal strabismus surgeries aligns with previous studies. This consistency underscores the reliability of surgical outcomes in different settings.   Abstract Introduction: Strabismus is an eye disorder characterized by misalignment of the eyes, which can occur in individuals of any age. This study explored the surgical outcomes of horizontal strabismus correction in patients, aiming to provide insights into the factors influencing success. Methods: A prospective study was conducted with 17 patients (n=17) who underwent surgery at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Preoperative factors, including age, duration of misalignment, and preoperative angle of strabismus, were analyzed for their impact on surgical success. The International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) for Macintosh version 27.0 was used for data analysis. Results: This study reviewed the medical records of 17 research samples (n=17). A significant change in the median angle of deviation prism diopters (PD) preoperatively was indicated by the median Postoperative Deviation (PD) (p<0.001). A significant difference in median age at surgery was observed between successful and unsuccessful cases (p=0.035), with younger individuals exhibiting a higher success rate. The duration of misalignment emerged as a crucial factor, with a shorter duration correlating positively with a higher probability of surgical success (p<0.001). Notably, successful outcomes were achieved by all children (100%), suggesting a potential trend indicating age as a predictor of success. While the preoperative angle of strabismus did not significantly impact success, a trend emerged (p=1), indicating a potential threshold effect for more significant angles. Conclusion: Knowing the significance of age and duration of misalignment on the success rate of strabismus surgery allows for enhanced preoperative assessments, optimized timing of surgery, and developed predictive models to assist in clinical decision-making, ultimately leading to more efficient and successful surgical outcomes.
Comprehensive Surgical Approaches for Paralytic Esotropia Widayanto, Fredy; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.60-66

Abstract

Introduction: Paralytic esotropia occurs due to paralysis of the lateral rectus muscle due to sixth nerve paralysis. One of the etiologies of sixth nerve palsy is trauma. Examination and holistic management should be done in patients with sixth nerve palsy, as this condition will have a psychosocial impact on the patient. In this case series, the authors will report on the different approaches to comprehensive management in paralytic esotropia cases. Case Presentation: The first patient had 30Δ paralytic esotropia in the right eye for ten months after an accident, experiencing diplopia in the primary gaze worsening in the left gaze, with abduction limitation. He underwent a 7 mm medial rectus recession as the first step, followed by vertical rectus transposition with Foster modification after three months. This treatment successfully restored orthophoria with no diplopia in the primary gaze. The second patient developed paralytic esotropia (10) after a traffic accident one year prior, with minimal motility limitation. He underwent a 4 mm medial rectus recession, restoring binocular vision and allowing him to return to work. Conclusion: Sixth cranial nerve paralysis is the most common cause of eye-related nerve paralysis, leading to loss of lateral rectus muscle function, diplopia, and significant psychosocial impacts. Surgical treatment for chronic paralytic esotropia depends on the severity of muscle weakness, with different procedures recommended based on the ability of the lateral rectus to contract. Case studies showed that appropriate surgical interventions, such as medial rectus recession and vertical rectus transposition, effectively managed the condition and improved patient outcomes.
Co-Authors Indriaswati, Dyah Kusworini Joni Susanto, Joni Komaratih, Evelyn Lely Retno W Naimatuningsih, Nanning Nisrina, Shafiya Fildza Prastyani, Reni Setiawati, Rosy Soebagjo, Hendrian Subagiono, Arya Agung Hari Tjujitno, Aurellia Valmai Umiastuti, Pirlina Widayanto, Fredy