Riski Prihatningtias
Department of Ophthalmology, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

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Differences of Schirmer’s Test Result In Patients With Controlled And Uncontrolled Diabetes Mellitus Atika Hazmi; Riski Prihatningtias; Hesti Triwahyu Hutami; Maharani Cahyono
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 4 (2023): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v12i4.37733

Abstract

Background: Diabetes Mellitus (DM) is a metabolic disease whose prevalence continues to increase every year. Peripheral neuropathy as a microvascular complication of DM can cause dry eye syndrome. HbA1c levels can determine controlled or uncontrolled DM.Objective: To determine the differences of the Schirmer’s test result for patients with controlled and uncontrolled diabetes mellitus.Methods: This study was an analytic observational study with cross sectional design. The study subjects were 44 diabetes mellitus patients consisting of 22 patients with controlled DM and 22 patients with uncontrolled DM who were selected based on inclusion and exclusion criteria, using consecutive sampling method. Data were collected from primary data that consists of name, age, gender, duration of DM, medical history, Hb, MCV, HbA1c and the Schirmer’s test result. The data were analyzed using non parametric Mann Whitney test and p < 0.05 was taken as significance.Results: The Schirmer’s test result < 10 mm which indicated the presence of dry eye syndrome was mostly found in female (71.4%), age > 45 years (85.7%), duration of DM > 10 years (78,6%), and patients with uncontrolled DM. The non parametric Mann Whitney test showed that there was a significant difference in the Schirmer’s test result (p < 0,05) between patients with controlled and uncontrolled DM.Conclusion: The Schirmer’s test result in patients with controlled DM was higher than patients with uncontrolled DM.
Correlation between Axial Length and The Occurrence of Refractive Errors Kevin Arfa Ryan; Maharani Maharani; Arnila Novitasari Saubig; Riski Prihatningtias
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 2 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i2.41855

Abstract

Background: Refractive errors result in difficulty in focusing on an object clearly, leading to blurred vision. A recent study by the WHO has reported that refractive errors have become the leading cause of visual impairment. The development of refractive errors has been a significant concern over the last two decades due to its high prevalence worldwide. One possible condition that may occur in individuals with refractive errors is a change in axial length. Axial length is defined as a measurement from the corneal surface to the retinal surface. Aims: To analyze the correlation between axial length and the occurrence of refractive errors in myopia and hypermetropia patients at the Ophthalmology Department of Diponegoro National Hospital. Methods: This observational analytical study with a cross-sectional design was conducted on 36 eyes from 18 patients; each suffering from myopia and hypermetropia at the Ophthalmology Department of Diponegoro National Hospital. Patients provided informed consent, and then the axial length was measured using ultrasound biometry. Data analysis was performed using univariate analysis and Spearman correlation bivariate analysis. Results: The results of the Spearman statistical test showed a significant correlation between the axial length and the occurrence of myopia (p=0.003) with a moderate correlation strength and the occurrence of hypermetropia (p=0.000001) with a strong correlation strength. Conclusion: The axial length has a significant correlation with the occurrence of refractive errors, especially in myopia and hypermetropia patients.