Angela Nurini Agni
Departemen Ilmu Kesehatan Mata, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada – Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta

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Journal : Ophthalmologica Indonesiana

Comparing Myopic Progression in Urban and Rural Junior High School in Yogyakarta Widya Prafitri Rasmiyati; Suhardjo Suhardjo; Angela Nurini Agni
Majalah Oftalmologi Indonesia Vol 42 No 1 (2016): 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.v42i1.71

Abstract

Background: To compare myopic progression rates in junior high school in Yogyakarta betweenurban and rural areas.Methods: A school-based survey was initially conducted. Five junior high schools were selected inboth urban and rural areas. A longitudinal follow up study was conducted 1 year later. Age range from12 to 15 years old. The refractive state of each student was measured with autorefractometer.Results: A total of 195 junior high school children participated in the study. One hundred and ninteenchildren were from urban area and 76 children came from rural area. A follow up study after 1 year,mean myopic progression in junior high school in urban area was around 0.5 D/year faster than in rural,which was 0.37 D/year. There were statistically significant difference in nearwork activities betweenchildren in urban and rural areas, with p=<0.001. Risk factor such as gender and myop status of parentsdid not relate with myop progression, only age and sosioeconomic had significant effect into the myopprogression. Mean myopic progression in junior high school children (age 12-15) in the urban area wasaround -0.50 D/year. The average progression rate was fastest in 14 years old.Conclusion: There is significant difference in increasing of myop progression between junior highschool children in urban and rural areas. This difference may be related to difference of nearworkactivities between children in urban and rural areas. Keywords: myopia, urban, rural, myop progression, junior high school
Efek Penambahan Natrium Diklofenak Topikal pada Terapi Injeksi Intravitreal Bevacizumab terhadap Perubahan Visus dan Tekanan Intraokular Pasien dengan Edema Makula Diabetika Supanji Supanji; Widya Ramania; Melvina Nidya Sandra; Angela Nurini Agni; Suhardjo Suhardjo; Retno Ekantini; Muhammad Bayu Sasongko
Majalah Oftalmologi Indonesia Vol 49 No 2 (2023): 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.v49i2.100270

Abstract

Introduction dan Aim: Diabetic Macular Edema (DME) in Diabetic Retinopathy (DR) patients might threaten the patient's visual acuity. Therefore, a robust DME treatment is needed to prevent sight threatening condition in DR patients. In this study, we intended to compare the effects of intravitreal administration of bevacizumab versus bevacizumab and topical natrium diclofenac in DR patients who developed DME. Methods: This was a randomized controlled trial study with double blinds. Data were taken from April 2020 to June 2021 from the Dr. Sardjito Central General Hospital and the Dr. Suhardi Hardjolukito Indonesian Air Force Central Hospital, Yogyakarta. Our patients were assigned to a control group (intravitreal bevacizumab therapy only) and an intervention group (intravitreal bevacizumab and topical natrium diclofenac). Then, we evaluated best corrected visual acuity (LogMar) and intraocular pressure (IOP, mmHg) were recorded in both groups before and after therapy. Results: A total of 38 eyes from 36 patients with naive DME were included in this study. Both treatment groups showed a statistically significant improvement in visual acuity after treatment bevacizumab (pre = 0.8±0.5; post = 0.6±0.5; p-value = 0.033) and bevacizumab and natrium diclofenac (pre = 0.9±0.5; post = 0.5±0.3; p-value = 0.004). In contrast to the above findings, the IOP in both groups did not show a significant change in IOP after therapy, bevacizumab (pre = 15.7±4.1; post = 15.6±4.2; p-value = 0.810) and bevacizumab and natrium diclofenac (pre = 16.0±4.5; post = 16.0±3.9; p-value = 0.868). Conclusion: Our study showed that visual acuity was improved significantly in DME patients treated with either bevacizumab or bevacizumab and natrium diclofenac. This might be a valuable information on the improvement of DME therapy, given that no increased post-therapy IOP in patients treated topical natrium diclofenac.