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GAMBARAN PERBAIKAN TEKANAN INTRAOKULAR PADA PASIEN GLAUKOMA YANG TELAH DITERAPI DI RSUD H. ABDUL MANAP JAMBI TAHUN 2019-2021 Siti Saffanah Nurulkhairani; Vonna Riasari; Raihanah Suzan; Gita Mayani; Maria Estela Karolina
Journal of Medical Studies Vol. 3 No. 1 (2023): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v3i1.27172

Abstract

ABSTRACT Background: IOP is a significant risk factor for glaucoma. This study aims to describe IOP improvement in glaucoma patients treated at RSUD H. Abdul Manap. Methods: The study was conducted in a descriptive observational manner. Fifty-four data were taken from the medical records of glaucoma patients who regularly visited RSUD H. Abdul Manap Eye Clinic for six months. Results: The patients were dominated by age ≥45 years (74.1%) and women (51.85%). The most common type of glaucoma was secondary glaucoma (33,33%). IOP at the first visit was dominated by IOP ≥30 mmHg (30.58%). The type of treatment most often chosen was drug therapy. Surgical/laser was performed on six patients. The lowest mean IOP (16 mmHg) was obtained three months after laser/surgery. The most significant decrease in average IOP (48.2%) was obtained three months after laser/surgery. Conclusion: Normal IOP was achieved after visiting and receiving therapy at RSUD H. Abdul Manap. Keywords: Glaucoma, Intraocular Pressure, Glaucoma therapy ABSTRAK Latar Belakang: TIO merupakan faktor risiko penting pada glaukoma. Tujuan penelitian ini yaitu untuk mengetahui gambaran perbaikan TIO pada pasien glaukoma yang telah diterapi di RSUD H. Abdul Manap. Metode: Penelitian dilakukan secara observasional deskriptif. Jumlah total sampel adalah 54 rekam medik pasien glaukoma yang melakukan kunjungan rutin ke Poli Mata RSUD H. Abdul Manap selama 6 bulan. Hasil: Karakteristik pasien glaukoma yang melakukan kunjungan pertama pada 2019-2021 didominasi oleh usia ≥45 tahun (74,1%) dan perempuan (51,85%). Jenis glaukoma terbanyak adalah glaukoma sekunder (33,33%). Besar TIO saat pertama kunjungan didominasi TIO ≥30 mmHg (30,58%). Jenis tatalaksana yang paling sering dipilih adalah terapi obat. Bedah/laser dilakukan pada 6 pasien. Rerata TIO terkecil (16 mmHg) didapatkan 3 bulan pasca bedah/laser. Penurunan rerata TIO terbesar (48,2%) didapatkan 3 bulan pasca bedah/laser. Kesimpulan: TIO normal dapat dicapai setelah datang berkunjung ke RSUD H. Abdul Manap. Kata Kunci: Glaukoma, Tekanan Intraokular, Terapi glaukoma
GAMBARAN PERBAIKAN VISUS SERTA KOMPLIKASI INTRAOPERASI ATAU PASCAOPERASI PADA PASIEN OPERASI KATARAK SENILIS DI RSUD H. ABDUL MANAP KOTA JAMBI PERIODE JANUARI 2021 – DESEMBER 2021 Natasya Fadia Haya Anindya Hanis; Gita Mayani; Hanina Hanina
Journal of Medical Studies Vol. 3 No. 1 (2023): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v3i1.27180

Abstract

ABSTRACT Background: Cataracts is one of the leading cause of decreased vision. This study aims to determine the description of improved vision and intraoperative or post-operative complications in patients with senile cataract surgery at H. Abdul Manap Hospital. Methods: The study was conducted in an observational descriptive manner with a cross-sectional research design. One hundred ninety-three data were taken from the medical records of senile cataract patients who were routinely followed up until the third week if the patient was given glasses and the fifth week with or without glasses after cataract surgery at H. Abdul Manap Hospital. Results: Senile cataract patients who underwent cataract surgery at H. Abdul Manap General Hospital were dominated by the age group of 60-69 years (44.3%) and men (55%). Vision in 155 eyes post-operative ECCE, 35 eyes post-operative SICS, and 23 eyes post-operative phacoemulsification have improved. ECCE intraoperative complications were vitreous prolapse (13.54%), PCR (1.29%), iris prolapse (0.65%), and iridodialysis (0.65%). ECCE post-operative complications were SIA (24,51%), corneal edema (3.22%), CME (1.94%), and uveitis (1.94%). SICS intraoperative complications were vitreous prolapse (2.87%) and PCR (2.87%). SICS post-operative complications were SIA (14.28%), corneal edema (2.87%), and CME (2.87%). Intra-operative complications of phacoemulsification were PCR (4.35%). Phacoemulsification post-operative complications were SIA (4.35%) and corneal edema (4.35%). Conclusion: Characteristics of most post-operative senile cataract patients were aged 60-69 years and more found in males. Visual acuity in all post-operative patients on the ECCE, SICS, and phacoemulsification techniques has improved. Intraoperative or post-operative complications were mainly on the ECCE technique. Keywords: ECCE, SICS, phacoemulsification, intraoperative complications, post-operative complication ABSTRAK Latar belakang: Katarak merupakan salah satu penyebab utama penurunan penglihatan. Penelitian ini bertujuan untuk mengetahui gambaran perbaikan visus serta komplikasi intraoperasi atau pascaoperasi pada pasien operasi katarak senilis di RSUD H. Abdul Manap Kota Jambi. Metode: Penelitian dilakukan secara observasional deskriptif dengan desain penelitian cross sectional. Sebanyak 193 data diambil dari rekam medis pasien katarak senilis yang rutin kontrol hingga minggu ketiga jika pasien diberikan kacamata dan minggu kelima dengan atau tanpa pemberian kacamata pascaoperasi katarak di RSUD H. Abdul Manap. Hasil penelitian: Pasien katarak senilis yang menjalani operasi katarak di RSUD H. Abdul Manap didomininasi oleh kelompok usia 60-69 tahun (44,3%) dan laki-laki (55%). Visus pada 155 mata pascaoperasi EKEK, 35 mata pascaoperasi SICS, 23 mata pascaoperasi fakoemulsifikasi mengalami perbaikan. Komplikasi intraoperasi EKEK yaitu prolaps vitreus (13,54%), ruptur kapsul posterior (1,29%), prolaps iris (0,65%) dan iridodialisis (0,65%). Komplikasi pascaoperasi EKEK, yaitu SIA (24,51%), edema kornea (3,22%), EMK (1,94%) dan uveitis (1,94%). Komplikasi intraoperasi SICS, yaitu prolaps vitreus (2,87%) dan ruptur kapsul posterior (2,87%). Komplikasi pascaoperasi SICS, yaitu SIA (14,28%), edema kornea (2,87%) dan EMK (2,87%). Komplikasi intraoperasi fakoemulsifikasi, yaitu ruptur kapsul posterior (4,35%). Komplikasi pascaoperasi fakoemulsifikasi, yaitu SIA (4,35%) dan edema kornea (4,35%). Kesimpulan: Karakteristik pasien katarak senilis pascaoperasi paling banyak usia 60-69 tahun dan jenis kelamin laki-laki lebih banyak. Vsus pada keseluruhan mata pasien pascaoperasi pada teknik EKEK, SICS, dan fakoemulsifikasi telah mengalami perbaikan. Komplikasi intraoperasi atau pascaoperasi paling banyak pada teknik EKEK. Kata kunci: EKEK, SICS, fakoemulsifikasi, komplikasi intraoperasi, komplikasi pascaoperasi
Postoperative Intraocular Pressure Changes After Cataract Surgery Using Phacoemulsification Technique at H. Abdul Manap Regional Hospital Jambi During July–September 2025 Hanum Chaira Bahri Aeswarani; Vonna Riasari; Hasna Dewi; Gita Mayani; Lipinwati Lipinwati
International Journal of Health and Social Behavior Vol. 3 No. 3 (2026): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v3i3.655

Abstract

Background: Phacoemulsification is the standard therapy for cataracts; however, postoperative changes in intraocular pressure (IOP) may lead to complications. This study observed changes in IOP on the first and sixth postoperative days and the associated risk factors. Objective: To analyze changes in IOP after phacoemulsification and determine the frequency of related risk factors. Methods: A prospective cohort study was conducted on 31 eyes from 27 patients who underwent uncomplicated phacoemulsification at H. Abdul Manap Regional Hospital Jambi from July to September 2025. IOP was measured on postoperative day 1 and day 6. Data were analyzed using the Wilcoxon Signed Rank test with a significance level of p < 0.05. Results: The majority of patients were male (68%) and aged 60–74 years (48%). Mean IOP decreased significantly from 17.16 mmHg on postoperative day 1 to 14.00 mmHg on day 6 (p = 0.001). Knowledge of wound care and medication adherence were considered good. Corneal edema was observed in 4 cases on day 1 and was not observed on day 6. Postoperative inflammatory symptoms also decreased. Conclusion: Phacoemulsification resulted in a significant reduction in IOP and demonstrated good postoperative outcomes.