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All Journal Majalah Kedokteran Bandung Althea Medical Journal Nusantara Medical Science Journal Indonesian Journal of Medicine Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) International Journal of Retina Jurnal Medika Malahayati Sehat Masada Narra J IJRETINA - International Journal of Retina Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Arief S. Kartasasmita
Department Of Ophthalmology, Faculty Of Medicine, Padjadjaran University Cicendo National Eye Center, Bandung, West Java
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health

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FREQUENCY OF RETINAL REDETACHMENT BASED ON THE PRIMARY REATTACHMENT TREATMENT AND INTRAOCULAR TAMPONADE A M Ichsan; Erwin Iskandar; Rova Virgana; Arief Kartasasmita; Habibah S. Muhiddin
Nusantara Medical Science Journal Volume 2 No. 1 Januari - Juni 2017
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v2i1.2254

Abstract

ABSTRACT Introduction: To observe the number and  presentation of retinal redetachment after primary reattachment treatment in a national eye  center. Methods:  This study was designed for ob- servational-descriptive of the medical record  from April 2011  to March 2012.  Selected cases were identified on the secondary retinal surgery for retinal reattachment followed the failure of the primary treatment. Cases were then classified into 4 groups based on the primary reattach- ment procedure: pneumatic retinopexy (PR), scleral buckle (SB), pars plana vitrectomy (PPV), and combined SB with PPV. Furthermore, in the group of PPV and SB+PPV  were then divided into 3 subgroups based on the intraocular tamponade: SF6  gas, silicone oil, and heavy  silicone oil. Results:  At one-year followed-up data, the presentation retinal redetachment was 7.1%, relative to the sex female (26%) was less than  male (74%) with the most common age  group was 41-50  years-old. Regarding with primary reattachment treatment, cases  of retinal redetachment after pneumatic retinopexy was 6%,  the  scleral buckle was 16%,  pars plana vitrectomy was 29%, and  combined sclera buckle with pars plana vitrectomy was 48%. Con- clusions: Rates of retinal redetachment after primary reattachment treatment varied from 6% to 48%, that were  performed by combined scleral buckling and  pars plana vitrectomy with or without tamponade silicone oil. Keyword : Retinal redetachment, pars plana vitrectomy, scleral buckle, silicon oil, intraocular gas 
POLA ASUH ORANG TUA, USIA DAN JENIS KELAMIN SEBAGAI FAKTOR YANG BERHUBUNGAN DENGAN PERSEPSI REMAJA TENTANG PERILAKU SEKSUAL PRA-NIKAH DI KOTA BATAM Nurul Aini; Dainty Maternity; Endang Sri Wahyuni; Ponpon S Idjradinata; Arief S Kartasasmita
Jurnal Medika Malahayati Vol 1, No 1 (2014): Volume 1 Nomor 1
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.297 KB) | DOI: 10.33024/jmm.v1i1.1067

Abstract

Masa remaja adalah masa transisi dengan kecenderungan munculnya perilaku yang menyimpang, salah satunyaadalah seks pra-nikah. Perilaku remaja dipengaruhi oleh lingkungan salah satunya adalah pola asuh orang tua. Penelitianini bertujuan untuk menganalisis pola asuh orang tua,jenis kelamin dan asal sekolah yang berhubungan dengan persepsiremaja tentang perilaku seks pra-nikah.Metode dalam penelitian ini adalah studi survey (cross sectional) dengan tehnik pengambilan sampel multi stagerandom sampling. Subjek penelitiannya adalah siswa-siswi pelajar SMA kelas XI dengan sampel berjumlah 200 orang.Data dianalisis dengan chi kuadrat serta regesi logistik ganda.Hasil penelitian ini adalah pola asuh orang tua mempunyai nilai P= 0,001. Jenis kelamin p= 0,001 dan asalsekolah p=0,008 sehingga ketiga variabel tersebut mempunyai hubungan dengan persepsi remaja tentang perilaku seksualpra-nikah. Hasil analisis multivaribel menunjukkan Asal sekolah swasta berisiko untuk terjadinya persepsi buruk sebesar3,118 kali bila dibandingkan dengan asal sekolah negeri. Untuk jenis kelamin perempuan dengan rasio prevalens dibawah 1,ini menunjukkan semakin rendah risiko untuk memiliki persepsi buruk. Selanjutnya, untuk pola asuh makin kearah permisifsemakin tinggi risiko untuk memiliki persepsi seks pra-nikah yang buruk. Dengan demikian diperlukan orang tua yangmemberikan pola asuh yang bertanggung jawab yaitu pola asuh demokratis dengan memperhatikan karakteristik anak.Simpulan dari penelitian ini adalah pola asuh orang tua, jenis kelamin dan asal sekolah mempunyai hubungandengan persepsi remaja tentang perilaku seksual pra-nikah.
Analisis Pengaruh Faktor Individu dan Lingkungan Kerja Terhadap Kinerja Bidan Desa di Kabupaten Biak Numfor Provinsi Papua Erni Mayor; Ponpon S Idjradinata; Arief S Kartasasmita; Farid Husin; Anita Deborah Anwar; Vita Murniati Tarawan
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 1 (2015): Maret
Publisher : Program Studi Magister Kebidanan FK UNPAD

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/ijemc.v2i1.57

Abstract

Angka Kematian Ibu dan Bayi (AKI dan AKB) di Indonesia masih cukup tinggi dibandingkan negara berkembang lainnya. Bidan sebagai ujung tombak pemberi layanan kesehatan di masyarakat memiliki posisi penting dan strategis untuk menurunkan angka kematian ibu dan bayi, jika ditunjang dengan kinerja yang baik. Tujuan penelitian ini adalah untuk menganalisis pengaruh faktor individu (usia, pendidikan, lama kerja, suku, asal institusi, motivasi serta pelatihan) dan lingkungan kerja(lokasi tempat tinggal bidan, sarana, akses imbalan, keamanan lingkungan dan budaya) terhadap kinerja bidan desa. Metode yang digunakan adalah penelitian analitik dengan rancangan potong silang terhadap 47 bidan desa yang tersebar di seluruh Puskesmas (17 Puskesmas) Kabupaten Biak Numfor-Papua dari bulan Maret sampai Mei 2014. Data dianalisis secara kuantitatif menggunakan uji regresi linier multivariabel dan analisis jalur. Hasil penelitian menunjukkan hanya faktor motivasi dan sarana yang berpengaruh terhadap kinerja bidan (p<0,05) dan faktor motivasi berpengaruh paling kuat. Pengaruh faktor motivasi dan sarana terhadap kinerja bidan desa sebesar 29,7%, menunjukkan masih ada pengaruh yang paling besar pada faktor lain (70,3%) yang tidak diteliti dalam penelitian ini.  
Pemetaan Intervensi Sebagai Alat Untuk Pengembangan Program Penurunan Kematian Ibu dan Bayi di Kabupaten Subang Marliana Rahma; Deni K Sunjaya; Arief S Kartasasmita; Farid Husin; Dinan S Bratakoesoma; Hadyana Sukandar
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 1 (2015): Maret
Publisher : Program Studi Magister Kebidanan FK UNPAD

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/ijemc.v2i1.64

Abstract

Jumlah kematian ibu dan bayi di Kabupaten Subang masih tinggi. Berbagai upaya dan intervensi dalam bidang KIA sudah dilakukan. Namun belum pernah dilakukan pemetaan intervensi.Tujuan dari penelitian ini adalah mengetahui sebaran peta spasial kematian ibu dan bayi, menganalisis permasalahan, dan  menganalisis pemetaan intervensi di Kabupaten Subang. Desain penelitian yang digunakan adalah sequensial eksplanatory mixed method. Tahap kuantitatif dengan studi dokumentasi dan survei menggunakan kuesioner pada seluruh kepala Puskesmas di Kabupaten Subang. Tahap kedua, melakukan wawancara mendalam dan diskusi kelompok terfokus pada informan kunci di Dinas Kesehatan dan IBI Kabupaten Subang. Hasil penelitian menunjukkan bahwa sebaran kematian ibu dan bayi selama tiga tahun terakhir di Kabupaten Subang cenderung menyebar, tidak ada penumpukan pada salah satu wilayah baik pada pegunungan, dataran ataupun pantai. Kantong permasalahan yang berat berada di Puskesmas Rawalele, Jatireja, Pagaden Barat, Cirangkong, Sukarahayu, Gunung Sembung, Kasomalang, Pusakanagara, Legonkulon dan Puskesmas Blanakan. Berdasarkan hasil pemetaan intervensi, prosentase kegiatan yang tidak pernah dilakukan dalam intervensi sistem rujukan berbasis manual 44,4%, intervensi masalah wanita 38,35%, intervensi kesehatan reproduksi 33,9%, intervensi gizi 23,5%, intervensi penggunaan prinsip surveilans respons 21,8%, intervensi KB 12,8%, intervensi pelayanan klinik di PONED 11,8% dengan kelengkapan sarana prasarana di poned 13,0% tidak lengkap, intervensi pencegahan penyakit KIA 8,8%, dan intervensi ANC 7,3%. Program penguatan intervensi KIA direkomendasikan adalah pendekatan kantong masalah, penguatan intervensi, kemitraan, inducement, dan advokasi. Pemetaan intervensi dapat mengukur secara kumulatif outcome dari berbagai intervensi untuk penurunan kematian ibu dan bayi. Pemetaan intervensi dapat diterapkan di Dinas Kesehatan dan instansi lain di seluruh Indonesia secara rutin. 
Giant Retinal Tear Management at Referral Eye Hospital Mia Purnama; Erwin Iskandar; Rova Virgana; Grimaldi Ihsan; Iwan Sovani; Arief Kartasasmita
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2018.vol001.iss001.5

Abstract

Introduction: to report the characteristics, management and outcome in giant retinal tear (GRT) associated retinal detachment patients at Cicendo Eye Hospital Methods: this retrospective study was performed on medical records who had undergone retinal detachment surgery between January 2014 and March 2017. Age, sex, etiologies, size of GRT, quadrant involvement, lens status, proliferative vitreo-retinopathy (PVR), managements and outcomes were evaluated in association with giant retinal tears Result: Twenty-six patients (23 males, 3 females) age between 11-59 years with follow up from 2 months to 18 months were enrolled in this study. Twenty-five eyes have retinal detachment with macular involvement and 11 patients had high myopia. Majority of patients had 90° of GRTs. Most retinal tears were located at temporal quadrant (73%). Nineteen patients had undergone pars plana vitrectomy (PPV) and 7 patients had combined PPV with encircling buckle. Fifteen patients had used heavy liquid, 24 patients had silicon oil and 2 had gas tamponade. Intraoperative complications included lens trauma, retinal slippage and choroidal detached were found in 1 eye respectively. Fourteen eyes had recurrent retinal detachment. At the last follow up, 14 patients had anatomically attached retina. Twelve patients had total retinal detachment and marked PVR. Five fellow eyes were treated with prophylactic laser. Visual acuity improved in 11 eyes. Conclusion: Giant retinal tears were more common in patients with high myopia. Management of GRT currently with PPV and PPV combined with encircling buckle. The success rate of anatomy and visual acuity was less than other previous studies
Correlation Between Systemic Risk Factors and Diabetic Retinopathy in Patients with Diabetes Mellitus at Cicendo National Eye Hospital Rizki Rahma Nauli; Rova Virgana; Arief Kartasasmita; Iwan Sovani; Erwin Iskandar; Grimaldi Ihsan
International Journal of Retina Vol 1 No 2 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Diabetic Retinopathy (DR) is a highly specific microvascular complication of both type 1 and type 2 diabetes mellitus (DM) that can cause significant visual impairment in adult populations worldwide. The risk of having and/or developing DR is influenced by many systemic features. Identification and management of particular systemic risk factors as early as possible during the course of DM might lower incidence of further progression and severity of DR. The aim of this study is to describe the correlation between systemic risk factors and DR in patients with DM in Cicendo National Eye Hospital on December 1st 2017 – January 31st 2018. Methods: An analytical cross-sectional study. The subjects were all patients diagnosed with DR based on ophthalmology examination at outpatient clinic of Vitreoretinal Division in Cicendo National Eye Hospital. The data were analyzed using chi-square (x2) with significances of p < 0.05. Result: Seventy-one eyes were included in this study, among of which has been classified as mild NPDR (n= 1), moderate NPDR (n= 9), severe NPDR (n= 27), and PDR (n= 34). Severe NPDR group had older age distribution at range 51-60 years old (n= 18, 66.7%, p = 0.001). Stage 1 hypertension was found to be dominant in PDR group (n= 18, 66.7%, p = 0.043). Both high total serum cholesterol group (n= 27, 76.5%, p = 0.048) and high fasting blood glucose (n= 27, 79.4%, p = 0.01) were significantly present in patients with PDR. Positive (+1) urine glucose was statistically significant in PDR group. Conclusion: There were several systemic risk factors from laboratory findings correlated in patient with DR in this study, however further study is needed to determine their role for predicting progression and severity of DR.
Surgical Approach In Vitreous Hemorrhage Mirza Metita; Iwan Sovani; Arief Kartasasmita; Erwin Iskandar; Rova Virgana
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2018.vol001.iss001.6

Abstract

Introduction: To report cases of retinal disorders that cause vitreous hemorrhage and the timing of pars plana vitrectomy in Cicendo Eye Hospital Methods: Retrospective observational study of all patients diagnosed with the vitreous hemorrhage who had undergone pars plana vitrectomy in 2016. Data were collected from medical record. Result: The mean age of this study is 54.65 years old from 260 vitreous hemorrhage patients. The most common retinal abnormalities are proliferative diabetic retinopathy (49.6%), wet age related macular degeneration (AMD) (13.5%), undetected retinal abnormalities (12.7%), retinal vein occlusion (8.8%), rhegmatogen retinal detachment (6.5%), trauma (3.45%), vasculitis (3.1%), idiopathic polypoidal choroidal vasculopathy (3.1%), and drop IOL (1.2%). PPV performed 1-3 months after initial assessment (31.25%), less than 1 month (13.2%), more than 3 months (14.6%) Conclusion: The most common etiology of vitreous hemorrhage is proliferative diabetic retinopathy. Pars plana vitrectomy was performed 1 – 3 months after an initial assessment of the patients.
Peripapillary Retinal Nerve Fiber Layer Thickness in Diabetic Retinopathy Patients measured by Optical Coherence Tomography Sindi Dwijayanti; Arief Kartasasmita; Iwan Sovani; Erwin Iskandar; Rova Virgana; Grimaldi Ihsan
International Journal of Retina Vol 1 No 2 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Diabetic retinopathy (DR) is a microvascular complication of diabetes and one of the leading causes of blindness. Retinal function loss in diabetic patients is not only caused by microvascular abnormality but also retinal neurodegeneration. Optical coherence tomography (OCT) can detect retinal neural tissue loss caused by diabetes by measuring the retinal nerve fiber layer (RNFL) thickness on the cross-sectional imaging of the retina. This study is to evaluate the changes of peripapillary retinal nerve fiber layer (RNFL) thickness in diabetic retinopathy patients using OCT and compare it to age matched healthy controls. Methods: A cross-sectional study of 16 eyes from 11 diabetic retinopathy patients and 10 eyes from 7 aged matched healthy subjects for control. Patients underwent optic nerve OCT imaging, RNFL thickness was recorded globally (average thickness) and segmented for superior, inferior, nasal, and temporal quadrants Result: There were no significant difference of the average RNFL thickness in diabetic retinopathy group compared to healthy subjects. However, at the nasal quadrant, there were a significant increased thickness of RNFL compared to healthy subject (p value=0.009). Conclusion: Optical coherence tomography can be used to detect neurodegeneration progression in diabetic retinopathy patients by quantitatively measuring the peripapillary RNFL thickness. This can be used as a diagnostic and prognostic factor in cases of DR.
Quantitative Analysis of Retinal Microvascular Changes in Optical Coherence Tomography Angiography Of Diabetic Retinopathy Prettyla Yollamanda; Arief Kartasasmita; Iwan Sovani; Erwin Iskandar; Rova Virgana; Grimaldi Ihsan
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2018.vol001.iss001.43

Abstract

Introduction: Diabetic Retinopathy (DR) is a common microvascular complication in patients with Diabetes Mellitus (DM) that can cause visual impairment and blindness in adult populations. Retinal microvascular changes, reflecting capillary drop out, non perfusion, and retinal ischemia seen in patients with DM can be assessed not only qualitatively, but also quantitatively with the introduction of a new, non invasive imaging modality Optical Coherence Tomography Angiography (OCTA), avoiding potential advese risks that can occur with the use of dye-injection imaging technique. We quantified retinal microvascular changes in healthy control eyes and Diabetic Retinopathy using OCTA. Methods: A cross sectional study included 13 eyes of 9 patients with DR, consists of 11 eyes with Non Proliferative Diabetic Retinopathy (NPDR) and 2 eyes with Proliferative Diabetic Retinopathy (PDR) and 5 eyes of 5 age-matched controls. Participants were imaged with commercial OCTA device (CIRRUS HD-OCT 5000 Angioplex). We analyzed in the Superficial Capillary Plexus (SCP) the following OCTA parameters : Vessel Density (VD), Foveal Avascular Zone (FAZ) area, and FAZ circularity. Result: Normal eyes had a higher mean VD, FAZ circularity (p >0.05) and lower mean FAZ area ( p <0.05) in the SCP compared with the DR (NPDR + PDR) group. If we excluded the PDR eyes from the analytic data, mean VD and FAZ area were found to be lower in control group, and mean FAZ circularity was higher. However, no quantitative parameters were statistically significant between control group and NPDR group. Conclusion: Microvascular changes in DR can be assessed with the use of Optical Coherence Tomography Angioraphy, which is non invasive and provides high quality of images acquired from the chosen level of retina.
Intraocular Foreign Fody : A case Series Mega Wulan Purnama Sari; Iwan Sovani; Arief Kartasasmita; Erwin Iskandar; Rova Virgana; Grimaldi Ihsan
International Journal of Retina Vol 1 No 2 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

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Abstract

Introduction: The incidence of Intraocular Foreign Body (IOFBs) among open-globe injuries ranges from 18% to 41%. In addition to clinical examination at the slit-lamp and indirect ophthalmoscopy, various imaging modalities are valuable for the identification and localization of IOFB. Vision loss can be devastating as a result of endophthalmitis, retinal detachment or proliferative vitreoretinopathy (PVR). Timely and appropriate management often leads to favorable anatomic outcomes with restoration of good visual function in the majority of cases. This case report presents the clinical and diagnostic finding, management, outcomes and further plan of the patients with posterior segment IOFB. Purpose: To report some cases of posterior segment intraocular foreign body. Case report: Three patients with history of ocular trauma of the right eye that happened at workplace. All of patients were men in age range 20-55 years old . There were also loss of vision, pain, redness, and from ophthalmological examinations revealed two scleral injuries and one corneal injury that suggest an IOFB in posterior segment. Two patients were suggest endophtalmitis before operation. The plain x ray film examination showed intraocular foreign body in the right eyes. The Ultrasonography (USG) examination also showed intraocular foreign body in the right eyes. All of patient were underwent pars plana vitrectomy. Durante operation 2 of 3 patients were succeed to extract IOFB from the posterior segment, while one patient was not. Conclusion: Preoperative, intraoperative and postoperative management should be done correctly for some cases of IOFB. Prompt treatment and full assessment of patients is important to provide good prognosis.
Co-Authors A M Ichsan Andayani, Gitalisa Andhika Guna Dharma Andi M Ichsan Andika Prahasta Anita Deborah Anwar Ari Andayani Ari Djatikusumo Chalid Kurniawan Dainty Maternity Deni K Sunjaya Desrina Dewi Marhaeni Diah Herawati Dinan S Bratakoesoma Dwijayanti, Sindi Elvioza Elvioza Emil Sjahreza Endang Sri Wahyuni Erni Mayor Erwin Iskandar Erwin Iskandar Farid Husin Farid Husin Fauziah Hayati Feti Karfiati Memed Firda Muthia Elsyanty Gabriella Graziani Grimaldi Ihsan Grimaldi Ihsan Habibah S. Muhiddin Hadyana Sukandar Harley, Ohisa Ihsan , Grimaldi Ihsan, Grimaldi Ihsan, Grimaldi Ima Yustiarini Indra, Made Iskandar, Erwin Iwan Sovani Iwan Sovani Juanarta, Pieter Juliati Juliati Juliati, Juliati Kurniawan, Chalid Laila Wahyuni M Firmansyah Made Indra Widyanatha Maimun Syukri, Maimun Marliana Rahma Marsha Rayfa Pintary Martin Hertanto Maya Sari Mayang Rini Mega Wulan Purnama Sari Metita, Mirza Mia Purnama Mirza Metita Nadia Artha Dewi Nauli, Rizki Rahma Nurul Aini Ohisa Harley Oktarina Sri Iriani Pintary, Marsha Rayfa Ponpon S Idjradinata Ponpon S Idjradinata Prettyla Yollamanda Purnama Sari, Mega Wulan Purnama, Mia Rahayu Widhyasti Referano Agustiawan Rizki Rahma Nauli Ronny Lesmana Rova Virgana Rova Virgana Setiawan . Setyohadji, Bambang Sindi Dwijayanti Sindy Boru Sembiring Susiarno, Hadi Teguh Susilo Tjahjono D. Gondhowiardjo Vita Murniati Tarawan Widyanatha, Made Indra Yollamanda, Prettyla Yuna, Uray Nabila Zaini, Lia M.