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All Journal International Journal of Integrated Health Sciences Paediatrica Indonesiana Ophthalmologica Indonesiana
Bobby Ramses Erguna Sitepu
Neuro-Ophthalmology Consultant, Department Of Ophthalmology Faculty Of Medicine, Universitas Sumatera Utara
Health Professions Medicine & Pharmacology Public Health

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Post Stroke, Is Perimetry Necessary? A Case Report: Poster Presentation - Case Report - Resident AULIA PURNAMA EFFENDI; Bobby Ramses Erguna Sitepu
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/7bw29b39

Abstract

Abstract Introduction : Stroke are generally associated with peripheral visual field loss. Three out of four stroke patients report some form of disability, one of which is visual impairment. Approximately 16% of these patients have a homonymous visual field defect poststroke. These vision problems can lead to difficulty carrying out a lot of daily tasks and activities, such as driving. This report tries to define the diagnostic flow to determine the exact type and lesion. Case Illustration : Male, 61 years old, came to Universitas Sumatera Utara Hospital with visual field loss in both eyes. Two months ago, he was diagnosed with ischemic stroke and treated with Aspirin 80 mg, with no limbs disability right now. He also had hypertension and treated with Amlodipine 10 mg. VOD: 6/60 with BCVA S-2.00 6/7,5, VOS: 6/60 with BCVA S-2.00 6/7.5. With confrontation test and perimetry, defect was found in medial visual field OD and lateral visual field OS. Hess screen and Amsler Grid was normal. Head CT-Scan was performed with multiple infarcts, mainly in right occipital lobe. The patient was diagnosed with Incomplete Hemianopia, Left Congruous Homonymous Hemianopia with Macular Sparing, and treated with Citicholine 1000 mg once daily. Discussion Conclusion : In stroke patients with homonymous visual field loss, visual field testing with detailed evaluation of visual field defect can determine the lesion location, and neuro-radiological imaging was necessary to assess visual pathway. It’s important for educate the patients, diagnostic and prevent the stroke recurrent.
ANALYSING THE SIDE EFFECT OF AMIODARONE N CONSUMPTION ON OPTIC NERVE HEAD, CONTRAST SENSITIVITY AND COLOR VISION IN ARRYTHMIA PATIENT: Oral Presentation - Observational Study - Resident Callina Floriana Y. Br. Bangun; Bobby Ramses Erguna Sitepu; Delfi
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/prmxk467

Abstract

Abstract Introduction & Objectives : To analyze the side effect of duration consumption of amiodarone on ONH, contrast sensitivity and color vision in arrythmia patient Methods : This study was an analytical observational study with cross sectional design. A total of 23 subjects with arrhythmias taking amiodarone were included in the study. Sampling was carried out from April 2022-August 2022 at the Eye Polyclinic and Cardiology Polyclinic. Results : Most of the subjects were female, 12 people (52.2%) with a mean age of 59 years. The results of the examination showed that two subjects had decreased vision, ONH edema and decreased contrast sensitivity in the right eye where the mean duration of amiodarone consumption was 4.5 months. The results of binocular color vision examination were normal in all study subjects. There was a significant effect of the consumption duration of amiodarone on ONH (p=0.024) and on contrast sensitivity (p=0.022) Conclusion : There was a significant effect of the duration consumption of amiodarone on ONH and contrast sensitivity in arrythmia patient
Potential risk factors of pediatric acute respiratory distress syndrome in sepsis Saragih, Kezia Theofani; Malisie, Ririe Fachrina; Daulay, Rini Savitri; Sitepu, Bobby Ramses Erguna
Paediatrica Indonesiana Vol. 64 No. 3 (2024): May 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.3.2024.193-201

Abstract

Background Sepsis in children is characterized by a dysregulated host response to infection and life-threatening organ dysfunction. Pediatric acute respiratory distress syndrome (PARDS) is a severe complication of sepsis. Several known risk factors of PARDS are immunodeficiency, obesity, source of infection, and genetic factors. Objective To describe the potential risk factors of PARDS in septic children at Haji Adam Malik General Hospital, Medan, North Sumatera. Methods This descriptive study using eligible medical record data from sepsis patients aged 1 month – 18 years was conducted at Haji Adam Malik General Hospital in 2020–2022. A total sampling method was used for subject selection. Patients’ demographic and clinical characteristics, mechanical ventilation modes and parameters, laboratory results, and outcomes were collected from medical records. Patients were classified as having sepsis with PARDS if Pediatric Acute Lung Injury Consensus Conference (PALICC) criteria of ARDS was met. Results Of 112 pediatric sepsis patients, 33.9% developed PARDS. The mortality rates for PARDS was 73.7%. Of the patients with PARDS, 57.9% had immunodeficiency, 60.5% patients had an intrapulmonary infection, 39.5% had an extrapulmonary infection, and 23.7% of patients had a suspected genetic disorder. In addition, 39.5% had good nutritional status, followed by 21.1% with obese. Conclusion The majority of patients with PARDS have intrapulmonary infection and immunodeficiency. Some of patients with PARDS have suspected genetic disorders and well nourished.
English: English Rery, Muhammad Insanul Kamil; Lubis, Rodiah Rahmawaty; Sitepu, Bobby Ramses Erguna
Majalah Oftalmologi Indonesia Vol 49 No S1 (2023): Supplement Edition
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/ztxmtb75

Abstract

Introduction and Objective: Ocimum sanctum extract (OSE) has been shown to have antioxidant, anti-inflammatory, and antibacterial properties which are responsible for wound healing. This study aims to analyze the effect of 5%, 10%, and 15% OSE ointment on changes in collagen density and fibroblast count in Wistar rats with partial-thickness palpebral laceration. Methods: Laboratory experimental study with randomized post-test only control group design. The subjects were 30 rats divided into 5 groups: The placebo; Gentamicin 0.3%; OSE 5%; OSE 10% and OSE 15% group. The intervention was administered 2 times/day for 4 days. On the fifth day, the palpebral tissue was obtained to make histopathological preparations and to observe the collagen density and fibroblast count. Data were analyzed using Mann-Whitney, One-Way ANOVA, Kruskal Wallis, and Tamhane test. A p-value <0.05 was assigned to the statistically significant. Results: The placebo group revealed loose collagen tissue and OSE 15% and gentamicin group revealed dense collagen tissue. The low fibroblast count was in the gentamicin and OSE 15% group and the highest fibroblast count was in the placebo group with a mean of 19.77±3.29; 22,67±0,73 and 60.9±10.66 cells, respectively. There was a significant difference (p<0.001) in the collagen density and the fibroblast count based on the treatment groups. Posthoc tests revealed differences in the collagen density level and the fibroblast count between the placebo and the whole group. Conclusion: There was a significant difference between placebo and all groups of collagen density changes and fibroblast count. There was no difference between OSE 15% and gentamicin both microscopically and statistically. Keywords: Ocimum sanctum L, Extract of Ocimum sanctum L, partial-thickness palpebral laceration, fibroblast cell count, collagen density
THE EFFECT OF SERUM 25-HYDROXY VITAMIN D ON VISUAL FIELDS IN MODERATE - HIGH MYOPIA Simbolon, Ahmad Musa; Sitepu, Bobby Ramses Erguna; Lubis, Rodiah Rahmawaty
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/frrdpf87

Abstract

Introduction & ObjectivesMyopia is a visual impairment problem that constantly increases, causing global health problemsand economic burdens. Previous studies have concluded that vitamin D deficiency is associated withdecreased visual acuity and visual function. To determine the relationship between serum 25(OH)Dlevels and visual fields in moderate to high myopia MethodsThis study was an observational analytic study with a cross-sectional design. Visual function testsperformed were visual acuity test, Humphrey visual field analyzer, and ELISA test for serum25(OH)D. ResultsThe study consisted of 50 subjects with moderate to high myopia with 39 subjects was females (60%)and mean age of 26.62±3.70 years. The distribution of moderate myopia and high myopia was 30%and 20% with a mean spherical equivalent of -5.11±1.54 D. Twenty four subjects (48%) had serum25(OH)D deficiency, 1 subject (2%) had insufficiency of serum 25(OH)D with an average level of44.56±41.45 ng/ml. Fischer's Exact analysis on the right eye revealed 7 subjects (29.2%) had serum25(OH)D deficiency and insufficiency with visual field defect (p=0.001). On the left eye, 6 subjects(25%) had serum 25(OH)D deficiency and insufficiency with visual field defect (p=0.132). ConclusionThere was statistically significant relationship between serum 25(OH)D levels and visual field inmoderate to high myopia in one eye.
Effect of Eye Exercises on Computer Vision Syndrome among Medical Students of Universitas Sumatera Utara, Indonesia Zhuang, Angella; Sitepu, Bobby Ramses Erguna
International Journal of Integrated Health Sciences Vol 11, No 1 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v11n1.3136

Abstract

Objective: To determine the effect of eye exercises on Computer Vision Syndrome among batch 2019 medical students of the Faculty of Medicine, Universitas Sumatera Utara, and Indonesia.Methods: This study used analytical true experimental with a Pretest-Posttest Control Group Design. Sample consisted of 86 respondents who were divided into two groups: control and experimental (intervention) groups. Each group consisted of 43 respondents who were sampled randomly using the simple random sampling technique.  Data were collected through the Computer Vision Syndrome Questionnaire (CVS-Q) and analyzed using a statistical software application with a p-value of < 0.05 considered significant.Results: A decrease in the score of Computer Vision Syndrome in the experimental (intervention) group after the eye exercise was observed with a p-value of 0.001 (<0.05). Conclusion: Eye exercise has an effect on the Computer Vision Syndrome. 
Co-Authors AULIA PURNAMA EFFENDI Callina Floriana Y. Br. Bangun Delfi Lubis, Rodiah Rahmawaty Malisie, Ririe Fachrina Rery, Muhammad Insanul Kamil Rini Savitri Daulay, Rini Savitri Saragih, Kezia Theofani Simbolon, Ahmad Musa Zhuang, Angella