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All Journal Sriwijaya Journal of Ophthalmology Aesculapius Medical Journal The International Journal of Medical Science and Health Research
I Putu Rustama Putra
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Hubungan Faktor Genetik dan Gaya Hidup dengan Miopia pada Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa I Putu Arya Suryanta Wiguna; Putu Nita Cahyawati; I Putu Rustama Putra
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.116-122

Abstract

[Relationship of genetic and lifestyle factors with myopia in students of the Faculty of Medicine and Health Sciences, University of Warmadewa ] Myopia is a common disease with a high prevalence in the world, and is one of the refractive disorders, common in children and adults. Risk factors for myopia are genetics and lifestyle factors, especially close-up viewing activities. The aim of this research is to determine the relationship between genetic and lifestyle factors and myopia in students at the Faculty of Medicine and Health Sciences, Warmadewa University. The research design used was observational analytic with a cross sectional design. The research was conducted at the Faculty of Medicine and Health Sciences, Warmadewa University with a total sample of 132 people with inclusion criteria, namely students at the Faculty of Medicine and Health Sciences, Warmadewa University and willing to take part in the research and exclusion criteria, namely not coming during the research and having a history of congenital eye disorders. Data was obtained using a questionnaire. Data were analyzed univariately and bivariately using the chi-square test with a confidence level of 95% and results were significant if the p value was ≤0.05. And the results obtained are that the incidence of myopia in FKIK Unwar students is 74.2%, there are 93.9% of FKIK Unwar students who have genetic factors for myopia, there are 64.4% of FKIK Unwar students who have a lifestyle at high risk of myopia, and There is a relationship between genetic factors and myopia, but there is no relationship between lifestyle and myopia.
Impact of COVID-19 on Preventable Blindness Detection in Bali, Indonesia Lestari, Ni Putu Dharmi; Gede Benny Setia Wirawan; I Putu Rustama Putra; Ni Wayan Sedani; Cynthia Dewi M
Sriwijaya Journal of Ophthalmology Vol. 7 No. 1 (2024): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v7i1.119

Abstract

Introduction: WHO, and the Indonesian government, have agreed to a plan to eradicate preventable blindness by 2020 in VISION 2020. However, the COVID-19 pandemic has caused a strain on the healthcare system. It is difficult to assess the impact of the pandemic on preventable blindness. Here we approach the issue by evaluating hospital visits for visual impairments in one regency in Bali, Indonesia. Methods: We collected outpatient visit records from three hospitals providing ophthalmologic clinics in Tabanan, Bali, Indonesia, a regency of 445 thousand people. We then conducted a descriptive analysis of the general changes in outpatient visits to these clinics and changes observed in different diagnoses identified as causes for preventable blindness. Results: The result showed a 35% downtrend in outpatient visits to the ophthalmologic clinic throughout the provinces. A more pronounced downtrend (45.22%) was observed for one public hospital that also serves as a COVID-19 referral hospital compared to private hospitals (around 30% each). By diagnoses, visits for cataracts were shown with a less severe downtrend compared to glaucoma, pterygium, and refractive disorders. Conclusion: Our study found a downtrend in outpatient visits for visual impairment in ophthalmologic clinics, which may be attributed to COVID-19 preventive measures by the hospital as well as patient reluctance due to fear of COVID-19 transmission. Public health communication needs to address this fear to recover patient confidence while maintaining vigilance in practicing COVID-19 preventive behavior.
Surgical Reconstruction and Multimodal Management of Traumatic Corneoscleral Rupture with Iris Prolapse Following Blunt High-Velocity Impact: A Comprehensive Case Analysis and Clinical Review Dewi Dwipayanti Giri; I Putu Rustama Putra
The International Journal of Medical Science and Health Research Vol. 25 No. 2 (2026): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/r3zcpw50

Abstract

Introduction Ocular trauma remains a significant contributor to global monocular blindness, particularly among the young and economically productive demographic. Open globe injuries (OGI), specifically those characterized by corneoscleral rupture and uveal tissue incarceration, represent a critical ophthalmic emergency that demands immediate surgical intervention to restore anatomical integrity. This report explores the management of a Zone II rupture following a motorcycle accident, emphasizing the integration of surgical repair with systemic stabilization and advanced postoperative care. Case Illustration A 21-year-old female patient presented to the emergency department thirty minutes after a high-velocity blunt impact to the right eye during a motor vehicle accident. Clinical evaluation revealed a visual acuity of 1/300 in the affected eye, a 5 mm corneoscleral rupture involving the 9 o’clock limbal meridian, and significant iris prolapse. Preoperative laboratory findings were notable for significant elevations in hepatic transaminases, suggesting subclinical blunt trauma or skeletal muscle injury. The patient underwent urgent corneoscleral suturing, iris repositioning, and bandage contact lens application. Within seven days, the visual acuity improved to 1/60, with successful restoration of the anterior chamber. Discussion The discussion evaluates the mechanical forces involved in blunt-force globe rupture, utilizing Arlt’s theory of equatorial expansion. It further analyzes the clinical decision-making process regarding iris repositioning versus excision, the importance of prompt surgical closure within 24–48 hours to mitigate endophthalmitis risk, and the utility of the Ocular Trauma Score (OTS) as a prognostic predictor. The significance of systemic laboratory markers in the context of ocular polytrauma is also examined, alongside the pharmacological rationale for combined antimicrobial and anti-inflammatory therapy. Conclusion Timely anatomical restoration through meticulous surgical technique and aggressive prophylaxis against secondary complications are fundamental to preserving visual potential in complex OGI cases. Long-term rehabilitation remains dependent on managing secondary astigmatism and monitoring for late-onset glaucoma.
Co-Authors Cahyawati, Putu Nita Cynthia Dewi M Dewi Dwipayanti Giri Gede Benny Setia Wirawan I Putu Arya Suryanta Wiguna Lestari, Ni Putu Dharmi Ni Wayan Sedani