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Clinical Profile of Diabetic Papillopathy Patients at a Tertiary Care Hospital in Indonesia Abdullah, Rizqy; Agustini, Lukisiari; Sunreza Millenia, Maasa; Susanto, Hermawan
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 5 No. 3 (2023): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v5i3.13443

Abstract

Background: Diabetic Papillopathy (DP) is a rare complication of Diabetes mellitus (DM) which affects visual function. The purpose of this study was to describe the profile of DP patients at a tertiary care hospital in Surabaya, Indonesia. Methods: A descriptive retrospective study using electronic medical records of DP patients at the eye outpatient unit of Dr. Soetomo General Hospital in Surabaya between 2017 and 2020. Demographic data such as clinical characteristics, and history of DM were included. Levels of fasting blood glucose (FBG), 2-hour post-prandial blood sugar (PPG), and HbA1c were taken. Examination of the optic disc and retina determines the diagnosis of DP. Results: There were 27 cases of DP with the mean age of the patients being 49.3±9.3 years, predominance in the 46-55 years group (59.26%). Patients with DP had average systolic and diastolic blood pressure was 131.74±21.94 mmHg, and 86.00±15.89 mmHg, and an average BMI of 24.6 ±3.54 kg/m2 (62.96%). Most patients had a history of type 2 DM (96.29%), mean fasting blood sugar (FBG) and postprandial blood (PPG) was 225±83.3 mg/dL, and 147.81±59.72 mg/dL; and HbA1c 8.6±1.5 mg%. Conclusion: DP findings are relatively low in DM patients, however, DP could result in decreased visual acuity and quality of life so a proper ocular examination is important in DM patients.
Visual Improvement of Toxic Optic Neuropathy in Tuberculosis: A Case Report Abdullah, Rizqy; Kartika, Antonia; Hanindya Sari, Rusti; Veulina Ginting, Dianita; Yolamanda, Prettyla
Malang Respiratory Journal Vol. 8 No. 2 (2026): Volume 8 No 2, September 2026 Edition : in Press
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: Visual impairment can result from the effect of ethambutol during tuberculosis treatment. Ethambutol-induced optic neuropathy is a well-known complication with manifestations include painless loss of central vision. Case: This case presents a middle-aged female with vision loss less than one month. She is diagnosed with tuberculosis and six-months use of ethambutol as part of an anti-tuberculosis regimen. Color vision and visual field were decreased. After discontinuing ethambutol, the visual acuity and optic nerve function improved after five months. Conclusion: Awareness of visual loss due to ethambutol use as part of the anti-tuberculosis drugs is essential while taking care of tuberculosis patients. An immediate cessation could improve visual function. Keywords: toxic, optic nerve, tuberculosis, vision, ethambutol