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The Correlation between Visual Display Terminal (VDT) Use and Premature Presbyopia among The Office Workers Amran; Soemarko, Dewi S.; Mardianto, Umar; Ilyas, Muhammad; Barliana, Julie D.
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 3 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i3.126.155-65

Abstract

Introduction: The increased use of Visual Display Terminals (VDTs) allows close work with continuous screen gazing during working hours. Close work forces the eyes to accommodate resulting in contraction of the ciliary system. This sustained contraction will lead to ciliary system weakness, making close work a risk factor for premature presbyopia. Methods: The research design was cross sectional. It was conducted on employees of health centers in Bekasi district who were under 40 years old with more than 1 year of service as employees and had used VDT for at least 1 year. Employees filled out an interview form voluntarily then the answers would be verified according to presbyopia and finally measured the amplitude of accommodation for respondents who met the presbyopia criteria. The research was carried out throughout December 2023. The collected data were statistically processed using the SPSS 26 application tool.Results: Of the 100 respondents who filled out the interview form and then verified and measured, 22 people (22%) had premature presbyopia. Age (p-value 0.014), type of VDT (p-value 0.049) and habit of working with VDT for 1 hour non-stop (p-value 0.016) were associated with premature presbyopia because they had a p-value <0.05. Based on multivariate test, the factor of working with 1 hour non-stop VDT was the only factor with p-value 0.018 and OR 3.78995% CI 1.255-11.445.Conclusion: There is an association of VDT use with the incidence of premature presbyopia in office workers by 22%. With the most significant influence owned by the factor of working with VDT 1 hour non-stop.
Beyond COVID-19 Paradigm: Devastating Rare Fungal Ocular Complication Edwar, Lukman; Kusumowidagdo, Gladys; Djatikusumo, Ari; Yudantha, Anggun R.; Mardianto, Umar; Rozaliyani, Anna; Rinaldi, Ikhwan; Rachmadi, Lisnawati
eJournal Kedokteran Indonesia Vol. 12 No. 3 (2024): Vol. 12 No. 3 - Desember 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.650.331

Abstract

Ocular involvement in COVID-19 is rare and often mild. We report a case of severe bilateral ocular candidiasis post-COVID-19 infection. A male, 48 years old, suffered from sudden blurry vision in the right eye (RE). The patient had a history of COVID-19, ICU stay, ventilator use, and a hypercoagulable state. The patient had a history of tocilizumab and steroid use. The initial best corrected visual acuity (BCVA) was 6/30 (RE), with progressive worsening of light perception and 6/6 on the left eye (LE) to 3/60. Examination revealed string-of-pearls and snowball on vitreous, fibrovascular tissue with exudates and subretinal fluid on the macula. Tractional retinal detachment was found in both eyes, and these findings were consistent with fungal endophthalmitis. Culture was taken from a chest lump and it was positive for Candida albicans. The patient was diagnosed with bilateral ocular candidiasis and treated with a 14-day course of intravenous voriconazole and vitrectomy. The final BCVA was hand movement (RE) and 6/45 (LE).