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All Journal IJRETINA - International Journal of Retina Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Noviantari, I Gusti Agung Ratna
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Education Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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MANAGEMENT OF IRREGULAR ASTIGMATISM AFTER CORNEAL ULCER WITH RGP CONTACT LENS IN PATIENTS WITH HIGH MYOPIA Noviantari, I Gusti Agung Ratna; Handayani, Ariesanti Tri
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 2 (2023): Jurnal Oftalmologi Vol 5 No 2 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i2.49

Abstract

Introduction: RGP contact lenses are indicated for correcting refractive errors in cases of high myopia and irregular astigmatism due to changes in the corneal curvature. Case Report: A 30-year-old female came with complaints of redness, pain, glare, blurred vision, and yellow discharge and tearing on the left eye for 2 days, history of using Soft Contact Lens (SCL) since 10 years old due to myopia. Visual Acuity of the right eye (VOD)  with glasses was 6/12 and VA of the left eye (VOS) was 1/300. The patient was diagnosed with left eye corneal ulcer and was given levofloxacin eye drops, hydroxypropyl methylcellulose eye drops, and vitamin C 1000 mg. The left eye's corneal ulcer healed after three days, but the scarring left the cornea's surface uneven.. Patients were advised to replace the contact lenses with RGP contact lenses. After the RGP fitting, the appropriate size was obtained in both eyes and the patient adapted well with VOD RGP 1.0  and VOS RGP 1.0 False. The patient felt helped by the RGP contact lens.  Discussion: RGP was given because it helped reduce the bacterial infection risk. RGP has a higher oxygen transmissibility and maintains the cornea's curvature to become more regular. It can be utilized as an optical device to repair excessive myopia in addition to irregular astigmatism. Conclusion: RGP contact lens can be an option for irregular astigmatism after corneal ulcers due to the SCL use in patients with high myopia to provide good outcomes.
The Association Between Vitreous Vascular Endothelial Growth Factor Levels with Visual Acuity Before and After Pars Plana Vitrectomy in Proliferative Diabetic Retinopathy Noviantari, I Gusti Agung Ratna; Suryathi, Ni Made Ari; Triningrat, A.A. Mas Putrawati; Widiana, I Gde Raka; Andayani, Ari; Jayanegara, I Wayan Gede; Pantjawati, Ni Luh Diah
International Journal of Retina Vol 7 No 2 (2024): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2024.vol007.iss002.257

Abstract

Introduction: Vascular endothelial growth factor (VEGF) plays a crucial role in the development of proliferative diabetic retinopathy. Elevated levels of VEGF in the vitreous have been found to be associated with the severity of ischemia and neovascularization, which can lead to a decline in visual acuity. This study aims to determine the association between vitreous VEGF levels and improvement in visual acuity before and after PPV in PDR patients. Methods: This research is an analytic observational study with a pre-post single group design. The subjects of this study were all PDR patients who received PPV therapy at three hospital in Bali Province, Indonesia. Consecutive sampling method were conducted. The independent variable is vitreous VEGF, whilst pre and post-PPV visual acuity is the outcomes. We performed mean comparison and multivariable statistical test using IBM SPSS version 25. Result: 45 people were included in this study. Improvement in visual acuity after PPV compared to before PPV with an average improvement of 0.54 logMAR (p=0.001). Based on the ANCOVA multivariate analysis, factors affecting visual acuity improvement after PPV were preoperative vision (p<0.001), postoperative vision (p<0.001), HbA1c level (p=0.036), and DM duration (p=0.024). There was no association between high vitreous VEGF levels and visual acuity improvement (PR=0.95; 95% CI=0.55-1.63;p=0.841). Conclusion: This study concluded that there is an association between PPV and visual acuity improvement. However, clinicians should be aware of several confounding factors that affect visual acuity improvement, including pre-PPV visual acuity, post-PPV visual acuity, duration of DM, and HbA1c level. There is no relationship between vitreous VEGF and visual acuity before and after PPV in PDR, but it is necessary to keep good records of lens status and intraocular pressure status. Further research is needed and the research time is extended to evaluate a better visual outcome.
SCREENING FOR DIABETIC RETINOPATHY AND PROPTOSIS TO PREVENT BLIND IN JERO MANGKU CULTURE INTARAN VILLAGE, WEST SANUR Noviantari, I Gusti Agung Ratna; Suryathi, Ni Made Ari; Suryanadi, Ni Made
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/zwpr8k38

Abstract

Introduction and Objective: The social service of diabetic retinopathy (DR) and proptosis screening by going directly to the community is one of the efforts to reduce blindness. The aim of this study is reporting the result of DR and proptosis screening toward priests in Intaran Village, Sanur Kauh, Bali. Method: This is an observational study with cross-sectional approach conducted in April 2022.We performed DR screening using portable funduscopy and proptosis screening using Herthel exophthalmometry. Collected data were analyzed descriptively. Results: In the diabetic retinopathy screening, a total of 8 participants had their eyes examined. Based on the results of the examination, 3 people and 5 eyes were found to have diabetic retinopathy. Of the 3 participants who had RD, two participants had bilateral RD, while 1 had unilateral RD. Of the 5 eyes that had RD, four eyes had a mild degree, while 1 eye had a moderate degree. None of the eyes had severe degrees. Participants with RD were given referrals for further treatment. The average Hertel exophthalmometry examination result in the right eye was 14.30 ± 2.14 mm while in the left eye was 14.46 ± 2.11 mm. This data can be used as a reference for normal values in the population. Conclusion: DR screening is important because it can detect the disease before the appearance of complaints. DR screening by going directly to the community can also reach people who have difficulty in accessing health care facilities.
Co-Authors Ari Andayani Ariesanti Tri Handayani, Ariesanti Tri I Gde Raka Widiana I Wayan Gede Jayanegara Ni Made Ari Suryathi Pantjawati, Ni Luh Diah Suryanadi, Ni Made Triningrat, A.A. Mas Putrawati