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Risk Factor Analysis of Cataracts in Primary Health Center Choirunisa, Latifatu; Firdausi, Asri Ayu; Hasan, Hengky Tri Cahyono; Amarusmana, Mohammad
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 2 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i2.71

Abstract

Introduction: Cataracts are still one of the causes of blindness worldwide. Indonesia is known for the highest cataract prevalence in Southeast Asia. Therefore, early detection is vital to slow the progression of visual impairment caused by cataracts, thereby increasing the quality of life, especially in the elderly. We aimed to analyze risk factors of cataract incidence at the Sumberasih Public Health Center. Method: A retrospective analytical study was conducted with a total of 100 samples that were divided equally into a cataract group and a control group. The data was analyzed using the SPSS program. Result: A majority of cataract subjects are women (62%), pre-elderly (40%), working exposed to UV sun rays (60%), cigarette smoke (78%), and having abnormal body mass index (58%). We found that gender, UV exposure based on occupation, hypertension history, cigarette smoke exposure, and body mass index were significantly correlated to cataract incidence, respectively, p = 0.009, p = 0.016, p = 0.037, p < 0.001, and p = 0.045. The Chi-square test results p < 0.025 were followed by logistic regression, and gender was the most influential risk factor of cataract incidence, approximately 4.050 times (CI 95%: 1.427 - 11.498). Conclusion: Cataracts can be caused by several risk factors. Hopefully, risk factors discovered as early as possible can reduce the risk of developing cataracts.
Spontaneous Globe Rupture due to Neglected Glaucoma: How can it be? Poster Presentation - Case Report - General practitioner Firdausi, Asri Ayu; Kunhermawan, Cosmas Hascaryanto; Lestari, Chindhia Rima Rochmatika Bunga
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/amhbb109

Abstract

IntroductionGlobe rupture is usually associated with spontaneous traumatic processes with the worst prognosis.The occurrence without prior trauma is only reported in small numbers of cases. This paper willdescribe a globe rupture in glaucomatous eye and share our experience with its management. Case IllustrationA 66-year-old male presented to the emergency department (ED) with reddish and progressive painin the right eye (RE) followed by severe headaches for the last three days. On history taking, thepatient complained of a progressive blurry vision to total blindness of his RE for 1 year. The patientadmitted to having a history of glaucoma on previous primer examination but did not routinelycontrol it. On initial examination, the patient was hypertensive , and suddenly began bleeding within10 minutes upon arrival at ED. The diagnosis of globe rupture was made and he underwentemergency evisceration. DiscussionSpontaneous globe rupture is very rare, with an incidence of 3 per 100.000 in the United States,while no definite number is found in Indonesia due to the rarity. In glaucoma patients, spontaneousglobe rupture is postulated to occur due to suprachoroidal hemorrhage. Our patients had multiplerisk factors such as advanced age, systemic hypertension, and chronic untreated glaucoma.Evisceration went down to reduce pain, stop bleeding and prevent the spread of infection.Performing surgery within 10 days of the initial injury suggests a lower risk of post-operativeendophthalmitis or sympathetic ophthalmia. ConclusionSpontaneous globe rupture in neglected chronic glaucoma has a very poor outcome but preventable.
Spontaneous Globe Rupture due to Neglected Glaucoma: How can it be? Poster Presentation - Case Report - General practitioner Firdausi, Asri Ayu; Kunhermawan, Cosmas Hascaryanto; Lestari, Chindhia Rima Rochmatika Bunga
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/rczz4a47

Abstract

Introduction: Globe rupture is usually associated with spontaneous traumatic processes with the worst prognosis. The occurrence without prior trauma is only reported in small numbers of cases. This paper will describe a globe rupture in glaucomatous eye and share our experience with its management. Case Illustration: A 66-year-old male presented to the emergency department (ED) with reddish and progressive pain in the right eye (RE) followed by severe headaches for the last three days. On history taking, the patient complained of a progressive blurry vision to total blindness of his RE for 1 year. The patient admitted to having a history of glaucoma on previous primer examination but did not routinely control it. On initial examination, the patient was hypertensive , and suddenly began bleeding within 10 minutes upon arrival at ED. The diagnosis of globe rupture was made and he underwent emergency evisceration. Discussiona: Spontaneous globe rupture is very rare, with an incidence of 3 per 100.000 in the United States, while no definite number is found in Indonesia due to the rarity. In glaucoma patients, spontaneous globe rupture is postulated to occur due to suprachoroidal hemorrhage. Our patients had multiple risk factors such as advanced age, systemic hypertension, and chronic untreated glaucoma. Evisceration went down to reduce pain, stop bleeding and prevent the spread of infection. Performing surgery within 10 days of the initial injury suggests a lower risk of post-operative endophthalmitis or sympathetic ophthalmia. Conclusion: Spontaneous globe rupture in neglected chronic glaucoma has a very poor outcome but preventable.