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All Journal Majalah Kedokteran Bandung Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Satari, Karmelita
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Education Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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Comparison of Different Cycloplegic Refraction Regimens for Children Irfani, Irawati; Gunawan, Fany; Satari, Karmelita; Sari, Maya; Oktarima, Primawita; Caesarya, Sesy; Karfiati, Feti
Majalah Kedokteran Bandung Vol 56, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3311

Abstract

In the process of a pediatric eye exam, cycloplegic refraction is a crucial step. Since no single cycloplegic drug is ideal, a combination regimen is employed. This study compares the ocular (refractive power and pupil diameter) and systemic (blood pressure and heart rate) effects of administering a combination of 1% cyclopentolate and 2.5% phenylephrine, with or without 1% tropicamide, to children with refractive errors. This study aimed to discover a more feasible regimen for children. This was a single-blind study, a randomized clinical trial conducted from November–December 2020 in children with mild to moderate refractive errors. Group A received 1% cyclopentolate, 2.5% phenylephrine, and 1% tropicamide (SFT), whereas group B received 1% cyclopentolate and 2.5% phenylephrine (SF). The outcomes were measured using an auto refractometer and IOL Master® 700. Before and 60 minutes after medication was administered, blood pressure and heart rate were measured. There were 54 participants (108 eyes) with an average age of 12.85± 2.84 years. Although the SFT group's refractive power and pupil width were greater than those of the SF group, the differences were not statistically significant (p=0.271 and p=0.088). Heart rate (p=0.521) and blood pressure (systolic p=0.201; diastolic p=0.950) did not significantly differ between the two groups. Despite mydriasis manifested more rapidly in the SFT group, there was no discernible difference in the cycloplegic effects between those groups. SF might be a more feasible regimen for cycloplegic refraction in children with refractive errors.
Tinjauan Sistematis Hubungan Diabetes Mellitus dengan Keratoconus Shafi, Amatul; Ahmad, Tahir; Satari, Karmelita
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 3 (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.v6i3.76

Abstract

Pendahuluan: Keratoconus adalah ektasia kornea yang paling umum akibat multifaktoral yang masih banyak dipelajari. Diabetes mellitus menghambat keratoconus karena kondisi hiperglikemia yang menyebabkan glikosilasi dan cross-linking kolagen. Ada perbedaan hasil penelitian yang menunjukkan penderita keratoconus berkorelasi positif dengan diabetes mellitus. Metode: Studi ini berupa tinjauan sistematis yang membahas topik mengikuti tahapan dan protokol yang ditetapkan oleh Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020. Publikasi tahun 2014 hingga 2024 dipertimbangkan dengan memanfaatkan situs referensi online PubMed, ScienceDirect, dan SagePub. Kata kunci yang digunakan "keratoconus", “corneal ectasia”, “corneal cross-linking”, “conical cornea” dan "diabetes mellitus" juga dibantu Boolean operator. Jenis desain studi observasional dipilih, kualitas dinilai dengan skala Newcastle-Ottawa dan ditelaah kritis. Hasil: Identifikasi dilakukan dengan memasukkan kata kunci pada database PubMed memunculkan 3.478 artikel, 567 artikel di ScienceDirect, dan terdapat 108 artikel di SagePub. Kami mengumpulkan total 5 penelitian yang memenuhi kriteria dan melaporkan 6 hasil yang menjelaskan keterkaitan diabetes mellitus dengan kejadian dan keparahan keratoconus. Kesimpulan: Tidak ditemukan bukti yang cukup untuk menyatakan hubungan antara diabetes mellitus dan keratoconus, di mana masih ada kontroversi hasil dalam tinjauan ini.
Akar Masalah Gangguan Penglihatan: Menelusuri Kelainan Refraksi yang Tidak Terkoreksi Sirait, Susanti Natalya; Juanarta, Pieter; Musa, Ine Renata; Satari, Karmelita; Hutabarat, Joan Sherlone T.
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 3 (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.v6i3.77

Abstract

Pendahuluan: Kelainan refraksi yang tidak terkoreksi merupakan penyebab terbanyak gangguan penglihatan yang dapat dihindari. Miopia merupakan kelainan refraksi yang paling sering dan prevalensinya terus meningkat sehingga menyebabkan gangguan penglihatan. Genetik dan gaya hidup akan mempengaruhi perkembangan dan hasil akhir miopia. Metode: Penelitian ini merupakan penelitian deskriptif retrospektif dari pasien yang terdiagnosis miopia pada periode 1 Januari hingga 31 Desember 2020. Sebanyak 301 pasien dipilih menggunakan consecutive random sampling. Usia, jenis kelamin, tempat tinggal, kelainan refraksi, ketajaman penglihatan, derajat miopia, koreksi penglihatan terbaik, lateralisasi mata, dan penatalaksanaan ditinjau secara retrospektif. Hasil: Penelitian ini menunjukkan paling banyak terjadi gangguan refraksi bilateral (92,4%), miopia ringan (57,1%), dan diberi kacamata (99,3%). Pasien sebagian besar tidak mengalami gangguan penglihatan (70,4%), namun masih terdapat kebutaan (3,7%). Koreksi terbaik menunjukkan peningkatan pada kelompok tanpa gangguan penglihatan (92,7%), namun terdapat kebutaan yang tidak dapat dikoreksi (0,7%) yang berhubungan dengan ablasi retina, katarak, dan ambliopia. Kesimpulan: Pada penelitian ini terdapat peningkatan jumlah pasien tanpa gangguan penglihatan sebesar 22% setelah diberikan alat bantu kacamata. Selain itu terdapat 36,9% pasien yang belum pernah memakai kacamata sebelumnya dan 42,5% pasien berasal dari luar kota bandung. Hal ini menunjukkan bahwa masih kurangnya akses dan pelatihan untuk kesehatan mata terutama pada daerah terpencil sehingga banyak pasien dengan kelainan refraksi yang tidak terkoreksi harus menempuh jarak yang cukup jauh untuk mendapatkan alat bantu.
COMPARISON OF SITA STANDARD 24-2 WITH SITA FASTER 24-2C PROGRAM ON HUMPHREY FIELD ANALYZER IN ASSESSING VISUAL FIELD DEFECTS OF GLAUCOMA PATIENTS Rianti, Nuzul; Satari, Karmelita; Prahasta, Andika; Rifada, R. Maula; Umbara, Sonie
Majalah Oftalmologi Indonesia Vol 49 No S1 (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/a4syph39

Abstract

Introduction: Periodical perimetry examination to detect and determine the rate of glaucoma progression continues to be a challenging task, because it depends on many factors. Besides, there is now a paradigm shift which central visual field defects occur earlier. SITA Standard (SS) 24-2 is the clinical standard for glaucoma examination, but there were studies reporting on the prevalence of central visual field defects not detected. SITA Faster (SFR) 24-2C was developed to address current shortcomings, but the performance has yet to be formally and independently assessed. Objective: To compare the global indices (Mean Deviation, Pattern Standard Deviation, Visual Field Index) and test duration between SS 24-2 and SFR 24-2C program. Methods: This is an analytical observational study with a cross-sectional design. Subjects aged >18 years who diagnosed with glaucoma and whose visual fields unaffected by other condition besides glaucoma were included. All subjects underwent testing of both programs. Results: This study was conducted in 94 eyes of 66 patients. Comparison of global indices and test duration between the two programs was carried out by the Wilcoxon test. The mean results of MD and PSD global indices were not significantly different, however there was a difference in the mean VFI of 1.5% between the two programs. The test duration of SFR 24-2C was 55.03% faster. Conclusion: There was no significant difference in the MD and PSD global indices, but there was a significant difference in the VFI, as well as the test duration between the two programs.
COMPARISON OF SITA STANDARD 24-2 WITH SITA FASTER 24-2C PROGRAM ON HUMPHREY FIELD ANALYZER IN ASSESSING VISUAL FIELD DEFECTS OF GLAUCOMA PATIENTS: Oral Presentation - Observational Study - Resident Rianti, Nuzul; Satari, Karmelita; Gustianty, Elsa; Prahasta, Andika; Rifada, R. Maula; Umbara, Sonie
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: 10.35749/5a6xfs73

Abstract

Introduction & ObjectivesIntroduction: Periodical perimetry examination to detect and determine the rate of glaucomaprogression continues to be a challenging task, because it depends on many factors. Besides, thereis now a paradigm shift which central visual field defects occur earlier. SITA Standard (SS) 24-2 isthe clinical standard for glaucoma examination, but there were studies reporting on the prevalenceof central visual field defects not detected. SITA Faster (SFR) 24-2C was developed to addresscurrent shortcomings, but the performance has yet to be formally and independently assessed.Objectives: To compare the global indices (Mean Deviation, Pattern Standard Deviation, Visual FieldIndex) and test duration between SS 24-2 and SFR 24-2C program. MethodsThis is an analytical observational study with a cross-sectional design. Subjects aged >18 years whodiagnosed with glaucoma and whose visual fields unaffected by other condition besides glaucomawere included. All subjects underwent testing of both programs. ResultsThis study was conducted in 94 eyes of 66 patients. Comparison of global indices and test durationbetween the two programs was carried out by the Wilcoxon test. The mean results of MD and PSDglobal indices were not significantly different, however there was a difference in the mean VFI of1.5% between the two programs. The test duration of SFR 24-2C was 55.03% faster. ConclusionThere was no significant difference in the MD and PSD global indices, but there was a significantdifference in the VFI, as well as the test duration between the two programs.
Co-Authors Andika Prahasta Caesarya, Sesy Elsa Gustianty Feti Karfiati Memed Gunawan, Fany Hutabarat, Joan Sherlone T. Ine Renata Musa Irawati Irfani Juanarta, Pieter Maya Sari Primawita Oktarima Rianti, Nuzul Rifada, R. Maula Shafi, Amatul Sirait, Susanti Natalya Tahir Ahmad Umbara, Sonie