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All Journal Jurnal EduHealth Journal of Innovation Research and Knowledge The Indonesian Journal of General Medicine
Zulfikri Khalil Novriansyah
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Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences Veterinary

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Description of Visual Acuity and Refractive Arrangements in Patients Post Cataract Operation at Jec Orbita Makassar Eye Hospital in 2022 Yulia Nugra; Zulfikri Khalil Novriansyah; Hikmah Hiromi R; Nur Aulia Amir; Ruslinah, Ruslinah
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

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Abstract

Survey results show that the main cause of blindness is cataracts. The only definitive therapy for cataract patients is surgery. However, not all patients who have undergone surgery will achieve the desired visual improvement and therefore affect the patient's quality of life. To determine the description of visual acuity and refractive errors in patients after cataract surgery at the JEC-Orbita Makassar Eye Hospital in 2022. This research is a descriptive study with a cross sectional approach using secondary data from the medical records of patients who have had cataract surgery at the JEC Eye Hospital -Orbita Makassar in 2022. Results: Visual acuity at H+1 post-surgery mostly showed blind vision (32.3%), at H+7 post-surgery most showed normal vision (43%), and at H+30 post-surgery the majority showed normal vision (68.8%). The refractive errors found were 17.2% hypermetropia, 10.8% AHS, 9.7% AMS, 9.7% AM, 8.6% AHC, and 1.1% myopia. Conclusion: Visual acuity after cataract surgery shows significant improvement and continues to improve with increasing length of control time. Large parts of post-operative refractive error show hypermetropia, then AHS, AMS, AM, AHC and myopia sequentially.
Incident Numbers of Toxic Anterior Segment Sydrome and Posterior Capsular Opacification in Patients Post Senilic Cataract Operation at Jec-Orbita Eye Clinic Makassar 2022 Feryansyah Akhbar Syamsir; Sri Irmandha Kusumawardhani; Siti Suleha Umar; Zulfikri Khalil Novriansyah; Diah Tantri Darkhutni
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

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Cataracts are defined as an opacification process in the lens that prevents light from entering the deeper parts of the eye. Surgery is currently the definitive treatment for cataracts to optimize the patient's visual function. However, despite the benefits of surgery to optimize visual function, cataract surgery is not free from complications that can occur after surgery such as Toxic Anterior Segment Syndrome (TASS) and Posterior Capsular Opacification (PCO). This study aims to find out how many complications occur after cataract surgery in senile cataract patients in the form of TASS and PCO at the JEC-Orbita Makassar Eye Clinic in 2022. This research is a type of quantitative research using descriptive studies. The data used is secondary data in the form of medical record data taken from the JEC-Orbita Makassar Eye Clinic. The results obtained were that a total of 64 patients suffered from TASS and PCO after cataract surgery, with 52 patients (81.25%) suffering from PCO and 12 patients (18.75%) suffering from TASS. The most common gender was female as many as 41 patients (64.07%), the most common age range was 61-75 years as many as 37 patients (57.82%), the most surgical technique used was Phacoemulsification as many as 64 patients (100%) and the highest The highest maturity before surgery was grade IV senile cataract, 39 patients (60.94%).
Katarak Pada Pasien Diabetes Mellitus Brigischa Febrilia AP; Suliati P Amir; Nur Aulia Amir; Zulfikri Khalil Novriansyah; Ariyanie Nurtania
The Indonesian Journal of General Medicine Vol. 14 No. 1 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/d6kpjm10

Abstract

Latar Belakang: Diabetes Mellitus (DM) merupakan penyakit metabolik kronis yang berpotensi menimbulkan komplikasi mikrovaskular, salah satunya adalah katarak. Dibandingkan populasi non-diabetik, penderita DM memiliki risiko 2–5 kali lebih tinggi mengalami katarak, yang dapat berkembang lebih cepat dan pada usia yang lebih muda. Mekanisme utama yang mendasari pembentukan katarak pada DM antara lain adalah akumulasi sorbitol melalui jalur poliol dan stres oksidatif yang menyebabkan kerusakan serat lensa. Metode: Penelitian ini merupakan narrative literature review yang bertujuan mengidentifikasi dan menganalisis artikel ilmiah terkait hubungan antara diabetes mellitus dan risiko katarak. Literatur diperoleh melalui pencarian sistematis pada database ilmiah. Total 14 artikel dipilih berdasarkan kriteria inklusi, dengan lima artikel utama dianalisis lebih dalam. Hasil: Review menunjukkan prevalensi katarak yang tinggi pada pasien DM, berkisar antara 42–70%, dengan jenis katarak yang paling sering adalah subkapsular posterior dan kortikal. Faktor risiko yang konsisten ditemukan mencakup kontrol glikemik buruk (HbA1c tinggi), durasi DM lebih dari 10 tahun, usia lanjut, dan keberadaan retinopati diabetik. Studi juga menunjukkan hubungan antara hipertensi, hiperlipidemia, serta neuropati diabetik dengan kejadian katarak. Kesimpulan: Terdapat hubungan signifikan antara diabetes mellitus dan peningkatan risiko katarak. Faktor metabolik dan sistemik turut mempercepat proses kekeruhan lensa. Oleh karena itu, manajemen DM yang optimal, pemeriksaan mata berkala, serta edukasi pasien merupakan langkah penting untuk mencegah gangguan penglihatan yang lebih lanjut.
Analisis Faktor Resiko Yang Berhubungan Dengan Kejadian Ablasio Retina Pada Usia Lanjut Lola Ayu Puspita; Marliyanti Nur Rahmah Akib; Zulfikri Khalil Novriansyah; Ratih Natasha Maharani; Hanna Aulia Namira
The Indonesian Journal of General Medicine Vol. 20 No. 1 (2025): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/r1fnj754

Abstract

Latar Belakang: Ablasio retina merupakan kondisi okular serius yang dapat menyebabkan kehilangan penglihatan permanen, terutama pada kelompok usia lanjut akibat perubahan degeneratif vitreoretinal. Berbagai faktor risiko, seperti usia, miopia gravior, operasi katarak, dan penyakit sistemik, diduga berperan dalam meningkatkan kejadian ablasio retina, namun data mengenai hubungan faktor-faktor tersebut pada populasi usia tua masih terbatas. Tujuan: Mengetahui faktor risiko yang berhubungan dengan kejadian ablasio retina pada usia lanjut, serta menganalisis hubungan antara usia, jenis kelamin, miopia gravior, riwayat operasi katarak, dan diabetes melitus dengan jenis ablasio retina. Metode: Penelitian analitik deskriptif dengan desain cross-sectional menggunakan data rekam medis pasien ablasio retina usia 45–70 tahun di Rumah Sakit Pendidikan Universitas Hasanuddin. Sampel diperoleh dengan teknik total sampling terhadap seluruh pasien ablasio retina tahun 2024 yang memenuhi kriteria inklusi. Analisis data meliputi uji univariat dan uji bivariat menggunakan Chi-Square dengan nilai signifikansi α = 0,05. Hasil: Dari 50 responden, usia terbanyak berada pada kelompok 51–60 tahun (40%). Sebagian besar penderita adalah laki-laki (52%), dengan riwayat miopia gravior sebanyak 48% dan riwayat operasi katarak 26%. Jenis ablasio retina terbanyak adalah regmatogen (54%). Uji bivariat menunjukkan hubungan signifikan antara usia (p = 0,024), miopia gravior (p = 0,007), dan riwayat operasi katarak (p = 0,001) dengan jenis ablasio retina. Sebaliknya, tidak terdapat hubungan signifikan antara jenis kelamin (p = 0,951) dan diabetes melitus (p = 0,071) dengan kejadian ablasio retina. Kesimpulan: Usia, miopia gravior, dan riwayat operasi katarak merupakan faktor risiko yang berhubungan signifikan dengan jenis ablasio retina pada usia lanjut, terutama tipe regmatogen. Sementara itu, jenis kelamin dan diabetes melitus tidak menunjukkan hubungan bermakna. Temuan ini menegaskan pentingnya deteksi dini dan pemantauan kelompok berisiko tinggi pada populasi usia lanjut.
COMPARISON OF THE EFFECTIVENESS OF 3% DIQUAFOSOL AND 0,1 % HYALURONATE ACID IN DRY EYE DISEASE Zulfikri Khalil Novriansyah
Journal of Innovation Research and Knowledge Vol. 5 No. 7 (2025): Desember 2025
Publisher : Bajang Institute

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Abstract

A dry eye is a disease with morbidity on the ocular surface. Twenty-five percent of patients visiting the eye clinic complained of dry eye symptoms. In Indonesia, the prevalence of dry eye is reported to increase by 27,5% due to some related variables, including age, smoking, and pterygium (Lee AJ. et al., 2002). In Makassar, the case of dry eye is more often found in women than in men, with a ratio of 2:1 (Syawal, 2005). Most patients with dry eyes apply conventional conventional therapy, including supplementary lacrimal using a preserver. Unfortunately the long usage of supplements with preserver in active Ocular Surface Disorders has been reported to increase the vulnerability to toxicity (Gobbels M et al., 1992), (Wilson F et al., 1979). Therefore, it is necessary to carry out a study about the dry eye of patients using diquafosol. This study aims to measure the improvement in the ocular surface structure after administering topical diquafosol 3% based on the degree of dry eye disease. The study employed an experimental design, carried out at the Polyclinic of Dr. Wahidin Sudirohusodo and the University of Hasanuddin Education Hospitals, Makassar, for three months. The research population was patients with dry eyes doing examinations at the Polyclinic While the samples were patients fulfilling the inclusion criteria, including being diagnosed with dry eye, aged 18 years old, and willing to take part in the research by signing an informed consent. While the exclusion criteria are if the patients had allogeneic hematopoietic stem cell transplantation, had done refractive corneal surgery, were contact lens users, and had Stevens-Johnson syndrome and chemical / thermal burns; Have a history of allergies to drugs or health materials used in the study including artificial tears, Schirmer, fluorescein strips; and are possibly uncooperative during the examination. The samples were collected through random controlled trial sampling based on the target sample number (41). Data were recorded and analyzed using a statistical package for social science (SPSS). Results are presented narratively with a table or graph. It is concluded that there is a change in the ocular surface structure leading to the improvement of dry eye disease after the administration of topical 3% diquafosol based on TBUT, Schirmer, and OSDI indicators.
Co-Authors Ariyanie Nurtania Brigischa Febrilia AP Diah Tantri Darkhutni Feryansyah Akhbar Syamsir Hanna Aulia Namira Hikmah Hiromi R Lola Ayu Puspita Marliyanti Nur Rahmah Akib Nur Aulia Amir Ratih Natasha Maharani Ruslinah, Ruslinah Siti Suleha Umar Sri Irmandha Kusumawardhani Suliati P Amir Yulia Nugra