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All Journal Ophthalmologica Indonesiana Cermin Dunia Kedokteran
Rahayu, Ni Kompyang
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Health Professions Medicine & Pharmacology Public Health

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RELATIONSHIP BETWEEN DEGREE OF OPTICAL NERVE DAMAGE ON LEVEL OF DEPRESSION AND ANXIETY PATIENT WITH PRIMARY GLAUCOMA: Oral Presentation - Observational Study - Resident SETIAWAN, I KADEK AGUS; Rahayu, Ni Kompyang; Ariani, Ni Ketut Putri; Widiana, I Gde Raka; Kusumadjaja, I Made Agus; Juliari, I Gusti Ayu 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/qeatyj71

Abstract

Introduction & ObjectivesGlaucoma is one of the leading causes of irreversible global blindness and the second most commoncause of blindness in the world after cataracts. Depression and anxiety often occur in glaucomapatients when glaucoma is first diagnosed, the effect of decreased vision function in glaucoma, sideeffects of glaucoma therapy both medically and surgically and financial effects due to length oftreatment and loss of job due to limited vision. This study aims to determine the relationship of thedegree of optic nerve damage to the level of depression and anxiety in patients with primaryglaucoma. MethodsThis research is an analytic, prospective observational research with a cross-sectional studyapproach. The relationship between independent variables and dependent variables was analyzed. ResultsThe Man Whitney test found a significant difference in anxiety scores between the severe and mildto moderate groups with a p value of 0.020 . The ANCOVA test found that there was a relationshipbetween the degree of optic nerve damage in primary glaucoma and the level of anxiety aftercontrolling for control variables. ConclusionThis study can be concluded that there is a difference in the level of anxiety between the degree ofsevere and mild to moderate optic nerve damage. The level of anxiety itself corresponds to thedegree of damage to the optic nerve. The more severe the damage to the optic nerve, increased ofthe patient's anxiety score.
Microinvasive Glaucoma Surgery using Goniotomy as A Potential Surgical Treatment Modality in Indonesia: A Descriptive Study and Literature Review: Oral Presentation - Observational Study - Resident Wetarini, Krisnhaliani; Rahayu, Ni Kompyang; Kusumadjaja, I Made Agus; Suryaningrum, I Gusti Ayu Ratna
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: 10.35749/2y3b6478

Abstract

Introduction & ObjectivesMicro-invasive glaucoma surgery with goniotomy is a recent surgical treatment modality that targetsthe trabecular outflow to maintain intraocular pressure. This study aims to describe the clinicaloutcomes of excisional goniotomy using KDB and to review the published literature regarding amodified goniotomy technique as a potential surgical treatment modality in Indonesia. MethodsA cross-sectional descriptive study was conducted in patients that underwent goniotomy stand-aloneor combined with cataract surgery. Main outcome parameters consist of visual acuity, intraocularpressure (IOP), number of glaucoma medications, and complications during post-operative follow-up. ResultsA total of 7 patients (8 eyes) were included in the study, consisting of 5 (71,4%) males and 2 (28,6%)females. The mean age of the subjects was 47.7 years. Subjects consisted of primary,pseudoexfoliative, steroid-induced, and angle-recess glaucoma. Mean pre-operative IOPmeasurements showed 20.74 mmHg with visual acuity consisting of 1 (14.3%) mild visualimpairment and 7 (85.7%) severe visual impairment. Postoperatively there was progressiveimprovement in the mean IOP to 13.81 and 11.31 mmHg on first-day and one-week follow-up,respectively. Visual improvement was observed in 2 (28.5%) with mild visual impairment, 3 (42.6%)with severe visual impairment, and 2 (28.5%) with hand movement due to complications of cornealedema following phacoemulsification. A week later, visual acuity improved to 4 (57.1%) with mildvisual impairment and 3 (42.9%) with moderate visual impairment. ConclusionGoniotomy is a simple surgical method that may be applied in Indonesia as a novel technique toprovide an effective intraocular pressure-lowering effect.
Ab-Interno Bleb Needling in A Failed Trabeculectomy: A Case Report: Poster Presentation - Case Report - General practitioner Natan, Priscilla Christina; Yinvill; Rahayu, Ni Kompyang; Wetarini, Krisnhaliani
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/pcxffx48

Abstract

Introduction : Trabeculectomy remains a gold standard of glaucoma surgical management despite a steady rate of bleb failure due to conjunctival scarring. In this case, we report a case of a failed trabeculectomy managed with ab-interno bleb needling followed by antimetabolite injection of mitomycin C. Case Illustration : A 18-year-old male patient with a history of blurry vision in his right eye and vision loss in his left eye. The patient had previously undergone cataract surgery due to juvenile cataracts and developed persistent high intraocular pressure (IOP) in both of his eyes. A trabeculectomy was performed on his right eye six months prior to the examination; however, the IOP remained at 22 mmHg. Ocular examination revealed a shallow anterior chamber and flat conjunctival bleb. An ab-interno bleb needling technique was performed followed by antimetabolite injection of mitomycin C under local anesthesia in an operating theatre. Follow-up results showed a significant reduction of IOP on the first day (13.3 mmHg) and a week after surgery (18.5 mmHg), maintained by one anti-glaucoma eye drop. Discussion : Trabeculectomy filtration surgery has a high failure rate in younger patients due to a high risk of conjunctival scarring. The ab-interno needling approach with mitomycin C injection is a novel technique that can be performed and offers the advantage of increasing aqueous outflow through a direct opening of the trabecular meshwork from within the anterior chamber. Conclusion : This technique provides effective management of failed trabeculectomy to achieve intraocular pressure lowering effect and a corresponding decrease in the risk of progressive glaucomatous optic neuropathy.
Latihan Fisik untuk Mengurangi Tekanan Intraokular pada Glaukoma: Tinjauan Sistematik Apriandary, Ni Putu Dian; Rahayu, Ni Kompyang
Cermin Dunia Kedokteran Vol 52 No 12 (2025): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i12.1595

Abstract

Introduction: Glaucoma is a common eye condition that poses a risk to vision, as it involves elevated intraocular pressure (IOP) and can lead to vision impairment. Elevated intraocular pressure (IOP) and inadequate ocular perfusion are the basic theories of glaucoma development and progression. Methods: Literature within the last 10 years was searched through PubMed and Googleusing the specified keywords: “Glaucoma” (title), “Intraocular Pressure (IOP)” (all fields), and “Physical Exercise” (all fields). The PRISMA method is used to process journal selection. Results: Dynamic exercises such as cycling and jogging have been shown to significantly reduce intraocular pressure (IOP), particularly in patients with glaucoma, whereas isometric activities like weightlifting or head-down yoga poses temporarily increase IOP. Breathing exercises such as yogic pranayama can lower IOP by stimulating parasympathetic activity and improving aqueous humor outflow without elevating ocular venous pressure. Conclusion: The decrease in IOP and increase in OPP after dynamic exercises such as cycling and jogging were related to the intensity of the exercise. No cure is available; management is to prevent further damage and vision loss. Physical exercise influences the IOP, ocular perfusion, neuroprotection, and mental health in patients with glaucoma. This article discusses the benefits of physical exercise in reducing IOP and its potential risks in glaucoma patients.
Co-Authors Apriandary, Ni Putu Dian Ariani, Ni Ketut Putri I Gde Raka Widiana Juliari, I Gusti Ayu Made Krisnhaliani Wetarini Kusumadjaja, I Made Agus Natan, Priscilla Christina Setiawan, I Kadek Agus Suryaningrum, I Gusti Ayu Ratna Yinvill