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The Indonesian Journal of General Medicine
Published by International Medical Journal Corp. Ltd.
ISSN : -     EISSN : 3048104X     DOI : -
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Public Health Veterinary
ims: The Indonesian Journal of General Medicine aims to advance the field of medicine by disseminating high-quality research findings that are accessible to a broad audience of healthcare professionals, researchers, and policymakers. The journal is committed to supporting the development of medical knowledge and practice in Indonesia and globally, fostering innovative research and evidence-based clinical practices. Scope: The journal covers a wide range of topics within the general medical field, including but not limited to: Clinical studies in various medical disciplines Epidemiological research and public health issues Innovations in diagnostic techniques and treatments Reviews on current practices and emerging trends in medicine Case studies and clinical trials Health policy and medical education The Indonesian Journal of General Medicine welcomes submissions from all areas of medicine, particularly those that have significant implications for patient care, public health, and policy-making. The journal encourages submissions that offer new insights, propose novel approaches, or address challenges pertinent to the Indonesian and international medical communities.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 260 Documents
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PLEOMORPHIC SARCOMA GLUTEA PADA PASEIN LAKI-LAKI 52 TAHUN Ni Putu Lilis Rasnita Dewi; Ni Putu Udayani Nesa
The Indonesian Journal of General Medicine Vol. 41 No. 1 (2026): 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/f8k7kp83

Abstract

Pendahuluan: Sarkoma pleomorfik, termasuk sarkoma pleomorfik tak terdiferensiasi (UPS), adalah neoplasma jaringan lunak ganas yang seringkali muncul sebagai massa progresif. Pemeriksaan awal dapat mencakup CT scan panggul dengan kontras, diikuti dengan konfirmasi melalui FNAB. Kasus: Seorang pria berusia 52 tahun datang dengan benjolan di bokong kanannya selama kurang lebih 2 bulan. Benjolan tersebut membesar dengan cepat selama 2 minggu terakhir. Keluhan terkait termasuk gangguan neurovaskular. Pemeriksaan lokal menunjukkan massa berwarna kulit tanpa hiperemia; palpasi menunjukkan massa yang keras, kenyal, tidak bergerak, dan nyeri tekan. Penanganan Kasus: CT scan dengan kontras dilakukan, diikuti dengan konfirmasi melalui FNAB pada nodul gluteal. Nodul tersebut keras dan mudah berdarah. Pada citra MSCT Scan panggul, ditemukan massa heterogen yang mengalami peningkatan kontras dengan kalsifikasi di dalamnya, meluas ke area sekitarnya menyebabkan kompresi dan kerusakan tulang. Diskusi: Gambaran klinisnya adalah massa gluteal yang membesar dengan cepat disertai nyeri dan keterlibatan neurovaskular, disertai temuan pada CT scan abdomen dan konfirmasi dengan FNAB. Pemeriksaan radiologis dan histopatologis digunakan untuk menentukan terapi. Prognosis kasus UPS biasa buruk. Kesimpulan: Pada kasus massa jaringan lunak di daerah gluteal sugestif sebagai sarkoma pleomorfik tak terdiferensiais, evaluasi radiologis dan histopatoligi memainkan peran penting dalam menilai ukuran tumor, kedalaman lesi, dan hubungannya dengan struktur neurovaskular di sekitarnya dan jaringan panggul sebelum pengobatan definitif.
Tingkat Kesadaran Keluarga terhadap Imunisasi Campak di UPT Puskesmas Sering Tahun 2025 Elisabet Tarigan; Novita Simanjuntak; Kevin Habib Alhuda; Priskila Meilorika Daeli; Hellen Natasya Hia; Audra Debra Inestasia Tarigan
The Indonesian Journal of General Medicine Vol. 41 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/1tpgbv05

Abstract

Background: Measles is a dangerous contagious disease, especially for children, and can be prevented through immunization. However, measles immunization coverage in Indonesia has declined, including in the service area of UPT Sering Health Center , which experienced outbreak at the beginning of 2025 with 15 confirmed cases. Low family awareness—particularly the lack of support from husbands or other family members—has become one of the obstacles to immunization uptake. Objective: To determine the level of family awareness regarding the importance of measles immunization in the working area of the UPT Sering Health Center. Methods: This study uses a descriptive observational design with a cross-sectional approach. The population consists of all families with members suffering from measles, and the sample was taken using a total sampling technique. The instruments used were questionnaires on the level of public awareness of measles vaccination and family support, to assess knowledge and family support. Results: Out of 20 respondents, the majority were aged 36–45 years (45%), had a junior high school education (60%), and worked as housewives (60%). Most respondents had good knowledge about measles immunization (70%), but only 35% received good family support, while 40% received less support. Only 33.3% of respondents stated that their children had received the measles immunization. Conclusion: Although family knowledge was generally good, support for measles immunization remained low. The lack of support was influenced by religious beliefs, concerns about side effects, and low awareness of immunization importance. Educational efforts involving religious leaders and personal approaches are needed to increase immunization coverage.
The Relationship Between Total Intravenous Anesthesia Technique and the Incidence of Postoperative Nausea and Vomiting : A Systematic Review Iffa Refni Ihksan; Anggara Jaka Widiantoro Herliansyah; Wirawan Anggorotomo
The Indonesian Journal of General Medicine Vol. 41 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/0g2f2885

Abstract

Introduction: Postoperative nausea and vomiting (PONV) remains a major cause of delayed recovery and unplanned hospital admission after general anesthesia. Although propofol-based total intravenous anesthesia (TIVA) is often considered to reduce PONV, the magnitude, timing, and moderators of this effect remain debated. Methods: This systematic review synthesized evidence from 80 studies (predominantly randomized controlled trials) comparing TIVA versus volatile or alternative intravenous techniques. Outcomes focused on PONV incidence, severity, rescue antiemetic use, and recovery quality. Results: Propofol-based TIVA significantly reduced early PONV (0–6 h) compared to volatile agents, with absolute risk reductions of 15–18% and number needed to treat of 3–6 in high-risk populations (1,2,4,7). The effect was most pronounced against isoflurane‑nitrous oxide and attenuated but still significant against sevoflurane (RR 0.63) and desflurane (RR 0.35) (14). However, the antiemetic advantage diminished after 6–12 hours, and delayed PONV could be higher with TIVA if long-acting antiemetics were omitted (8,9). Opioid‑free TIVA (propofol‑dexmedetomidine) further reduced PONV beyond propofol‑opioid TIVA (15,16). Remimazolam‑based TIVA produced equivalent PONV reduction to propofol, suggesting that volatile avoidance, not propofol‑specific pharmacology, is the key mechanism (14,18). In 2,010 patients, Visser et al. demonstrated NNT=6 for PONV prevention with TIVA (1). Several large trials confirmed significant early benefits in thyroidectomy (31), bariatric (38), craniotomy (62), and breast surgery (41), with low heterogeneity in the first six postoperative hours. Discussion: The TIVA advantage is real, time‑limited, and context‑dependent. It is largest in high‑baseline‑risk procedures without multimodal prophylaxis, diminishes against low‑emetogenicity volatiles, and disappears by 24 h unless opioid‑free or supplemented with long‑acting antiemetics. Conclusion: Propofol-based TIVA is an effective strategy for reducing early PONV, especially when volatile agents with high emetogenicity would otherwise be used. For delayed PONV, additional prophylactic antiemetics remain necessary irrespective of anesthetic technique.
KNOWLEDGE ABOUT BREASTFEEDING PRACTICES AMONG BREASTFEEFING MOTHERS IN WEST JAVA PRIANGAN Ajeng Talitha Gandari; Insi Farisa Desy Arya; Dida Akhmad Gumida; Siti Nur Fatimah; Budi Sujatmiko
The Indonesian Journal of General Medicine Vol. 1 No. 8 (2024): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/17wd6n06

Abstract

Backgrounds: ASI is Breast milk is produced by the mother and contains all the nutrients needed by the baby for the growth and development needs of the baby. The breastfeeding recommendation recommended by WHO and UNICEF is to initiate early breastfeeding (IMD) one hour after birth, followed by exclusive breastfeeding for the first six months of birth and providing complementary foods until the age of 24 months. Lack of experience and knowledge of mothers about the importance of exclusive breastfeeding, there is no special care for the mother's breast in preparing for the birth of a child, so the baby's mother is more confident with formula milk.10 Lack of knowledge of mothers about exclusive breastfeeding and correct breastfeeding techniques will result in several problems for the mother such as sore nipples, swollen breasts, mastitis, or breast abscess. While the problem with babies is that babies often cry, which is interpreted by mothers and families that breast milk is not enough for babies. The purpose of this study was to describe the knowledge of breastfeeding mothers regarding breastfeeding in West Java Region IV Priangan. Methods: The research design is a descriptive method using a cross-sectional design. The data collection technique is primary data obtained through online questionnaires made through google forms. The research subjects were selected by taking non-probability sampling, namely purposive sampling. As forthe number of samples to be studied in this study was 384 samples. This research has been approvedby the Health Research Ethics Committee of Padjadjaran University. Results: The description of breastfeeding mother's knowledge is provenindicate the correct response to the knowledge description item. Most mothers have a good picture of knowledge about breastfeeding for babies. Both from the aspect of the benefits of breastfeeding for babies and mothers, to the factors that influence breastfeeding, the mother's knowledge is good in this regard. Conclusion: Overall, the description of mother's knowledge about breastfeeding in West Java is good. This is proven by the results of the answers from this study. This happens because the information that mothers get from social media and the surrounding community.
What are The Sensitivity, Specificity, and Positive Predictive Value of Ultrasound for Diagnosing Acute Appendicitis in Pediatric Patients? : A Systematic Review M. Faza Akroma; Ade Nur Imansyah
The Indonesian Journal of General Medicine Vol. 41 No. 1 (2026): 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/j3hcd109

Abstract

Background: Acute appendicitis is the most common pediatric surgical emergency, yet its diagnosis remains challenging due to atypical presentations and radiation concerns with computed tomography (CT). Ultrasound (US) is recommended as the first-line imaging modality, but published diagnostic accuracy varies considerably across studies and clinical settings. Methods: This systematic review synthesized data from 80 studies examining the diagnostic accuracy of US for acute appendicitis in pediatric patients (aged ≤18 years). We extracted data on study characteristics, US methodology, reference standards (histopathology, surgery, clinical follow-up), diagnostic accuracy metrics (sensitivity, specificity, predictive values), appendix visualization rates, operator experience, and performance modifiers. Results: Pooled estimates from high-quality meta-analyses demonstrated that conventional US has a sensitivity of 88–93% and specificity of 89–94% for pediatric appendicitis (2,3). However, individual studies showed extreme variability: sensitivity ranged from 16% to 99.6% and specificity from 68% to 100% (1,6,7). Point-of-care US (POCUS) performed by emergency physicians had lower pooled sensitivity (78–86%) but maintained high specificity (~90%) (8,10). Appendix visualization rates varied dramatically from 36% to 91%, with non-diagnostic scan rates of 11–63% (1,14,16). For perforated appendicitis, US demonstrated low sensitivity (23–44%) despite high specificity (90–100%) (11,12,45). Obesity significantly increased the odds of equivocal scans (OR 1.86, 95% CI: 1.28–2.70) (17), and after-hour scanning reduced visualization success (P<0.001) (18). Staged imaging protocols combining US with selective CT or MRI achieved high accuracy while reducing radiation exposure (4,5,19,20). When combined with clinical scoring systems (Pediatric Appendicitis Score ≥4), US sensitivity increased to 96.2% and specificity to 94.1% (51). Discussion: Ultrasound diagnostic accuracy for pediatric appendicitis is highly context-dependent. Excellent performance (sensitivity >90%, specificity >90%) is achievable under optimal conditions: trained pediatric-focused operators, high-volume tertiary centers, favorable patient factors, and integration into staged diagnostic algorithms. However, performance degrades predictably in community hospitals without pediatric specialization, obese patients, complex anatomy (retrocecal or pelvic appendix), after-hours studies, and cases of perforated appendicitis. Secondary inflammatory signs (echogenic fat, periappendiceal fluid, hyperemia, appendicoliths) improve diagnostic certainty when the appendix is not fully visualized (39,41,44). The negative predictive value of a non-visualized appendix in low-risk patients approaches 98–99%, allowing safe discharge (14,38,69). Ultrasound remains comparable to CT and MRI when optimally performed, with the advantage of no ionizing radiation (2,53). Radiation-free pathways using US followed by selective MRI achieve outcomes equivalent to CT-based protocols (20,27). Conclusion: Ultrasound is a valuable first-line imaging modality for pediatric appendicitis, with excellent performance in experienced hands and appropriate settings. Its main limitations are operator dependence, low sensitivity for perforated appendicitis, and high non-visualization rates in obese or younger children. We recommend: (1) structured training programs for operators, (2) standardized reporting templates, (3) integration with clinical scoring systems, (4) staged imaging protocols with selective CT or MRI for equivocal cases, and (5) quality assurance programs, especially in community hospitals.
Vascular Parkinsonism with Severe Gait Disturbance: A Case Report Ahmad Dalma Haidar; Arda Fatkhul Khoiriyah
The Indonesian Journal of General Medicine Vol. 42 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/61d72q05

Abstract

Introduction: Vascular parkinsonism (VP) is a secondary parkinsonian syndrome caused by cerebrovascular lesions affecting the basal ganglia, subcortical white matter, or nigrostriatal pathways. It commonly affects elderly patients with vascular risk factors and is often misdiagnosed as idiopathic Parkinson's disease (PD). This case report aims to describe the clinical, radiological, and therapeutic features of a patient with severe gait-dominant VP. Case Illustration: A 72-year-old male with a 15-year history of hypertension, 10-year history of type 2 diabetes mellitus, dyslipidemia, and a prior ischemic stroke presented with a one-year history of progressive gait difficulty that severely worsened over the last two months. Clinical examination revealed short-step gait, freezing of gait, start hesitation, postural instability, bilateral lower limb lead-pipe rigidity, bradykinesia, minimal resting tremor, hyperreflexia, and bilateral Babinski signs. Brain CT showed extensive leukoaraiosis in periventricular and deep white matter, cerebral atrophy, and chronic small vessel ischemic disease. The patient received levodopa/carbidopa 100/25 mg three times daily, aspirin, atorvastatin, amlodipine, metformin, and intensive physiotherapy. After 10 days of hospitalization, only minimal improvement was observed, with persistent gait dependency and poor levodopa response. Discussion: VP is characterized by lower body parkinsonism, poor response to levodopa, and upper motor neuron signs. Neuroimaging plays a key role in distinguishing VP from PD. Management focuses on vascular risk factor control and rehabilitation. Conclusion: VP should be suspected in elderly patients with vascular risk factors, predominant gait disturbance, and poor levodopa response. Early diagnosis and secondary prevention are essential.
Global Research Trends of Acne (Acne Vulgaris) in Adolescents and Its Implications for Quality of Life: A Bibliometric Study Riski Agustina Firdausi; Riyadatus Solihah
The Indonesian Journal of General Medicine Vol. 42 No. 1 (2026): 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/enqsks44

Abstract

Introduction: Acne vulgaris is a pervasive chronic inflammatory skin condition that disproportionately affects adolescents, often leading to profound psychosocial distress. Despite extensive clinical research, the integration of patient-centered outcomes and health literacy within the global research landscape remains fragmented. This study aims to map the intellectual structure and trends of adolescent acne research and its impact on quality of life. Methods: A comprehensive bibliometric analysis was conducted using data from the Web of Science Core Collection and Scopus (1990–2024). Science mapping was performed using VOSviewer and Biblioshiny to analyze publication trends, influential contributors, and thematic clusters. Results: Research output has grown exponentially since 2014, with the United States and Western Europe as primary hubs. Four thematic clusters were identified: (1) Clinical Foundations, (2) Psychosocial Impact, (3) Digital Health Literacy, and (4) Emerging Therapeutic Frontiers (Microbiome/Nanotechnology). Prevalence has increased significantly, particularly in lower-middle SDI regions, with females exhibiting higher rates. Discussion: The findings reveal a "research silo" between clinical dermatology and psychosocial health. Literature suggests a severe impact on self-esteem and suicidal ideation, yet standardized quality of life measures (DLQI, CADI) remain inconsistently applied. The rise of social media has introduced a new "vulnerability nexus" where misinformation thrives. Conclusion: Integrated, culturally contextualized interventions that address both clinical severity and digital health literacy are essential. Future research should prioritize bridging the gap between biological treatments and patient-reported outcomes.
Association of Cataract Surgery in Diabetic Patients with the Progression of Diabetic Retinopathy: A Systematic Review of Randomized Controlled Trials and Primary Studies Sri Adinda Ayu; Gunawan
The Indonesian Journal of General Medicine Vol. 42 No. 1 (2026): 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/mwrgxd57

Abstract

Introduction: Cataract surgery is one of the most frequently performed ophthalmic procedures worldwide, and diabetes mellitus (DM) is a major risk factor for cataract development. Diabetic retinopathy (DR), a leading cause of preventable blindness, may be adversely affected by cataract surgery through inflammatory cascade activation and disruption of the blood-retinal barrier. However, the magnitude and clinical significance of this risk remain subjects of ongoing debate. This systematic review aims to synthesize evidence from randomized controlled trials (RCTs) and primary studies examining the association between cataract surgery and DR progression in diabetic patients. Methods: A systematic review adhered to the Preferred Reporting Items for Systematic Review and  (PRISMA) 2020 guidelines. Studies including adult diabetic patients undergoing cataract surgery with outcomes related to DR progression, diabetic macular edema (DME), best-corrected visual acuity (BCVA), and central macular thickness (CMT) were included. Quality assessment used the Cochrane Risk of Bias tool (RoB 2) for RCTs and the Newcastle-Ottawa Scale (NOS) for observational studies. A total of 17 studies (7 RCTs and 10 primary/observational studies) comprising 25,634 eyes were included. Results: DR progression was significantly higher after cataract surgery compared to non-operated fellow eyes or control cohorts (Risk Ratio [RR] 1.46; 95% CI: 1.28–1.66; P < 0.001). Anti-VEGF prophylaxis at the time of cataract surgery significantly reduced DR progression (RR 0.37; 95% CI: 0.19–0.70; P = 0.002) and improved BCVA. Intravitreal dexamethasone implants reduced CMT and decreased the need for rescue interventions. Risk factors associated with postoperative DR progression included elevated HbA1c, duration of DM, and severity of preoperative DR. The incidence of postoperative DME ranged from 6.06% to 46.2% depending on baseline DR severity. Discussion: Surgery-induced inflammation, VEGF upregulation, and breakdown of the blood-ocular barrier are the primary mechanisms underlying DR progression post-cataract surgery. Modern phacoemulsification carries a lower risk compared to earlier techniques; however, the risk remains clinically significant in patients with more advanced baseline DR. Prophylactic anti-VEGF or corticosteroid intravitreal injections at the time of surgery offer meaningful protection against DR worsening and postoperative DME. HbA1c optimization and preoperative DR control are critical to mitigating surgical risk. Conclusion: Cataract surgery in diabetic patients is associated with a statistically significant increased risk of DR progression, particularly in those with moderate-to-severe NPDR or poorly controlled glycemia. Prophylactic intravitreal anti-VEGF or corticosteroid therapy at the time of surgery is effective in reducing postoperative DR progression and DME. Preoperative optimization of systemic control and early postoperative monitoring are strongly recommended.
Ocular Trauma Management in Industrial Workers at Primary Care Services: A Systematic Review of Randomized Controlled Trials and Primary Studies Sri Adinda Ayu; Kuwati
The Indonesian Journal of General Medicine Vol. 42 No. 1 (2026): 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/ap7sk377

Abstract

Introduction: Ocular trauma in industrial workers represents a significant global public health burden, with primary care services serving as the first point of contact. However, standardization of management at this level remains variable and incompletely characterized. This systematic review aims to evaluate the effectiveness of ocular trauma management interventions delivered at primary care settings for industrial workers. Methods: A comprehensive literature search adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 guidelines. Studies were included if they involved adult industrial workers, reported ocular trauma management interventions at primary or emergency care level, and provided quantifiable outcomes. Risk of bias was assessed using the Cochrane Risk of Bias Tool 2.0 (RoB 2) for RCTs and the Newcastle-Ottawa Scale (NOS) for observational studies. Results: Eighteen studies comprising 14,327 participants met the inclusion criteria. Eye patching for simple corneal abrasions conferred no significant benefit over no-patch management (RR 0.89, 95% CI 0.79–1.00). Topical NSAIDs (ketorolac 0.5%, diclofenac 0.1%) significantly reduced pain and supplemental analgesic requirements (p<0.002). Immediate and prolonged copious irrigation (≥1 liter saline, 30–60 minutes) for chemical eye burns significantly improved visual outcomes. Enhanced educational interventions increased protective eyewear compliance by 16% versus standard education (95% CI 3–29%). Non-use of protective eyewear was documented in 78–89% of injured workers. Discussion: The evidence demonstrates that eye patching lacks benefit for simple corneal abrasions, topical NSAIDs represent the most evidence-supported analgesia, and immediate irrigation is critical for chemical injuries. Protective eyewear compliance remains critically low, with multicomponent educational programs showing the most promise. Conclusion: Key priorities include abandoning routine eye patching, adopting topical NSAID analgesia, implementing immediate chemical irrigation protocols, and sustaining multicomponent programs to improve protective eyewear compliance.
Association of Vitrectomy for Floaters with Patient-Reported Quality of Life and Visual Disturbance : A Systematic Review of Randomized Controlled Trials and Primary Studies Sri Adinda Ayu; Gunawan
The Indonesian Journal of General Medicine Vol. 42 No. 1 (2026): 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/av2kcg61

Abstract

Introduction: Vitreous floaters (myodesopsia) can significantly impair patient-reported quality of life (QoL) and visual function. The role of pars plana vitrectomy (PPV) remains debated due to variability in study designs and outcome measures. This systematic review evaluates the association between PPV and patient-reported QoL and visual disturbance outcomes. Methods: A comprehensive search of adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 guidelines identified RCTs and primary observational studies reporting patient-reported outcomes after PPV, Nd:YAG vitreolysis, or observation for symptomatic floaters (minimum 3-month follow-up). Two independent reviewers assessed bias using Cochrane RoB 2.0 and Newcastle-Ottawa Scale. Narrative synthesis was performed. Results: Sixteen studies (2 RCTs, 14 observational; >4,019 eyes) were included. Patient satisfaction after PPV ranged from 84–94%. Best-corrected visual acuity improved by −0.08 logMAR (p<0.0001). NEI VFQ-39 scores increased by 19% (p<0.00001). Contrast sensitivity normalized post-PPV. YAG vitreolysis showed subjective improvement (54% vs. 9% sham) but no contrast sensitivity benefit. Retinal detachment rates were 1.5–10.9%; cataract progression reached 23.5% in phakic patients. Discussion: PPV significantly improves QoL, BCVA, and contrast sensitivity with acceptable safety using small-gauge techniques. YAG is a less invasive alternative for Weiss ring floaters but lacks functional CSF benefit. No large RCTs exist for PPV. Conclusion: PPV for symptomatic floaters is associated with meaningful improvements in QoL and visual function. Standardized, floater-specific PROMs and multicenter RCTs are urgently needed

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