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"Latar Belakang: Ulkus kornea bakteri merupakan penyebab utama buta kornea. Tatalaksana standar ulkus kornea bakteri hingga kini masih terfokus pada eliminasi infeksi melalui antibiotik. Meskipun amplifikasi bateri telah dihentikan, inflamasi sekunder kornea terus berlangsung dan mengakibatkan destruksi kornea lebih lanjut dan sikatriks yang tebal. Tujuan: Untuk mengevaluasi efektivitas dan keamanan terapi kombinasi keratektomi superfisial dengan transplantasi membran amnion dan plasma autolog topikal pada ulkus kornea bakteri sedang dan berat, dalam memfasilitasi penyembuhan dan meminimalisasi inflamasi sekunder kornea. Metode: Uji klinis terandomisasi terbuka. Pembedahan pada kelompok eksperimental dilakukan dalam 72 jam pasca pemberian tiga hari antibiotik inisial. Hasil: Enambelas mata dengan ulkus kornea bakteri diikutkan dalam penelitian ini. Seluruh ulkus sembuh dalam waktu 36 hari pada kelompok eksperimental, dan 54 hari pada kelompok kontrol. Kecepatan epitelisasi kelompok eksperimental lebih cepat dibandingkan dengan kontrol (1,82±1,11 vs 0,97±0,74 mm2/hari, p=0,04, uji t tidak berpasangan). Terdapat kecenderungan pembentukan sikatriks kornea yang lebih tebal pada kelompok kontrol. Pada akhir evaluasi, tajam penglihatan lebih baik didapatkan pada kelompok eksperimental (0,344 ± 0,15 vs 0,196 ± 0,12 pada ulkus sedang, p=0,2, uji t tidak berpasangan; dan 0,14 ± 0,05 vs 0,014 ± 0,02 pada ulkus berat, p<0,01, uji t tidak berpasangan). Tidak ada komplikasi pada kelompok eksperimental, namun terdapat dua komplikasi pada kelompok kontrol. Simpulan: Terapi kombinasi keratektomi superfisial dengan transplantasi membran amnion dan plasma autolog topikal pada ulkus kornea bakteri terbukti lebih efektif dan aman dibandingkan terapi antibiotik konvensional. Terapi ini mempercepat epitelisasi dan penyembuhan ulkus, sehingga membentuk sikatriks kornea yang lebih tipis dengan tajam penglihatan lebih baik.

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Background: Bacterial corneal ulcer is a leading cause of corneal blindness. Up to now, the standard treatment for bacterial corneal ulcer is limited to the elimination of infection with antibiotic. However, the secondary tissue inflammation may still persist, leading to further corneal tissue destruction and dense corneal scar.

Objectives: To evaluate the efficacy and safety of superficial keratectomy, freeze-dried amniotic membrane transplantation and topical autologous plasma as a novel combination therapy in moderate and severe bacterial corneal ulcer, for promoting corneal wound healing and minimizing second injury of the cornea.

Methods: An open randomized controlled trial. The operation in experimental group was performed within 72 hours after three days application of initial antibiotic.

Results: Sixteen eyes of bacterial corneal ulcers were enrolled. All ulcers were healed within 36 days in the experimental group, compared to 54 days in the control group. Epithelialization rate of the experimental group was significantly faster than the control group (1,82±1,11 vs 0,97±0,74 mm2/day, p=0,04, unpaired t-test). Dense corneal scarring was more likely marked in the control group. Higher visual acuity at the last follow-up was achieved in the experimental group (0,344±0,15 vs 0,196±0,12 for moderate cases, p=0,2, unpaired t-test; and 0,14±0,05 vs 0,014±0,02 for severe cases, p<0,01, unpaired t-test). None complication was found in experimental group, while two complications (impending perforation and limbal damage) were noted within the control group.

Conclusions: Combination of superficial keratectomy with amniotic membrane transplantation and topical autologous plasma shows its benefits and safety for bacterial corneal ulcers. It promotes early epithelialization and corneal wound healing, thus achieving less corneal scarring with better visual acuity than conventional antibiotic therapy."

"[ABSTRAKTujuan : Mengevaluasi ada tidaknya perbedaan kualitas air mata pada penderita glaukoma yangmengalami mata kering antara yang diberi tetes mata sodium hialuronat 0,1% mengandung bahanpengawet benzalkonium klorida dan tetes mata sodium hialuronat 0,1% tanpa bahan pengawet.Metode : Penelitian ini merupakan penelitian prospektif terandomisasi. 30 pasien glaukoma yangmengalami mata kering dirandomisasi ke dalam kedua kelompok. Kelompokpertama,mendapatkan obat tetes mata artificial tear mengandung sodium hialuronat 0,1% denganpengawet benzalkonium klorida, sedangkan kelompok II, mendapatkan obat tetes mata artificialtear mengandung sodium hialuronat 0,1% tanpa pengawet selama 1 bulan. Pemeriksaan Schirmertest, TFBUT, OPI, dan sitologi impresi dilakukan pada kedua kelompok baik sebelum dan sesudah1 bulan penetesan obat tetes mata artificial tear.Results: Nilai median sitologi impresi sel goblet pasca penetesan artificial tear meningkat padakelompok I (118,15-485) dan kelompok II (67.0-200), namun secara statistik tidak ada perbedaanbermakna. Nilai rata ? rata TFBUT pasca penetesan pada kelompok I (14,45±7,85) dan kelompokII (13,91±7,46) meningkat dibandingkan sebelum penetesan, serta secara statitstik memilikiperbedaan yang bermakna. Nilai Schirmer test dan OPI pasca penetesan pada kedua kelompokmengalami peningkatan secara klinis dibandingkan sebelum penetesan, namun tidak terdapatperbedaan bermakna secara statistik.Conclusions : Pemberian artificial tear mengandung sodium hialuronat 0,1% baik denganpengawet maupun tanpa pengawet selama 1 bulan memberikan peningkatan Schirmer test,TFBUT,OPI dan sitologi impresi sel goblet.

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ABSTRACTObjectives: To evaluate the difference of quality of tears between glaucoma patients sufferingfrom dry eyes treated with 0.1% sodium hyaluronat eyedrops with preservativebenzalconiumchloride and those treated with 0.1% sodium hyaluronat eyedrops withoutpreservative.Methods: This is a randomized prospective study. Subjects were 30 glaucoma patients sufferingfrom dry eyes, whom later randomized into two groups. Group I was treated with artificial tearseye drops, which contained 0.1% sodium hyaluronat and benzalconium chloride preservative,whereas Group II was treated with artificial tears eye drops, which contained 0.1% sodiumhyaluronat without preservative for one-month duration. Before and after the treatment withartificial tears eyedrops, subjects of both groups were tested with Schirmer test, TFBUT, OPI, andimpression cytology.Results: The median of goblet cells in impression cytology after treatment with artificial tears eyedrops increased in group I (118, 15 ? 485) and group II (67, 0 ? 200), even though not statisticallysignificant. Mean TFBUT after treatment was also higher in Group I (14.45±7.85) and Group II(13.91±7.46), yet not statistically significant. Schirmer test and OPI results after treatment showeda clinical improvement in both groups, however no statistic result was found to be significant.Conclusions: Treatment with artifical tears eye drops containing 0.1% sodium hyaluronat with orwithout preservative for one month will improve Schirmer test, TFBUT, OPI, and goblet cellsimpressions cytology result on glaucoma patients suffering from dry eyes.;Objectives: To evaluate the difference of quality of tears between glaucoma patients sufferingfrom dry eyes treated with 0.1% sodium hyaluronat eyedrops with preservativebenzalconiumchloride and those treated with 0.1% sodium hyaluronat eyedrops withoutpreservative.Methods: This is a randomized prospective study. Subjects were 30 glaucoma patients sufferingfrom dry eyes, whom later randomized into two groups. Group I was treated with artificial tearseye drops, which contained 0.1% sodium hyaluronat and benzalconium chloride preservative,whereas Group II was treated with artificial tears eye drops, which contained 0.1% sodiumhyaluronat without preservative for one-month duration. Before and after the treatment withartificial tears eyedrops, subjects of both groups were tested with Schirmer test, TFBUT, OPI, andimpression cytology.Results: The median of goblet cells in impression cytology after treatment with artificial tears eyedrops increased in group I (118, 15 – 485) and group II (67, 0 – 200), even though not statisticallysignificant. Mean TFBUT after treatment was also higher in Group I (14.45±7.85) and Group II(13.91±7.46), yet not statistically significant. Schirmer test and OPI results after treatment showeda clinical improvement in both groups, however no statistic result was found to be significant.Conclusions: Treatment with artifical tears eye drops containing 0.1% sodium hyaluronat with orwithout preservative for one month will improve Schirmer test, TFBUT, OPI, and goblet cellsimpressions cytology result on glaucoma patients suffering from dry eyes., Objectives: To evaluate the difference of quality of tears between glaucoma patients sufferingfrom dry eyes treated with 0.1% sodium hyaluronat eyedrops with preservativebenzalconiumchloride and those treated with 0.1% sodium hyaluronat eyedrops withoutpreservative.Methods: This is a randomized prospective study. Subjects were 30 glaucoma patients sufferingfrom dry eyes, whom later randomized into two groups. Group I was treated with artificial tearseye drops, which contained 0.1% sodium hyaluronat and benzalconium chloride preservative,whereas Group II was treated with artificial tears eye drops, which contained 0.1% sodiumhyaluronat without preservative for one-month duration. Before and after the treatment withartificial tears eyedrops, subjects of both groups were tested with Schirmer test, TFBUT, OPI, andimpression cytology.Results: The median of goblet cells in impression cytology after treatment with artificial tears eyedrops increased in group I (118, 15 – 485) and group II (67, 0 – 200), even though not statisticallysignificant. Mean TFBUT after treatment was also higher in Group I (14.45±7.85) and Group II(13.91±7.46), yet not statistically significant. Schirmer test and OPI results after treatment showeda clinical improvement in both groups, however no statistic result was found to be significant.Conclusions: Treatment with artifical tears eye drops containing 0.1% sodium hyaluronat with orwithout preservative for one month will improve Schirmer test, TFBUT, OPI, and goblet cellsimpressions cytology result on glaucoma patients suffering from dry eyes.]"

"Tujuan: Menilai keamanan rebusan daun sirih terhadap kornea, konjungtiva dan bilik mata depan kelinci New Zealand White Metode: Penelitian ini merupakan uji eksperimental pada kelinci percobaan. Rebusan daun sirih yang diuji terdiri dari 3 konsentrasi yaitu 5%, 10% dan 20%. Penilaian dilakukan secara klinis pada jam ke 1, 24, 48 dan 72. Pemeriksaan histopatologi dilakukan pada jam ke 72. Hasil penelitian akan didasarkan pada protokol The Organization for Economic Cooperation and Development (OECD) guideline for "Acute Eye Irritation/Corrosion" no 405 Hasil: Hasil pemeriksaan klinis pada mata kelinci untuk semua konsentrasi rebusan daun sirih tidak menunjukkan reaksi toksik pada jam ke 1 - 72. Pada pemeriksaan histopatologis jam ke 72, tidak ditemukan sebukan sel radang maupun kerusakan sel pada kornea dan konjungtiva untuk semua konsentrasi rebusan daun sirih. Kesimpulan: Rebusan daun sirih konsentrasi 5%, 10% dan 20% aman pada mata kelinci untuk pemakaian dalam jangka waktu singkat (72 jam). Penelitian ini sebaiknya dilanjutkan untuk melihat keamanannya pada mata manusia."

"ABSTRAK Tesis ini bertujuan menilai perbandingan efektivitas injeksi intravitrealvorikonazol 100 µg/0.1 mL dengan amfoterisin B 5 µg/0.1 mL pada endoftalmitisakibat Aspergillus flavus di hewan coba kelinci. Uji eksperimental tersamar acakdilakukan pada 15 kelinci albino New Zealand white yang terbagi menjadi tigakelompok, yaitu kelompok vorikonazol, amfoterisin B, dan kontrol. Parameteryang dinilai adalah perubahan klinis, pemeriksaan mikologi, dan perubahanhistopatologi jaringan. Perubahan skor klinis di akhir evaluasi tidak berbedabermakna antara kelompok vorikonazol dengan amfoterisin B, namun respons klinis cenderung lebih baik pada kelompok vorikonazol. Jumlah koloni jamur terkecil dan berbeda bermakna didapatkan pada kelompok amfoterisin B. Tidakdidapatkan perbedaan bermakna pada rerata nilai histopatologi jaringan keduakelompok, namun derajat inflamasi cenderung lebih ringan pada kelompok vorikonazol.ABSTRACT The purpose of this study was to compare the efficacies of intravitreal 100 µg voriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in anexogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimentalstudy was conducted on 15 albino New Zealand white rabbits, which latter allocated into three differenttreatment group of voriconazole, amphotericin B, and control. Clinical grading were performed at multiple times, while mycology analysis and histopathological examination were performed at 10 daysafter treatment. No significant change in clinical grading was found between the treatment group, but voriconazole group showed better response tendency. The smallest number of fungal colony forming unit was found significantly in theamphotericin B group. No significant difference was found, however, between the mean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. ;The purpose of this study was to compare the efficacies of intravitreal 100 µgvoriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in anexogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimentalstudywasconductedon15albinoNewZealandwhiterabbits,whichlatterallocatedintothreedifferenttreatmentgroupofvoriconazole,amphotericinB,and control. Clinical grading were performed at multiple times, whilemycology analysis and histopathological examination were performed at 10 daysafter treatment. No significant change in clinical grading was found between the treatment group, but voriconazole group showed better response tendency. The smallest number of fungal colony forming unit was found significantly in theamphotericin B group. No significant difference was found, however, between themean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. ;The purpose of this study was to compare the efficacies of intravitreal 100 µgvoriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in anexogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimentalstudywasconductedon15albinoNewZealandwhiterabbits,whichlatterallocatedintothreedifferenttreatmentgroupofvoriconazole,amphotericinB,and control. Clinical grading were performed at multiple times, whilemycology analysis and histopathological examination were performed at 10 daysafter treatment. No significant change in clinical grading was found between the treatment group, but voriconazole group showed better response tendency. The smallest number of fungal colony forming unit was found significantly in theamphotericin B group. No significant difference was found, however, between themean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. ;The purpose of this study was to compare the efficacies of intravitreal 100 µgvoriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in anexogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimentalstudywasconductedon15albinoNewZealandwhiterabbits,whichlatterallocatedintothreedifferenttreatmentgroupofvoriconazole,amphotericinB,and control. Clinical grading were performed at multiple times, whilemycology analysis and histopathological examination were performed at 10 daysafter treatment. No significant change in clinical grading was found between the treatment group, but voriconazole group showed better response tendency. The smallest number of fungal colony forming unit was found significantly in theamphotericin B group. No significant difference was found, however, between themean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. "

"Latar belakang: Pekerja pengelasan berisiko mengalami fotokonjungtivitis akibat dari pajanan radiasi sinar ultraviolet yang dihasilkan dari proses pengelasan. Dibutuhkan alat pelindung diri terutama kacamata las untuk mengurangi risiko terjadinya fotokonjungtivitis. Penelitian bertujuan untuk mengetahui insiden fotokonjungtivitis dan mengetahui hubungan perilaku penggunaan kacamata las dengan insiden fotokonjungtivitis serta mengetahui hubungan faktor-faktor risiko dengan insiden fotokonjungtivitis pada pekerja pengelasan.Metode: Desain penelitian menggunakan kohort prospektif tanpa pembanding. Jumlah sampel dalam penelitian sebanyak 37 orang diambil secara total sampling. Penelitian dilakukan pada bulan Januari sampai dengan Februari 2017 di sebuah pabrik otomotif di Jakarta. Variabel yang diteliti adalah perilaku penggunaan kacamata las, umur, status pernikahan, status gizi, visus, lama pajanan, jarak pengelasan dan masa kerja.Hasil: Insiden fotokonjungtivits pada pekerja pengelasan sebesar 18,9 . Hasil analisis bivariat didapatkan hubungan bermakna antara perilaku penggunaan kacamata las dengan insiden fotokonjungtivitis p=0,000; RR=16,000 , faktor lain yang memiliki hubungan bermakna dengan insiden fotokonjungtivitis yaitu status pernikahan p=0,015; RR=5,714 , lama pajanan p=0,033; RR=7,059 , jarak pengelasan p=0,016; RR=6,188 dan masa kerja p=0,027; RR=4,833 . Hasil analisis multivariat didapatkan perilaku penggunaan kacamata las merupakan faktor risiko yang paling dominan yang mempengaruhi insiden fotokonjungtivitis p = 0,036 dan RR kesesuaian = 13,847 .Kesimpulan: Insiden fotokonjungtivitis pada pekerja pengelasan sebesar 18,9 . Perilaku penggunaan kacamata las memiliki hubungan signifikan dengan insiden fotokonjungtivitis.

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Background Welders at risk of photoconjunctivitis due to ultraviolet exposure derived from the welding process. It takes personal protective equipment, especially welding goggles to reduce the risk of photoconjunctivitis. This study aims to determine the incidence of photoconjunctivitis and determine association between behavior of use welding goggles with incidence photoconjunctivitis and to determine the association of risk factors with incidence photoconjunctivitis among welders.Method This study used a non comparison cohort prospective design study. The number of samples in the study were 37 people taken by total sampling. The study was conducted in January to February 2017 at an automotive factory in Jakarta. The variables studied were behavior use of welding goggles, age, marital status, nutritional status, visus, duration of exposure, welding distance and work period.Result Incidence of photoconjunctivitis among welders was 18,9 . Bivariat anlysis results showed significant association between behavior use of welding goggles with incidence of photoconjunctivitis p 0,000 RR 16,000 , other factors that have a significant association with incidence of photoconjunctivitis ie marital status p 0,015 RR 5,714 , duration of exposure 0.033 RR 7.059 , welding distance p 0.016 RR 6.188 and work period p 0.027 RR 4.833 . The result of multivariate analysis showed that the most dominant risk factor was the behavior use of welding goggles p 0,036 RR adjusted 13,847 .Conclussion Incidence of photoconjunctivitis among welders was 18,9 . Behavior use of welding goggles had association significant with incidence of photoconjunctivitis. "

"Latar belakang dan tujuanDry eye merupakan kelainan yang paling sering ditemui dalam bidang ilmu kesehatan mata dan sering dialami oleh wanita menopause. Gejala yang dikeluhkan pasien yaitu mata terasa perih, seperti ada pasir, lengket, gatal, pegal, merah, rasa menusuk, rasa terbakar, cepat merasa mengantuk dan cepat lelah. Keluhan ini mengganggu aktivitas pasien sehari-hari. Akupunktur dapat memperbaiki keluhan pasien dry eye. Penelitian ini bertujuan untuk mengetahui efek dan angka keberhasilan akupunktur terhadap perbaikan nilai Uji Schirmer I dan Skor OSDI dibandingkan dengan Carboxymethyl-celullose CMC 0,5 pada dry eye yang dialami wanita menopause.MetodePenelitian ini menggunakan metode kuasi eksperimental. Penelitian terdiri atas 69 pasien dry eye yang dialami wanita menopause terdiri dari 23 orang kelompok CMC 0,5 , 23 orang kelompok 1x akupunktur dan 23 orang kelompok 2x akupunktur. Pada kelompok CMC 0,5 diberikan obat tetes mata CMC 0,5 4 kali 1 tetes setiap hari selama 7 hari. Pada kelompok 1x akupunktur dilakukan penusukan pada titik Ex HN3 Yintang, GB 1 Tongziliao, BL1 Jingming, LI 4 Hegu, LR 3 Taichong, SP6 Sanyinjiao dan GB 37 Guangming selama 20 menit. Pada kelompok 2 kali akupunktur dilakukan penusukan pada titik yang sama dan diulang pada hari ketiga setelah perlakuan pertama. Dilakukan evaluasi efek terapi pada hari ke-1, hari ke-3, hari ke-7 dan hari ke-14 pasca perlakuan.HasilAkupunktur mempunyai efek dalam meningkatkan nilai uji Schirmer I dan menurunkan skor OSDI. Angka keberhasilan CMC 0,5 87 , 1x akupunktur 91.3 dan 2x akupunktur 100 terhadap nilai uji Schirmer I pada evaluasi hari ke-7 pasca perlakuan. Angka keberhasilan CMC 0,5 91.3 , 1x akupunktur 87 dan 2x akupunktur 100 terhadap skor OSDI pada evaluasi hari ke-7 pasca perlakuan. Tidak ada efek samping yang timbul pada penelitian ini.KesimpulanEfek Akupunktur sama baiknya dengan tetes mata CMC 0,5 dalam memperbaiki Uji Schirmer I dan Skor OSDI pada dry eye yang dialami wanita menopause.

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Background and aimDry eye is most common condition reported by patients who seek opthalmologic care and by menopause women. The symptoms are ocular discomfort, foreign body sensation, sandiness, grittiness, itching,stinging, redness, blurring, burning, sleepiness and tired eyes. These symptom disturb patient rsquo s daily activity. Acupuncture can improve dry eye patient rsquo s complain. This study aim is to evaluate acupuncture efficacy in improving schirmer test I and OSDI score compared CMC 0,5 for dry eye in menopause women.MethodsThis study used the quasi experimental clinical trial. The study consist of 69 patient rsquo s dry eye in menopause women which divided in to 23 patients for CMC 0,5 group, 23 patients for once acupuncture group and 23 patients for twice acupuncture group. In CMC 0,5 group, patients was given 4 times 1 drop everyday for 7 days. In once acupuncture group, acupuncture was doing on Ex HN3 Yintang, GB 1 Tongziliao, BL1 Jingming, LI 4 Hegu, LR 3 Taichong, SP 6 Sanyinjiao dan GB 37 Guangming for 20 minutes. In twice acupuncture group, acupuncture was doing at the same points on the first day and repeated on the 3rd day after the first one. Evaluation was performed at the first, third, seventh and fourtenth days after first therapy.ResultAcupuncture has effect in increase Schirmer I test and decrease OSDI score. The efficasy CMC 0,5 87 , 1x acupuncture 91.3 dan 2x acupuncture 100 in increasing Schirmer I test on the seventh day evaluation. The efficasy of CMC 0,5 91.3 , 1x acupuncture 87 dan 2x acupuncture 100 in decreasing OSDI score on the seventh day evaluation. No side effect happened in this study.ConclusionAcupuncture can improve Schirmer Test I and OSDI score on dry eye menopause women as good as CMC 0,5 "

"Tujuan: Menilai perubahan lapisan air mata dan parameter meniskus air matamenggunakan Optical Coherence Tomography (OCT) sebelum dan sesudahpemakaian lensa kontak hydrogel konvensional dan silikon hydrogel. Metode: 52sukarelawan miopia ringan-sedang dilibatkan dalam penelitian ini dan dipilihsecara acak untuk menggunakan bahan hydrogel (Nelfilcon-A) pada satu mata danbahan silikon hydrogel (Lotrafilcon-B) pada mata sebelahnya selama 14 hari.Pemeriksaan lapisan air mata dilakukan melalui pemeriksaan Non-invasive TearBreakup Time dan Schirmer-1, serta parameter meniskus air mata menggunakanOCT sebelum dan 14 hari sesudah penggunaan lensa kontak. Hasil: Subjek terdiridari 80,8% perempuan dan 19,2% laki-laki, dengan usia rerata 22,8±1,79 tahun.Median delta NIBUT (pre-post) adalah -3,4 detik (-11,3-1,4) pada kelompokNelfilcon-A dan -4,6 detik (-18,5-2,7) pada kelompok Lotrafilcon-B (p=0,008).Median delta Schirmer 1 didapatkan tidak terdapat perbedaan bermakna antarakedua kelompok LKL. Median delta tinggi meniskus air mata pada adalah -18,5 (-57,0-96,0) μm pada kelompok Nelfilcon-A dan -11,5 (-53,0-87,0) μm padakelompok Lotrafilcon-B (p=0,556). Median dimensi delta area meniskus air mataadalah -1795,0 (-7596-4372) μm2 pada kelompok Nelfilcon-A dan -1181,5 (-8188-8770) μm2 pada kelompok Loftrafilcon-B (0=0.728) μm2. Median delta volumemeniskus air mata adalah -0.08 (-0.29-0.18) μL pada kelompok Nelfilcon-A dan -0.08 (-0.32-0.34) pada kelompok Lotrafilcon-B. Tidak ditemukan adanyaperbedaan bermakna antara parameter meniskus air mata di kedua kelompok LKL.Tidak terdapat korelasi antara NIBUT, tes Schirmer-1 dan parameter meniskus airmata. Kesimpulan: Penggunaan lensa kontak Nelfilcon-A harian dan Lotrafilcon-B mingguan selama 2 minggu dapat menyebabkan perubahan lapisan air mata(NIBUT memendek dan penurunan parameter meniskus air mata)."

"ABSTRAKTesis ini bertujuan menilai perbandingan efektivitas terapi adjuvan injeksi kombinasi intrastromal IS dan intrakameral IK vorikonazol VCZ dengan intrastromal IS VCZ pada ulkus kornea jamur derajat sedang akibat Aspergillus fumigatus. Uji eksperimental tersamar acak dilakukan pada 11 kelinci albino New Zealand white yang terbagi menjadi 3 kelompok, yaitu kontrol, injeksi intrastromal, serta intrastromal dan intrakameral. Parameter yang dinilai adalah perubahan klinis, mikologis, dan histopatologik kornea. Sebagian besar subjek pada grup kombinasi memperlihatkan kecendrungan perbaikan klinis dibandingkan kelompok kontrol namun tidak bermakna secara statistik p>0,05 . Pemeriksaan histopatologik memperlihatkan kecenderungan peningkatan jumlah sel radang pada kelinci yang dilakukan inokulasi pada kedua matanya.

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ABSTRACTThe purpose of this study was to compare the efficacy of intrastromal IS and combined with intracameral IK voriconazole VCZ therapy in moderate keratomycosis caused by Aspergillus fumigatus in rabbits. A randomized, masked, controlled experimental study was administered on 11 albino New Zealand white rabbits, which latter allocated into three different treatment groups of control, intrastromal VCZ and combinations. Clinical grading was performed at multiple times, while mycology analysis and histopathological examination were performed after treatment. All subjects in combination groups demonstrated a tendency of better clinical response with decreasing size of epithelial defect and infiltrate but statistically not significant p 0,05 . "

"Latar Belakang : Pasien Non-Proliferative Diabetic Retinopathy (NPDR), Proliferative Diabetic Retinopathy (PDR) dengan neuropati kornea akan mengalami terganggunya stabilitas air mata. Penurunan sekresi dan konsituen air mata akan menyebabkan gangguan berupa mata kering. Pada pasien Diabetes dengan retinopati diabetik, gangguan kornea ini berpotensi lebih memperburuk gangguan penglihatan yang terjadi. Tujuan : Menilai stabilitas air mata pada pasien NPDR, PDR dengan neuropati kornea sebelum, sesudah diberikan tetes mata Sodium hyaluronat+Vitamin A,E (HA+Vit A,E) atau Sodium Hyaluronat saja (HA). Metodologi : Penelitian ini merupakan uji eksperimental randomisasi acak terkontrol, dengan dua kelompok utama (NPDR, PDR), kedua kelompok mendapatkan tetes mata HA+Vit A,E atau HA selama 28 hari. Sensitivitas kornea, Skoring Ocular Surface Disease Index (OSDI), Non-Invasive Break Up Time (NIBUT), Schirmer I, jumlah sel goblet konjungtiva dinilai pada 0, 2, 4 minggu. Hasil : 96 subyek berpartisipasi, 65.6% wanita, 34.4% laki-laki (rerata usia 54.4 tahun). Skor OSDI memperlihatkan perbaikan signifikan, nilai terbesar pada kelompok PDR HA+Vit A,E dengan -4.86±5.76 (P= 0.000), NIBUT memperlihatkan perbaikan signifikan, nilai terbesar pada kelompok NPDR HA dengan 4.79±2.63 (P= 0.000), Schirmer I memperlihatkan perbaikan signifikan, hasil terbesar pada kelompok NPDR HA dengan 2.41±2.35 (P= 0.000). Sitologi impressi konjungtiva memperlihatkan perbaikan signifikan, terutama pada kelompok NPDR HA+Vit A,E (66% perbaikan). Seluruh kelompok memperlihatkan perbaikan signifikan, tetapi perbaikan antar kelompok tidak bermakna. Kesimpulan : Parameter seluruh kelompok memperlihatkan perbaikan yang signifikan setelah diberikan tetes mata HA+Vit A,E maupun HA saja, Tetapi jika dibandingkan antar kelompok, tidak terdapat perbedaan perbaikan yang signifikan.

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Background : Patient with Non-Proliferative Diabetic Retinopathy (NPDR), Proliferative Diabetic Retinopathy (PDR) with corneal neuropathy will experiencing disruption in tear film stability. Decrease in tear film secretion and constituent will cause dry eyes. In Diabetic patients with diabetic retinopathy, this corneal disorder has the potential to further worsen visual impairment.

Purpose : To Assess tear film stability in NPDR, PDR patients with corneal neuropathy before, after treatment with topical Sodium hyaluronat+Vitamin A,E (HA+Vit A,E) or Sodium Hyaluronat only (HA).

Method : This study was a double blind experimental randomized control trial with two parallel groups (NPDR, PDR), both group receives HA+Vit A,E or HA for 28 days. Corneal sensitivity, Ocular Surface Disease Index (OSDI), Non-Invasive Break Up Time (NIBUT), Schirmer I, conjungtival goblet cells will be assessed on 0, 2, 4 weeks.

Result : 96 subjects participated, 65.6% female, 34.4% male, mean age 54.4 years old. OSDI score shows significant improvement, highest improvement seen on PDR HA+Vit A,E with -4.86±5.76 (P= 0.000), NIBUT hows significant improvement, highest improvement seen on NPDR HA with 4.79±2.63 (P= 0.000), Schirmer I shows significant improvement, highest improvement seen on NPDR HA with 2.41±2.35 (P= 0.000). Conjungtival goblet cells shows significant improvement, highest improvement seen on NPDR HA+Vit A,E (66% improved). All groups shows shows significant improvement, but between groups the improvement was not statistically significant.

Conclusion : Parameters on all groups shows statistically significant improvement after topical HA+Vit A,E or HA. But, if compared between groups, the improvement was not significantly differed."

"Latar belakang: Kelainan kornea merupakan salah satu penyebab utama kebutaan dan gangguan penglihatan di Indonesia. Penanganan gangguan penglihatan karena kornea terhambat karena terbatasnya jumlah donor kornea. Pendekatan rumah sakit yang dipengaruhi oleh pengetahuan, sikap, dan perilaku tenaga kesehatan terhadap pelayanan donor kornea dapat menjadi strategi mengatasi kekurangan donor kornea. Tujuan: Mengetahui gambaran pengetahuan, sikap, dan perilaku perawat di Rumah Sakit dr. Cipto Mangukusumo (RSCM) terhadap pelayanan donor kornea. Metode penelitian: Pemilihan subjek menggunakan teknik quota sampling dan pengisian kuesioner yang teruji validitas dan reliabilitasnya. Hasil: Terdapat 422 responden dengan proporsi unit instalasi gawat darurat, ruang rawat inap intensif, ruang rawat inap non intensif, rawat jalan, dan ruang operasi secara berurutan sebesar 8,3%, 13,7%, 50%, 16,6%, dan 11,4%. Sebagian besar responden memiliki pengetahuan kurang (55,4%), sikap positif (50,2%), dan perilaku baik (59,5%). Terdapat hubungan signifikan antara tingkat pengetahuan dan sikap responden terhadap perilaku, namun tidak terdapat hubungan antara faktor demografi dengan perilaku. Usia ≤ 36 tahun, pengetahuan baik, dan sikap positif merupakan faktor prediktor perilaku baik. Kesimpulan: Terdapat hubungan antara pengetahuan dan sikap terhadap perilaku perawat RSCM terhadap pelayanan donor kornea di rumah sakit.

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Background: Corneal blindness is one of the leading cause of blindness and visual disturbances in Indonesia. The management of corneal blindness in Indonesia is impeded by the rarity of corneal donor. Hospital approach affected by knowledge, attitude, and practice of health workers could be a strategy to improve the scarcity of corneal donor. Purpose: Determine the knowledge, attitude, and practice of nurses in RSCM toward hospital corneal procurement Methods: Subjects are chosen by quota sampling and surveyed with a valid and reliable questionnaire. Results: There were 422 respondents with the proportion of emergency ward, intensive care, non-intensive care, polyclinics of 8.3%, 13.7%, 50%, 16.6%, and 11.4% respectively. Most of the respondent were lacking in knowledge (55.4%), had positive attitude (50.2%), and had good practice (59.5%). There were significant correlation between knowledge and attitude towards practice but no significant correlation found between demographic factors to practice. Age ≤ 36 years old, good knowledge, and positive attitudes are predictor factors for good practice. Conclusion: There were correlation between knowledge and attitude of health workers in RSCM towards practice of corneal donor procurement in hospital."