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Journal : Ophthalmologica Indonesiana

Outdoor Activities and Myopia on Junior High School Student in Rural Area of Bali Ni Made Ari Suryathi; I Putu Budhiastra; Ariesanti Tri Handayani
Majalah Oftalmologi Indonesia Vol 44 No 1 (2018): Ophthalmologica Indonesiana
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/journal.v44i1.159

Abstract

Introduction and Aims. Refractive errors such as miopia, hyperopia and astigmatism in teenagers are common in Asian country nowadays. Gadget usage also influence the prevalence and incidence of refractive errors specially for miopia and astigmatism. Outdoor activities have positive impact to prevent miopia. The aim of this study is to report the role of outdoor activities as unique school program that could prevent refractive errors in Junior High School in rural area of Bali Method. This is analytic descriptive study with cross sectional approach of 231 Pekutatan II Junior High School students taken in December 2016. This school located in rural area; 35,3 km from Jembarana and 60,5 km from Denpasar, the capital city of Bali. The area of the school is about 1500 m2, where 70% of the land are still vacant to natural habitat and this school had their own garden area that being organized by the students themselves after school hours. This school do not have computer extra curriculum as well. Result. From 231 students there were only 14 students that have refractive errors consist of 5 boys and 9 girls, mostly aged 15 years. Six students (2%) were diagnosed as myopia and 8 students (3.4%) were diagnosed as compound astigmatism myopia. The length of gadget usage in this school were 1.66 hours and outdoor activities time were 4.78 hours per day. The hereditary factors of refractive errors were noted in 12 students (5 %). Outdoor activities associated with refractive errors in this study (p = 0.03). While time using gadget does not have an association with the refractive errors (p = 0.38). Conclusion. Rural area where the outdoor activities are still common have protective effect to prevalence of refractive errors in teenager.
Tear Break Up Time Pattern in Medical Students After COVID-19 Pandemic NI KADEK PUSPA MEGA PUTRI SUDIBIA; Ariesanti Tri Handayani
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/ep09d087

Abstract

Introduction & ObjectivesCOVID-19 pandemic makes most activities are carried out online with using the VDT. Tear Break UpTime (TBUT) examination is a short and fast examination and is able to determine damage to thetear film and subjective examination using the OSDI Questionnaire. This study aimed to assess TBUTpattern in medical students after COVID-19 pandemic regarding VDT used for online learningactivities. MethodsThis study is an observational analytic study with a cross-sectional approach. The difference inproportion between TBUT results based on gender was analyzed using chi-square test. Statisticalanalysis was carried out using a multivariate test based on the results of data normality. The onewayANOVA test is used for normally distributed data, while Kruskall-Wallis is used if the data is notnormally distributed. ResultsA total of 75 subjects were included in the study, consisting of 53 females (70,7%) and 22 males(29.3%). Average use of VDT 8 hours per day. The average TBUT in both eyes were < 10 secondsand random breaks was the most common pattern seen in this study (61,3% OD and 62,7% OS).There was no significant difference between TBUT and gender but there was statistically significantdifference between OSDI score and TBUT. ConclusionLongterm use of VDT may be affect TBUT and subjective symptoms shown by OSDI score. Randombreak was the most common pattern seen in young adults in relation with VDT use.
Prevalence and characteristics Of miopia in elementary school children in Badung District , 2018 THEDIUS WATU; Ariesanti Tri Handayani; Putra Manuaba
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/adqspq76

Abstract

Introduction & ObjectivesRefractive disorders are the second most common cause of blindness at all ages after cataracts andare the leading cause of visual impairment in the world. The World The most common refractivedisorder in students especially in Asia is miopia. This study aims to determine the prevalence andcharacteristics of miopia in elementary school children in Badung Regency, Bali. MethodsThis research is an observational with analytic cross-sectional study approach. Data were collectedprospectively in children in four elementary schools in Badung, Bali. To assess the relationshipbetween sex, age, history of wearing glasses in parents and duration of near work activity withmyopia using chi-square. ResultsThe subjects were 1,067 students, consisting of 557 (52.2%) women and 510 (47.8%) men, the mostage was 9 years (19.1%), the average duration of near work activity was 83.79 ± 29, 46 hours/week,152 students (14.24%) with refractive disorders and bilateral myopia were the most refractivedisorders (65.8%). Of the 150 students with miopia, 60% were female students, aged at most 11years (28%), 90% of students had uncorrectedmiopia, 68% of parents of students without miopia,mean near work activity was 81,71±23,30 hours / week. No significant relationship was foundbetween sex and age and the prevalence of myopia. Significant relationship was found between theuse of glasses in parents and the length of close-up activity with myopia with PR=7.35 (95% CI:7.10-10.56) and PR=1.177 (95% CI 1.05-1.78). ConclusionThere are differences in the characteristics of miopia in primary school students between urban andremote areas and between developed and developing countries due to sociodemographicdifferences, level of education, type of activity, income and culture.
Prosthetic Contact Lens Combined with Strabismus Surgery : Confronting Psychosocial Prejudice in Anomalous and Misaligned Eyes: Poster Presentation - Case Report - Resident PRISCILLA DWIANGGITA; Ariesanti Tri Handayani; Ni Made Ayu Surasmiati
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/j2hr6d77

Abstract

Introduction : Patients with defects in the cornea such as abnormal size, opacities as well as misalignment of the eyes may feel inferior about their physical appearance. Such patients will benefit from prosthetic contact lenses (CL) and strabismus surgery to restore anatomical appearance. The majority of patients also seek strabismus surgery for both cosmetic and psychosocial reasons along with decreased levels of anxiety and depression. Our goal not merely cosmetic, but also improving psychosocial health and quality of life. Case Illustration : We reported a 14-year-old male with complaints of white spot on his left eye and squint since birth. On ophthalmology examination, we found 45 degree esotropia with BCVA 6/6 in the right eye and 1/300 in the left eye. Corneal diameter was 10 mm and 9 mm on the right and left eye, respectively. He was diagnosed with right eye posterior embryotoxon, left eye corneal dystrophy, microcornea on both eye, congenital esotropia and deprivative amblyopia. He had developed low self-esteem due to his eyes. To enhance his appearance, left eye lateral rectus resection and medial rectus recession with adjustable suture was done to align the eye. Afterwards, brown-tinted soft contact lens with power -0.50 D, diameter 14,2 mm, and base curve 8,5 mm was given to disguise the corneal opacities and microcornea. Patient felt very satisfied with the result. Discussion : Conclusion : Prosthetic contact lens combined with strabismus surgery provides satisfactory cosmetic and psychosocial benefit with minimal complications. As clinicians, functional, cosmetic and psychosocial indications must be considered for a comprehensive management.