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All Journal Global Medical and Health Communication Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Paediatrica Indonesiana Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Ophthalmologica Indonesiana Vision Science and Eye Health Journal

Rozalina Loebis

1. Departemen Ilmu Kesehatan Mata, Fakultas Kedokteran, Universitas Airlangga, Surabaya 2. RSUD Dr. Soetomo, Surabaya

Author-ID : 3412424

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Articles

The Effect of 20-20-20 Rule Dissemination and Artificial Tears Administration in High School Students Diagnosed with Computer Vision Syndrome Bambang Subakti Zulkarnain; Aniek Setiya Budiatin; Toetik Aryani; Rozalina Loebis
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 7, No 1 (2021): March
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Computers and gadgets are modern tools for assisting Senior High School students’ work. However, using gadgets more than 2 hours a day may cause computer vision syndrome (CVS), which can interfere with academic activities. CVS main symptom is dry eyes. CVS could be prevented by applying the 20-20-20 rule and artificial tears. A total of 100 students from two public high schools in Kediri with 50 students from each school were selected for this community service. All students diagnosed with CVS participated in the dissemination of 20-20-20 rule and artificial tear administration. The pre-test and post-test scores, the Tear Break Up Time Test (TBUT) and the Ocular Disease Surface Index (OSDI) were measured within two weeks. TBUT and OSDI are parameters for measuring dry eye. Likewise, interviews were conducted to assess the adherence to the 20-20-20 rule and artificial tea administration. The results showed the knowledge level increased (p <0.0001). Most students understood 20-20-20 rule and how to administer artificial tears correctly. However, the adherence to both methods was approximately 50%. There was an improvement in the TBUT (p <0.0001) for dry eyes but not for OSDI (p> 0.05). Applying the 20-20-20 rule and artificial tears could be used for CVS treatment.

Pengaruh Penggunaan Gadget terhadap Penurunan Kualitas Penglihatan Siswa Sekolah Dasar Andriana Kirana Puspa; Rozalina Loebis; Djohar Nuswantoro
Global Medical & Health Communication (GMHC) Vol 6, No 1 (2018)
Publisher : Universitas Islam Bandung

Layar gadget yang menggunakan tulisan kecil akan memunculkan gejala computer vision syndrome. Lebih dari 90% pengguna komputer dalam waktu lama mengalami mata lelah, penglihatan buram, penglihatan ganda, pusing, dan mata kering. Penelitian ini bertujuan mengetahui kualitas penglihatan siswa-siswi Sekolah Dasar yang menggunakan gadget dalam jangka waktu yang lama. Penelitian analitik observasional cross-sectional dengan 43 subjek di SD Muhammadiyah 4 Surabaya pada Maret–November 2015 dengan mengambil data primer, yaitu kuesioner serta pemeriksaan mata Snellen chart dan tear break-up time test. Hasil kuesioner diolah untuk mengetahui tingkat paparan. Hasil pemeriksaan mata dan tingkat paparan dihitung dengan rasio prevalensi dan uji hipotesis chi-kuadrat dengan tingkat kepercayaan 95%. Hasil kuesioner didapatkan kategori paparan ringan 56%, sedang 23%, dan berat 21%. Pemeriksaan Snellen chart diperoleh hasil tajam penglihatan menurun pada 47% dan normal pada 54%. Hasil tear break-up time test diperoleh mata kering sebanyak 88% dan tidak mengalami sebanyak 12%. Simpulan, seluruh tingkat kategori paparan mempunyai risiko kecil untuk mengalami penurunan atau gangguan tajam penglihatan, tetapi mempunyai risiko yang sama besar untuk mengalami mata kering. THE USING OF GADGET AND ITS EFFECT OF DECREASING THE QUALITY OF ELEMENTARY SCHOLLS STUDENTSThe small fonts in a gadget’s screen evokes the symptoms of computer vision syndrome. More than 90% computer users may experience eyestrain, blurred vision, diplopia, dizziness and dry eyes after prolonged use. The purpose of this study was to ascertain the vision quality in elementary students that has been using gadgets for long period. An observational analytic cross-sectional study in 43 subjects of SD Muhammadiyah 4 Surabaya on March until November 2015 by taking primary data, specifically questionnaire and eye examination Snellen chart and tear break-up time test. The questionnaire’s result will be calculated to acknowledge the level of exposure. The result of the eye examination and level of exposure will be calculated with prevalence ratio and chi-square hypothesis test by 95% confidence interval. The result from the questionnaire was 56% of subjects were light exposure category, 23% were moderate and 21% were severe. The examination with Snellen chart results in the decreasing of visual acuity in 47% subjects and normal in 54% subjects. The results of tear break-up time test was the incidence of dry eyes was 88% and no experience of dry eyes was 12%. In conclusion, all categories of exposure have a small risk of decreased or disorder of visual acuity, but have the similar high-level of risk in experiencing dry eyes.

The Comparison of Visual Acuity After Congenital Cataract Surgery between Children ≤2 Years and >2-17 Years Adam Surya Romadhon; Joni Susanto; Rozalina Loebis
Biomolecular and Health Science Journal Vol. 3 No. 2 (2020): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v3i2.22140

Introduction: Congenital cataract is turbidity occurs in eye lens that present at birth or immediately after. We aim to find out visual acuity after congenital surgery between children under 2 years old and 2-17 years old after following up 3, 6, 12 months.Methods: This was a cross-sectional study. Data were gathered from medical record of congenital cataract aged ≤2 years and >2-17 years including age of surgery, frequency of eyes, sex, laterality, and visual acuity of patients with best corrected visual acuity (BCVA). All data analyzed using Mann-Whitney test.Results: 41 children (67 affected eyes) in which 45 eyes that were operated at aged ≤2 years and 22 eyes were operated at aged >2-17 years. There was average difference of visual acuity between age group of ≤2 years and >2-17 years while following-up 3 months (1.60 ± 0.34 logMAR, 1.23 ± 0.67 logMAR, p = 0,003). Whereas in follow up 6 months (1.23 ± 0.47 logMAR, 1.15 ± 0.68 logMAR, p = 0,242) and 12 months (0.94 ± 0.47 logMAR, 0.96 ± 0.44 logMAR, p = 0,840), there were no difference significant average of visual acuity.Conclusion: Visual acuity after following-up 3 and 6 months in age group of >2-17 years were better than age group of ≤2 years, whereas after following-up 12 months in age group ≤2 years, it was obtained that visual acuity was better than age group of >2-17 years.

The Correlation between Family Socioeconomic Status and the Delayed Treatment of Retinoblastoma Patients at Dr. Soetomo General Hospital Surabaya Nanning Naimatuningsih; Hendrian Soebagjo; Rosy Setiawati; Rozalina Loebis
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 2 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Introduction: Retinoblastoma is a cancer with the highest incidence in children and the second type of cancer that most often causes death in children in Indonesia. The level of delay in attending treatment for retinoblastoma patients in Dr. Soetomo General Hospital Surabaya is still high, because generally the patients come with an advanced stage, they are already in serious condition or with a poor prognosis. Treatment delay from the patients can be caused by the patients that are not feeling disturbed by the disease, not aware of the dangers of the disease, feel afraid, have no cost, the family does not allow them to see the doctor, and the health facilities are unaccessable. One of the factors that influence decision making whether or not someone comes to seek treatment is their socioeconomic status. The aim of this research is to analyze the correlation between family socioeconomic status with the delayed treatment for retinoblastoma patients at Dr. Soetomo General Hospital Surabaya.Methods: This research used observational analytic cross-sectional study. This research was conducted with the help of 33 retinoblastoma patients and families of retinoblastoma patients in the Outpatient Unit of the Poli Onkologi Satu Atap (POSA) Mata at Dr. Soetomo General Hospital Surabaya, and was taken by total sampling.Results: The results were obtained from 33 samples, 18.2% of patients came with a good prognosis, and 81.8% of patients came with a poor prognosis. The Fisher’s Exact Test analysis (α = 0.05) was used to determine the correlation between the father’s educational level and the delayed treatment of retinoblastoma patients (p = 0.322), correlation between the mother’s educational level and the delayed treatment of retinoblastoma patients (p = 0.129), correlation between the father’s level of occupation and the delayed treatment of retinoblastoma patients (p = 0.028), correlation between the mother’s occupational level and the delayed treatment of retinoblastoma patients (p = 0.640), correlation between the family income level and the delayed treatment of retinoblastoma patients (p = 0.026).Conclusion: There were significant correlation between father’s occupational level and family income level with the delayed treatment of retinoblastoma patients. Meanwhile there were no significant correlation between father’s educational level, mother’s educational level, and mother’s occupational level with the delayed treatment of retinoblastoma patients.

Pre- and Post-Operative Intraocular Pressure of Pediatric Cataract Surgery Reyhana Khansa Mawardi; Dicky Hermawan; Kristanti Wanito Wigati; Rozalina Loebis
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 13 No. 1 (2022): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V13I12022.22-26

Introduction: Cataract is an eye lens opacification which prevents clear vision. It is the leading cause of blindness and vision impairment worldwide, including Indonesia. It can also be occurred in children that leads to a major cause of childhood blindness. The prevalence of childhood cataract ranges from 3 to 6 per 10,000 children. The main treatment for cataract is surgery, although pediatric cataract surgery has several complications. One of the most severe complication is glaucoma due to increased intraocular pressure (IOP). This study aimed to determine pre- and post-operative IOP in pediatric cataract surgery.Methods: This was a cross-sectional observational analytic study. Secondary data were collected from medical records of Department of Ophthalmology, Dr. Soetomo General Hospital Surabaya from January 2017 to August 2019. Age, gender, pre- and post-operative IOP, and intraocular lens implantation data were taken. Calculation was performed using the Saphiro-Wilk for data less than 50 samples. The Saphiro-Wilk test results showed that the data were normally distributed (p = 0.628). Data processing were then performed using the parametric t-pair test with a confidence level ofResults: 32 eye samples were obtained from 16 pediatric cataract surgery patients. The mean of pre-operative IOP was 13.05 mmHg and the mean of post-operative IOP was 13.36 mmHg. There was an increase in post-operative IOP with an average increase of 0.31 mmHg. There was no significant difference between pre- and post-operative IOP of pediatric cataract surgery patients (p = 0.711).Conclusion: There was no difference between pre- and post-operative IOP of pediatric cataract surgery patients at Dr. Soetomo General Hospital Surabaya for the period of January 2017 - August 2019.

Management of Lowe syndrome: a case report Risky Vitria Prasetyo; Heru Setiawan; Ninik Asmaningsih Soemyarso; Mohammad Sjaifullah Noer; Irwanto Irwanto; Prastiya Indra Gunawan; Rozalina Loebis; Sri Andreani Utomo; Ni Wayan Tirthaningsih
Paediatrica Indonesiana Vol 55 No 3 (2015): May 2015
Publisher : Indonesian Pediatric Society

Lowe syndrome (the oculocerebrorenal syndrome of Lowe, OCRL) is a multisystem disorder characterized by anomalies affecting the eyes, nervous system and kidneys.1-3 The disorder was first recognized by Lowe et al. in 1952, and described as a unique syndrome with organic aciduria, decreased renal ammonia production, hydrophthalmos, and mental retardation. In 1954, renal Fanconi syndrome was recognized as being associated with Lowe syndrome and in 1965, a recessive X-linked pattern of inheritance was determined.2,4 Lowe syndrome is a very rare disease, with an estimated prevalence in the general population of 1 in 500,000. According to the Lowe Syndrome Association (LSA) in the USA, the estimated prevalence is between 1 and 10 affected males in 1,000,000 people, with 190 living in the year 2000. The Italian Association of Lowe Syndrome estimated that there were 34 Lowe syndrome patients (33 boys and one girl) living in Italy in the year 2005.2,4,5 It almost exclusively affects males.6 Physicians may not be familiar with Lowe syndrome due to its rarity.4

Pediatric Cataract Surgery: Comparison between Ages at Surgery and Contrast Sensitivity Outcomes Aquirina Caesari Putri; Rozalina Loebis
Majalah Oftalmologi Indonesia Vol 43 No 1 (2017): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Background: Pediatric cataracts are major causes of childrenâ€™s blindness. Surgery has proven to be beneficial in terms of visual function prognosis. Contrast sensitivity evaluation after surgery is as important as visual acuity considering that natural world consists of various objects in low-to-medium contrasts. The purpose of this study is to analyze the difference of contrast sensitivity outcomes based on ages at surgery. Method: Retrospective data of children with pediatric developmental cataract from July 2013 to November 2015 were collected. All children who underwent cataract surgery at 60-months-old or less were randomized into two groups, â‰¤24 months and >24-to-60 months. Contrast sensitivity was then examined with preferential-looking method using Hiding Heidi low-contrast test face chart. The main outcome measures were contrast sensitivity of both groups. Age-at-evaluation, cataract onset, duration of follow-up, duration of deprivation and visual acuity were also noted. Result: Of 14 children (23 eyes), 11 eyes (47,8%) were in â‰¤24 months group, 12eyes (52,2%) were in >24-to-60 months group. All eyes underwent cataract extraction and similar type of intraocular lens implantation. Mean age-at-surgery was 28,2 monthsÂ±16,8 (SD). Mean contrast sensitivity for each group was 47,50 %Â±42,29 and 18,33%Â±27,38, respectively, with p-value 0,031. Further analysis of Spearmanâ€™s correlation test demonstrated significant negative correlation (rs = -0,559; p = 0,006) between the two groups. Conclusion: There was statistically significant difference in contrast sensitivity between those who underwent surgery at â‰¤24 months and >24-to-60 months. Children who underwent surgery at older ages tend to have better contrast sensitivity afterwards.

Comprehensive Management of Congenital Cataract in Dizygotic Twin Babies Windya Tri Hapsari; Indri Wahyuni; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 1 (2021): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: One of the leading causes of infant blindness is cataract. The prevalence of congenital cataract has been estimated in the range between 1 and 15 per 10.000 children globally. Congenital cataract in twin babies is a rare case. This case will report the outcome of comprehensive management of congenital cataract in dizygotic twin babies. Case presentation: Eight months old dizygotic twin babies came to our clinic with the primary complaint of whitish appearance in the pupil of both eyes since birth. They were born aterm with cesarean delivery. The birth weight was 2.700 g and 3.100 g respectively. They were the fourth and fifth children in the family. There was no family history of congenital cataract. The visual acuity of both eyes was positive response to light stimuli. The cataract was bilateral and dense on both babies. Fundus reflex and TORCH examinations were negative. Ultrasonography (USG) of the retina was normal on both babies. Conclusions: Isolated congenital cataract in twin babies is an unusual condition that should be treated comprehensively. Congenital cataract may cause deprivation amblyopia, refractive amblyopia, and permanent vision impairment. Early diagnosis and quick treatment, such as surgical timing and visual rehabilitation, are critical to perform successful management. Comprehensive care is required to monitor the visual result of cataract surgery.

Ankyloblepharon Filiforme Adnatum in a Newborn Baby Girl Anggisari Danastri Dharma; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: One type of congenital defect, ankyloblepharon filiforme adnatum (AFA), is characterized by a single or many strands of connective tissue connecting the upper and lower eyelids. It occurs only infrequently at the lateral or medial canthus. The eyelids normally begin to form within the fifth month of pregnancy, and they usually begin to separate entirely into an upper and lower lid by the seventh month of pregnancy. This type of tissue always originates from the grey line, which is located anterior to the meibomian gland orifices and posterior to the cilia. Case presentation: A 22-day-old female child was taken to the Surabaya Eye Clinic with a congenital eye condition. Because his top and lower eyelids were stuck together at birth, she was unable to open his eyes fully. The infant, who weighed 2.8 kg at birth, was delivered by elective caesarean section at 39 weeks gestation to a 28-year-old primigravida mother. There were no abnormalities discovered during the prenatal, intranatal, or postnatal stages. Except for iron and vitamins, the mother is not taking any medications. There was no prior history of X-ray exposure found. There was no history of congenital abnormalities or consanguinity in the patient’s family. Conclusions: Ankyloblepharon filiforme adnatum (AFA) is a rare case. Early diagnostic and comprehensive management including surgical correction should be performed promptly to minimize any risk of amblyopia, and enable full examination of the eye.

Successful Treatment of Mixed Amblyopia with Optic Nerve Hypoplasia (ONH) in an Adult Indonesian Patient Ria Indah Wahyuningtyas; Niken Indah Noerdiyani; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Amblyopia significantly contributes to low vision and blindness in adults in an Indonesian rural setting. The treatment of amblyopia, particularly anisometropic and/or strabismic amblyopia, has long been challenging for many clinicians. This study aims to report a promising result of refractive correction, occlusion therapy, and oral citicoline on mixed amblyopia with optic nerve hypoplasia in adult Indonesian patients. Case Presentation: A 20-year-old male with a chief complaint of blurry right eye since one year ago, becoming more severe lately. The patient had been strabismic since his childhood. History of using a -5 concave spherical lens on his RE, with the normal eye on his LE. Visual acuity (VA) of his RE was 3/60 and his LE was 6/30. The RE was deviated, with 30° of exotropia. Nystagmus was also found. Optical coherence tomography (OCT) examination found maculopathy and optic nerve hypoplasia in both eyes. We treated the patient with spectacles to correct the refractive error, occluded his fixing eye, and gave an oral citicoline. Conclusions: Refractive correction and occlusion therapy are still meaningful choices of therapy and have shown to be effective in treating amblyopia, combined with oral citicoline to prevent nerve cell damage. Our case of refractive correction, combined with occlusion therapy and oral citicoline on mixed amblyopia in an adult Indonesian patient, showed good results and a promising post-treatment prognosis with a decrease of exotropia degree and disappearance of nystagmus in just two months.

Co-Authors Adam Surya Romadhon Andriana Kirana Puspa Anggisari Danastri Dharma Aquirina Caesari Putri Bambang Subakti Zulkarnain Budiatin, Aniek Setiya Dicky Hermawan Djohar Nuswantoro Djoni Susanto Hendrian Soebagjo Heru Setiawan Indri Wahyuni Irwanto Irwanto Mohammad Sjaifullah Noer Nanning Naimatuningsih Ni Wayan Tirthaningsih Niken Indah Noerdiyani Ninik Asmaningsih Soemyarso Prastiya Indra Gunawan Reyhana Khansa Mawardi Ria Indah Wahyuningtyas Risky Vitria Prasetyo Rosy Setiawati Sri Andreani Utomo Toetik Aryani Wigati, Kristanti Wanito Windya Tri Hapsari

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