Objectives: Proliferative Diabetic Retinopathy (PDR) is one of the leading causes of blindness and visual loss. Panretinal Photocoagulation (PRP) reduces the risk of severe vision loss in PDR. Good visual acuity results can improve vision-related quality of life. The objective of this study is to evaluate the effect of laser PRP on patients with PDR on vision-related quality of life. Methods: In this prospective study, 30 PDR patients (12 men and 18 women) treated with PRP were included (mean age: 51 years, SD: 5,08 years). On average, patients received 1.264 laser spots. The National Eye Institute 7-Item Visual Function Index (VF-7) was used to evaluate patient's vision-related quality of life. The VF-7 was filled in by interview twice, at the beginning before laser PRP and at least 1 month after the completion of PRP. Comparison of VF-7 before and after laser PRP was performed. The correlation between alteration in visual acuity and VF-7 will be evaluated. Results: Mean VF-7 before laser PRP was 7.00 ± 0.00 and after laser PRP it was 3.43 ± 3.16 (p<0.001, Wilcoxon). VF-7 scores had a statistically significant difference between before and after laser PRP (p<0.05). There was a strong correlation between VF-7 score alteration with visual acuity (p <0.001, r 0.748). Conclusion: There was a significant improvement in vision-related quality of life following panretinal photocoagulation of patients with proliferative diabetic retinopathy.
Introduction: to compare the levels of Placenta Growth Factor in the vitreous on patients with proliferative diabetic retinopathy at Aflibercept administration with control. Method: This is a prospective experimental study with post-test with control design. Subjects were taken from 24 eyes from 24 patients, who came to dr. Kariadi General Hospital and National Diponegoro Hospital between March until September 2016. Subjects were divided into the patient with Aflibercept administration and control. Study variables in this study are Placenta Growth Factor levels in the vitreous in the patient with diabetic proliferative retinopathy. Measurements of PlGF levels with ELISA methods are conducted at GAKI Laboratory, Medical Faculty, Diponegoro University. This data tested for normality used with Saphiro Wilk, and homogeneity variance with Lavene and test hypothesis used with Mann Whitney. Results: Sample of this study are 24 patients proliferative diabetic retinopathy, twelve are the control group, and twelve are Aflibercept group. Average levels of PlGF in the control group are 263,97 pg/ml + 354,98 SD, with minimum value 12,19 pg/ml and maximum value 1002,00 pg/ml. Average levels of PlGF in the treatment group are 92,84 pg/ml + 9,54 SD, with minimum value 76,45 pg/ml and maximum value 112,30 pg/ml. Hypothesis test results obtained significance value 0,488. Conclusion: There was no significant difference between PlGF levels in the control group and the treatment group.
Rumah sakit pendidikan merupakan suatu lingkungan unik dimana misi pendidikan medis, penelitian, dan pelayanan dilaksanakan secara bersamaan untuk kepentingan pasien. Pengukuran kepuasan pasien merupakan salah satu komponen evaluasi terhadap hasil layanan kesehatan yang diberikan. Survei kepuasan pasien mencerminkan perbedaan antara layanan yang diharapkan dengan yang dialami. Pasien vitreoretina cenderung datang pada tahap penyakit lanjut dengan berbagai harapan di negara berkembang. Penelitian ini dilakukan untuk mengevaluasi tingkat kepuasan pasien terhadap layanan rawat jalan retina yang diberikan di RSUP dr. Kariadi sebagai rumah sakit pendidikan antara Maret 2019 sampai April 2019. Survei dilakukan terhadap 90 pasien, 60% laki-laki dan 40% perempuan. Mayoritas responden (45,45%) berusia 35-54 tahun, 65,56% responden menggunakan Jaminan Kesehatan Nasional Non Penerima Bantuan Iuran (JKN-NPBI), dengan pekerjaan dan tingkat pendidikan bervariasi. Skoring keseluruhan 78,89% responden menyatakan sangat puas terhadap pelayanan sementara 21,11% menyatakan puas. Tidak ada responden yang menyatakan tidak puas. Kesimpulannya adalah tingkat kepuasan klien rawat jalan vitreoretina di RSUP dr. Kariadi baik. Kata kunci: Vitreoretina, pelayanan rawat jalan, kepuasan pasien, rumah sakit pendidikan
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