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.
Latar Belakang: Vitrektomi pada ablasio retina dapat dilakukan dengan anestesi umum maupun anestesi lokal. Anestesi lokal kerap dipilih atas keunggulannya dalam efisiensi waktu dan biaya. Tujuan: Memaparkan tingkat keberhasilan anatomi dan fungsional vitrektomi dengan anestesi lokal pada ablasio retina rhegmatogen di Divisi Vitreoretina RSCM-FKUI. Metode: Penelusuran retrospektif pada 42 pasien ablasio retina rhegmatogen yang dilakukan vitrektomi dengan anestesi lokal di RSCM-FKUI pada Januari 2017 – Juni 2017.Hasil: Terjadi peningkatan tajam penglihatan pada enam bulan pasca vitrektomi dengan anestesi lokal yaitu visus ?1/60 dari 55% menjadi 77%. Kondisi retina menempel pasca tindakan operasi vitrektomi dengan anestesi lokal sebanyak 93%. Kesimpulan: Tingkat keberhasilan fungsional sebesar 77% dan keberhasilan anatomis 93%.
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
INTRODUCTION: WHO estimates more than 150 million diabetes patients worldwide. One of the complications of diabetes is diabetic retinopathy which is recognized as the leading cause of blindness in the working-age population and the cause of 12% of new cases of blindness each year due to macular edema, vitreous hemorrhage, and tractional retinal detachment. Macular edema is the most common cause of decreased visual acuity. The relationship between macular edema and the degree of retinopathy is unclear, so further research is needed. This study aimed to analyze the incidence of macular edema with the degree of diabetic retinopathy.METHOD: This study used a cross-sectional method. Samples were taken from the Retina Data Register at the National Diponegoro Hospital Eye Polyclinic of all diabetic retinopathy patients who attended National Diponegoro Hospital from July to December 2020 who were recruited as participants. The variables measured included the incidence of macular edema and the degree of diabetic retinopathy. Measurements using fundoscopy, slit lamp and condensing lens + 78D according to ETDRS (Early Treatment Diabetic Retinopathy Study) criteria by an ophthalmologist. Data analysis used a bivariate difference test for 2 groups. The statistical test used was the Kruskal-Wallis test, which was significant if p ≤ 0.05.RESULTS: In this study, out of 150 eyes examined, 28 (18.7%) had macular edema. 4 (2.7%) eyes were diagnosed with Moderate NPDR, 3 (2%) eyes were diagnosed with Severe NPDR. In eyes diagnosed with PDR with or without VH or TRD, 21 (14%) eyes had macular edema. The p-value was 0.03 with the Kruskal-Wallis test, where p ≤ 0.05.CONCLUSION: There is a significant difference between the degree of diabetic retinopathy and the incidence of macular edema. The incidence of macular edema is higher in the more severe degrees of diabetic retinopathy.
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