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Karakteristik pasien glaukoma sekunder di RSUP Prof Ngoerah periode 2018-2020



Abstract

Introduction: Secondary glaucoma refers to any form of glaucoma in which there is identifiable cause of increased eye pressure, resulting in optic nerve damage and vision loss. Secondary glaucoma can be caused by lens, diabetes (neovascular glaucoma), trauma, post-operation of vitrectomy, corneal abnormality, uveitis and many more. Glaucoma is a condition presents in 80 million people worldwide, in which 6 million of them had secondary glaucoma. Causes of secondary glaucoma may differ from place to place. This study aims to determine the characteristics of secondary glaucoma patients at the eye polyclinic Prof Dr IGNG Ngoerah Hospital Denpasar in 2018-2022.

Patients and methods: This research is a descriptive analytical study with retrospective data. Study were done by collecting data based on observations of the medical records of patients who visited Eye Polyclinic at Prof Ngoerah General Hospital in the period of 2018-2020. A total of 55 people (67 eyes) who met the inclusion and exclusion criteria were analysed using SPSS for windows version 23.0

Results: The majority of subjects aged > 60 years (41.8%), male (71.6%), came with chief complaints of blurry vision (97%), unilateral (64.2%), open-angle (67.2%) and mostly had chronic onset (97%). There was significant improvement of visual acuity and intraocular pressure after surgery. The amount of drug used also decreased significantly after having surgery. There is significant improvement in visual acuity in patients after surgery from logmar 1.61 to logmar 0.85. Average intraocular pressure in patients receiving therapy decreased from 30.93 to 17.39. Considering drugs usage, it decreased from average of 1.64 to 0.68. Paired T-test analysis were used, resulting in statistically meaningful results.

Conclusion: Treatment for patients with secondary glaucoma in our hospital results in better visual acuity, decreased intraocular pressure, and decreased of anti-glaucoma drugs usage.

 

Latar Belakang: Glaukoma sekunder mengacu pada kondisi glaukoma dimana penyebab peningkatan tekanan mata telah diketahui, dimana hal ini menyebabkan kerusakan saraf optik dan kehilangan penglihatan. Penyebab glaukoma sekunder bervariasi meliputi lensa, diabetes (glaukoma neovaskuler), trauma, post-operasi vitrektomi, kelainan kornea, uveitis, dan lain-lain. Glaukoma diderita 80 juta orang di seluruh dunia, dimana 6 juta diantaranya dengan glaukoma sekunder. Penelitian bertujuan mengetahui karakteristik pasien glaukoma sekunder yang datang ke poliklinik mata di RSUP Prof Dr IGNG Ngoerah Denpasar pada tahun 2018-2020.

Metode: Penelitian ini merupakan penelitian deskriptif analitik. Data dikumpulkan secara retrospektif berdasarkan catatan medis pasien yang berkunjung ke Poliklinik Mata RSUP Prof Ngoerah periode 2018-2020. Sebanyak 55 orang (67 mata) subjek penelitian yang memenuhi kriteria inklusi dan eksklusi dianalisis menggunakan SPSS for windows versi 23.0

Hasil: Total 55 pasien (67 mata) dengan mayoritas subjek berusia > 60 tahun (41,8%), berjenis kelamin laki-laki (71,6%), datang dengan keluhan pandangan buram (97%). Sebagian besar glaukoma pada penelitian ini terjadi unilateral (64,2%) dengan onset kronis (97%) dan sebesar 67,2% diantaranya merupakan glaukoma sudut terbuka. Terdapat perbaikan signifikan rerata tajam penglihatan pasien yang telah dioperasi logmar 1.61 menjadi logmar 0.85. Untuk rerata tekanan intraokular pasien yang mendapatkan terapi mengalami penurunan dari 30.93 mmHg menjadi 17,39 mmHg. Dilihat dari jumlah obat glaukoma yang digunakan setelah operasi mengalami penurunan dari 1,64 menjadi 0,68. Analisa statistik menggunakan uji T-berpasangan dimana didapatkan hasil yang bermakna secara statistik.

Kesimpulan: Pasien glaukoma sekunder yang mendapatkan pengobatan, didapatkan perbaikan tajam penglihatan, penurunan tekanan intraokuler, serta penurunan jumlah obat antiglaukoma.

Keywords: glaukoma sekunder tekanan intraokular trabekulektomi

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How to Cite

Doniho, A., Suryaningrum, I. G. A. R. ., Kusumadjaja, I. M. A., Triningrat, A. A. M. P. ., Manuaba, I. B. P. ., Rahayu, N. K. ., & Mendala, D. S. . (2023). Karakteristik pasien glaukoma sekunder di RSUP Prof Ngoerah periode 2018-2020. Intisari Sains Medis, 14(2), 477–482. https://doi.org/10.15562/ism.v14i2.1718
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Angelo Doniho
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I Gusti Ayu Ratna Suryaningrum
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I Made Agus Kusumadjaja
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Anak Agung Mas Putrawati Triningrat
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Ida Bagus Putra Manuaba
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Ni Kompyang Rahayu
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Deasy Sucicahyati Mendala
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