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Karakteristik pasien pre-operasi refraksi kornea di Rumah Sakit Mata Bali Mandara tahun 2018

Abstract

Introduction: In Indonesia, around 20.7% of blindness are caused by refractive error. Refractive error can be corrected in various ways, by using glasses, contact lenses, or refractive surgery. This study aimed to determine the pre-operative characteristics of corneal refractive surgery patients at Bali Mandara Eye Hospital (RSMBM) in 2018 as a reference data for future studies.

Method: This was a descriptive retrospective study. Subjects were all patients who had undergone corneal refractive surgery at RSMBM in January 2018 – December 2018. The characteristics data were analyzed descriptively.

Result: The number of patients who had received corneal refractive surgery at RSMBM in 2018 was 348 people, of which 157 patients (45.12%) were women and 191 patients were men (54.88%). The highest age group of patients was 18-25 years (49.14%). The most common patients’ occupations was private employees (38.21%), most patients were from Bali (96.83%). Cosmetic reason (30.46%) was the most common purpose for patients to undergo corneal refractive surgery. Most corneal refractive surgeries were performed in March (10.63%). The most common diagnosis of pre-operative refractive errors was composite myopia astigmatism of right eye (88.22%) and left eye (85.92%). The most common degrees of refractive error was severe myopia in the right eye (38.50%) and left eye (36.21%). Most patients were treated by femto-LASIK (57.18%) as the method of corneal refractive surgery.

 

Pendahuluan: Di Indonesia, sekitar 20,7% kasus kebutaan diakibatkan oleh kelainan refraksi. Kelainan refraksi dapat dikoreksi dengan berbagai cara, yakni dengan penggunaan kacamata, lensa kontak, ataupun pembedahan refraktif. Penelitian ini bertujuan untuk mengetahui karakteristik pasien pre-operatif bedah refraktif kornea di Rumah Sakit Mata Bali Mandara (RSMBM) sehingga dapat menjadi data dasar untuk penelitian selanjutnya.

Bahan dan Metode: Penelitian ini adalah penelitian deskriptif retrospektif, dengan subjek penelitian adalah seluruh pasien yang melakukan bedah refraktif kornea di RSMBM pada bulan Januari 2018 – Desember 2018. Analisis deksriptif dilakukan secara univariat pada setiap variabel karakteristik.

Hasil: Pada penelitian ini didapatkan jumlah pasien yang melakukan bedah refraktif kornea di RSMBM pada tahun 2018 adalah 348 orang. Sebanyak 157 pasien (45,12%) adalah perempuan dan sebanyak 191 pasien (54,88%) adalah laki-laki. Kelompok usia pasien tertinggi adalah 18 – 25 tahun (49,14%). Pekerjaan paling banyak adalah karyawan swasta (38,21%), sebagian besar pasien berasal dari pulau Bali (96,83%). Alasan kosmetik (30,46%) merupakan tujuan terbanyak pasien melakukan bedah refraktif kornea. Bedah refraktif kornea paling banyak dilakukan pada bulan Maret (10,63%). Diagnosis kelainan refraksi pre-operatif yang paling banyak adalah miopia astigmatisme kompositus mata kanan (88,22%) dan mata kiri (85,92%). Derajat kelainan refraksi yang paling banyak ditemukan adalah miopia berat mata kanan (38,50%) dan mata kiri (36,21%). Metode bedah refraktif kornea yang paling banyak dilakukan adalah femto-LASIK (57,18%).

References

  1. Riordan-Eva P, Augsburger JJ. Vaughan & Asburys general ophthalmology. 19th ed. New York: McGraw-Hill Medical; 2018.
  2. Williams KM, Verhoeven VJM, Cumberland P, Bertelsen G, Wolfram C, Buitendijk GH et al. Prevalence of refractive error in Europe: the European eye epidemiology (E3) consortium. Eur J Epidemiol. 2015. 30(4);305-315. doi: 10.1007/s10654-015-0010-0.
  3. Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96(5):614–618. doi: 10.1136/bjophthalmol-2011-300539.
  4. Hashemi H, Khabazkhoob M, Pakzad R, Yekta A, Nojomi M, Nabovati P. The characteristics of excimer laser refractive surgery candidates. Eye Contact Lens. 2018;1:S158-S162. doi: 10.1097/ICL.0000000000000360.
  5. Hashemi H, Fotouhi A, Yekta A, Pakzad R, Ostadimoghaddam H, Khabazkhoob M. Global and regional estimates of prevalence of refractive errors: Systematic review and meta-analysis. J Curr Ophthalmol. 2017;30(1):3-22. doi: 10.1016/j.joco.2017.08.009.
  6. Paramitasari D, Ratnaningsi N. Gambaran kelainan refraksi tidak terkoreksi pada program penapisan oleh unit oftalmologi komunitas pusat mata nasional rumah sakit mata Cicendo di wilayah kabupaten Bandung tahun 2017. https://www.cicendoeyehospital.org/index.php/component/content/article/774-gambaran-kelainan-refraksi-tidak-terkoreksi-pada-program-penapisan-oleh-unit-oftalmologi-komunitas-pusat-mata-nasional-rumah-sakit-mata-cicendo-di-wilayah-kabupaten-bandung-tahun-2017.html
  7. Ye M-J, Liu C-Y, Liao R-F, Gu Z-Y, Zhao B-Y, Liao Y. SMILE and wavefront-guided LASIK out-compete other refractive surgeries in ameliorating the induction of high-order aberrations in anterior corneal surface. J Ophthalmol. 2016;2016:8702162. doi:10.1155/2016/8702162
  8. American Academy of Ophthalmology. Basic and Clinical Science Course 2018-2019. European Board of Ophthalmology Subcommittee: 2018.
  9. Rumah Sakit Mata Bali Mandara. Profil rumah sakit. Diunduh dari: https://rsmatabalimandara.baliprov.go.id/detail-content/profil/profil-rumah-sakit-2-14.php
  10. Wilkinson JM, Cozine EW, Kahn AR. Refractive eye surgery: helping patients make informed decisions about LASIK. Am Fam Physician. 2017;15;95(10):637-644. https://www.aafp.org/afp/2017/0515/p637.html
  11. Gomel N, Negari S, Pery JF, Strassman E, Solomon A. Predictive factors for efficacy and safety in refractive surgery for myopia. PLoS One. 2018;13(12):e0208608. doi: 10.1371/journal.pone.0208608s
  12. Mohammadi SF, Alinia C, Tavakkoli M, Lashyay A, Chams H. Refractive surgery: the most cost-saving technique in refractive errors correction. Int J Ophthalmol. 2018;11(6):1013-1019. doi: 10.18240/ijo.2018.06.20
  13. Hashmani S, Hashmani N, Kumar Sh, Kumar Sa, Dhomeja V, Razak S, et al. Reasons for refusing laser-assisted in situ keratomileusis in Pakistani population. Cureus. 2017;9(6):e1391. doi: 10.7759/cureus.1391.
  14. Huhtala A, Pietila J, Makinen P, Uusitalo H. Femtosecond lasers for laser in situ keratomileusis: a systematic review and meta-analysis. Clin Ophthalmol. 2016;10:393-404. doi: 10.2147/OPTH.S99394.
  15. Frings A, Richard G, Steinberg J, Druchkiv V, Linke SJ, Katz T. LASIK and PRK in hyperopic astigmatic eyes: is early retreatment advisable? Clin Ophthalmol. 2016;10:565-570. doi: 10.2147/OPTH.S99098.
  16. Titiyal JS, Kaur M, Shaikh F, Gagrani M, Brar AS, Rathi A. Small incision lenticule extraction (SMILE) techniques: patient selection and perspectives. Clin Ophthalmol. 2018;12:1685-1699. https://doi.org/10.2147/OPTH.S157172.
  17. Chuck RS, Jacobs DS, Lee JK, Afshari NA, Vitale S, Shen TT, et al. Refractive errors & refractive surgery preferred practice pattern. AAO Journal. 2018;125(1):p1-104. https://www.aaojournal.org/article/S0161-6420(17)33028-2/pdf
  18. Pavkova Z, Kacerovska J, Kaverovsky M. Comparison of the efficiency of femtoLASIK and ReLEx SMILE in terms of dioptric error reduction. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018;162(4):329-334. doi: 10.5507/bp.2018.027.
  19. Puri SK, Elangovan S. Perception of refractive surgery among undergraduate medical students and their preferred method of refractive correction. Int Jour f Med Sci. 2016;4(4):1031-1034. http://dx.doi.org/10.18203/2320-6012.ijrms20160680.

How to Cite

Rahayu, N. K., Evani, S., Suryawijaya, E. E., & Wahyudi, I. N. S. A. (2020). Karakteristik pasien pre-operasi refraksi kornea di Rumah Sakit Mata Bali Mandara tahun 2018. Medicina, 51(2). https://doi.org/10.15562/medicina.v51i2.802

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Ni Kompyang Rahayu
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Saphira Evani
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Ernes Erlyana Suryawijaya
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