Komplikasi Pasca Operasi sebagai Faktor Risiko Timbulnya Low Vision Pasca Operasi Katarak

2019 ◽  
Vol 10 (1) ◽  
pp. 11
Author(s):  
Rizki Anisa Nurjanah ◽  
Septiani Nadra Indawaty ◽  
Mitayani Purwoko
Keyword(s):  

Tajam penglihatan adalah daya lihat yang mampu dilakukan seseorang. Tajam penglihatan normal adalah apabila seseorang dapat melihat huruf, angka, maupun bentuk dalam berbagai macam ukuran pada kartu Snellen dengan jarak 20 kaki (20/20). Katarak merupakan salah satu penyebab terjadinya gangguan penglihatan terbanyak kedua setelah gangguan refraksi yang tidak terkoreksi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi timbulnya low vision setelah operasi bedah katarak di Rumah Sakit Muhammadiyah Palembang. Penelitian ini menggunakan desain penelitian deskriptif kuantitatif dengan pendekatan cross sectional menggunakan data rekam medis pasien yang sudah menjalani operasi katarak di Rumah Sakit Muhammadiyah Palembang periode Januari 2017-April 2018. Besar sampel penelitian ini adalah 31 orang. Hasil penelitian ini menunjukkan bahwa pada kontrol keempat pasca operasi, ada 38,7% subjek yang tetap memiliki low vision. Subjek penelitian sebagian besar terdiri dari individu lansia akhir (74,2%), terdapat 2 orang subjek yang mengalami komplikasi intra operasi (6,4%), dan terdapat 9 orang subjek yang mengalami komplikasi pasca operasi (29,1%). Timbulnya lowvision setelah operasi katarak tidak dipengaruhi oleh usia (p = 1,000) dan komplikasi intraoperasi (p = 1,000), namun dipengaruhi oleh adanya komplikasi pasca operasi (p = 0,043). Faktor risiko timbulnya lowvision pasca operasi katarak adalah adanya komplikasi pasca operasi. Oleh karena itu, perlu upaya pencegahan dari berbagai sisi agar tidak terjadi komplikasi pasca operasi katarak.

2020 ◽  
pp. 63-65
Author(s):  
Anuradha Davey ◽  
Kaynat Nasser ◽  
Sanjeev Davey

Background Vision impairment can extend from no vision – visual impairment – or exceptionally low vision to not having the option to see specific hues. Serious vision misfortune or visual deficiency can influence your kid's development and learning. Early mediation can enable your kid to contact his maximum capacity. Otherworldliness gives an individual a feeling of rising above their prompt conditions and an intrapersonal development of direction and importance for their own life, with an inward feeling of association and trust in their own interior assets. Objective The goals of this study were to examine the impact of spirituality on both coping skills and vision-specific health-related quality of life (HRQOL) and the effect of psychological manifestations among Sparsh Govt. Blind Inter College, Partapur Meerut. Methods A cross sectional study was conducted and purposive sampling was used. Percentages and chi square test was used to find the most common and association of different psychological manifestations. Result In our study, 13.8% had depression of varying degree. The most common psychological manifestation was anxiety (46.7%) among them and 11.7% of students were feeling stress in their life. Students with depression and stress affected coping ability while stress had no affect Conclusion It was found in the study that spirituality was positively associated with coping ability and hence with general mental health. Moreover, spirituality was associated significantly with vision-specific HRQOL. The results showed that spirituality played a mediating role in the linkage between vision impairment and general mental health among adolescents of Sparsh Govt. Blind Inter College, Partapur, Meerut.


2004 ◽  
Vol 59 (4) ◽  
pp. 157-160 ◽  
Author(s):  
Keila Monteiro de Carvalho ◽  
Gelse Beatriz Martins Monteiro ◽  
Cassiano Rodrigues Isaac ◽  
Lineu Oto Shiroma ◽  
Marcela Scabello Amaral

PURPOSE: To determine the causes of low vision in an elderly population attended by a university visual rehabilitation service and to check for the use of prescribed optical aids. METHOD: A cross-sectional study was carried out on patients aged 60 years or over attending for the first time a university low vision service in 2001. Ophthalmic reevaluation and interview were performed by means of a structured questionnaire in 2002. RESULTS: The sample comprised 50 subjects aged between 60 and 90 years. Severe low vision (<FONT FACE=Symbol><</FONT>20/200) was present in 68.0% of patients. The main cause of low vision was age-related macular degeneration (44.0%). Regarding literacy, 16.0% were illiterate and 72.0% had completed fundamental schooling. Thirty-one patients (62.0%) had been prescribed optical aids; 54.8% of these patients stated that they use them. A majority (70.6%) held a favorable opinion of these aids. CONCLUSIONS: The main cause of low vision was age-related macular degeneration. Approximately half of those receiving prescriptions reported actually using the aids in their daily activities. Making best use of residual vision in the elderly population with visual impairment is a priority, given the social context, if the independence necessary for enhanced quality of life is to be achieved.


BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018140 ◽  
Author(s):  
Lil Deverell ◽  
Denny Meyer ◽  
Bee Theng Lau ◽  
Abdullah Al Mahmud ◽  
Suku Sukunesan ◽  
...  

IntroductionOrientation and mobility (O&M) specialists assess the functional vision and O&M skills of people with mobility problems, usually relating to low vision or blindness. There are numerous O&M assessment checklists but no measures that reduce qualitative assessment data to a single comparable score suitable for assessing any O&M client, of any age or ability, in any location. Functional measures are needed internationally to align O&M assessment practices, guide referrals, profile O&M clients, plan appropriate services and evaluate outcomes from O&M programmes (eg, long cane training), assistive technology (eg, hazard sensors) and medical interventions (eg, retinal implants). This study aims to validate two new measures of functional performance vision-related outcomes in orientation and mobility (VROOM) and orientation and mobility outcomes (OMO) in the context of ordinary O&M assessments in Australia, with cultural comparisons in Malaysia, also developing phone apps and online training to streamline professional assessment practices.Methods and analysisThis multiphase observational study will employ embedded mixed methods with a qualitative/quantitative priority: corating functional vision and O&M during social inquiry. Australian O&M agencies (n=15) provide the sampling frame. O&M specialists will use quota sampling to generate cross-sectional assessment data (n=400) before investigating selected cohorts in outcome studies. Cultural relevance of the VROOM and OMO tools will be investigated in Malaysia, where the tools will inform the design of assistive devices and evaluate prototypes. Exploratory and confirmatory factor analysis, Rasch modelling, cluster analysis and analysis of variance will be undertaken along with descriptive analysis of measurement data. Qualitative findings will be used to interpret VROOM and OMO scores, filter statistically significant results, warrant their generalisability and identify additional relevant constructs that could also be measured.Ethics and disseminationEthical approval has been granted by the Human Research Ethics Committee at Swinburne University (SHR Project 2016/316). Dissemination of results will be via agency reports, journal articles and conference presentations.


Author(s):  
Ihunanya Ibanga ◽  
Chinyere N. Pedro-Egbe ◽  
Alfred A. Onua ◽  
Bassey Fiebai

Aim: To determine the pattern of ocular disorders in persons with albinism and how they affect visual function. Methods: This was a descriptive cross-sectional study conducted over a five-month period on persons living with albinism in Southern Nigeria. The study participants were randomly selected during the monthly meetings of a support group known as The Albinism Foundation (TAF).Visual acuity and contrast sensitivity were assessed using the ETDRS visual acuity chart and Pelli Robson contrast sensitivity test chart. A comprehensive eye examination including dilated fundoscopy was also carried out to determine other ocular disorders. Data was analyzed using SPSS version 22 and statistical significance was set at a p-value ≤ 0.05. Results: A total of 116 PWA (232 eyes) were examined. There were 44 (37.9%) males and 72 (62.1%) females. The age of the study subjects ranged from 5 to 56 years. Most eyes were visually impaired for both distance (n=228; 98.3%) and near vision (n= 224; 96.6%). Contrast sensitivity in most eyes (n=138; 59.5%) was subnormal. With refraction and Low Vision Aid (LVA), there was significant improvement of the mean VA by 2-3 acuity lines and 6 acuity lines respectively (p=0.000). All the examined eyes had fundus hypo-pigmentation, 91.4% (n=212) had iris trans-illumination, 86.2% (n=200) had nystagmus, and 34.4% (n=80) had strabismus. Nystagmus, strabismus and iris trans-illumination significantly (p=0.00) reduced visual acuity and contrast sensitivity. Conclusion: Most study participants had reduced distance visual acuity and contrast sensitivity but with correction there was a significant improvement in vision. The presence of nystagmus, strabismus and iris trans-illumination were observed to contribute to the poor vision experienced by most persons living with albinism. Hence, early optical intervention and counselling is important in improving the quality of living of persons with albinism.


2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Saif Hassan Alrasheed ◽  
Eslah Saeed Awad ◽  
Zoelfigar Dafalla Mohamed

Purpose:  To determine the demographic characteristics and causes of low vision in children who attended Alfaisal eye center, Khartoum Sudan. Place and Duration of Study:  Alfaisal eye Center, Khartoum, Sudan, from February 2018 to October 2020. Study Design:  Cross sectional observational study. Methods:  Clinical record of 105 patients who visited the low vision clinic were retrieved. Demographic features, history, ocular examination, cause of low vision, refractive state of the eye (by self-luminance streak retinoscope, and auto refractometer), and type of low vision devices used by the patients were noted. Data was analyzed by using SPSS software version 20. Results:  Mean age was 11.70 ± 2.19. Seventy three percent patients had Visual Acuity(VA) less than 6/60. Majority (59%) were male patients. Commonest refractive error associated with low vision was myopia (65.71%). Retinitis Pigmentosa, congenital glaucoma, and albinism were other major causes of pediatric low vision (19.5%). Progressive Myopia was seen in 15%. About 9.5% of children presented with cataracts, nystagmus in 9.5%, and congenital refractive error in 9.5%.The cause of low vision among children was not statistically different between males and females P=0.890. More than half of the children 78.1% used glasses and about 21.9% were corrected by telescope. Conclusion:  Retinitis pigmentosa, albinism, and congenital glaucoma were the most common causes of pediatric low vision. Common low vision devices prescribed to these children were glasses and telescopes. Key Words:  Retinitis Pigmentosa, Congenital glaucoma, Albinism, Myopia, Cataract.


Author(s):  
Chhaya Shori ◽  
Rakesh Shori ◽  
Gannaram Laxmiprasad ◽  
Ashalatha Alli

Background: Intraocular lens implantation is the only surgical approach available mostly in developing countries. Thus cataract constitutes as the leading cause of blindness in developing countries as many patients with cataract do not have access to hospitals and surgery. Objective was to study the clinical and ophthalmologic profile of patients undergoing cataract surgery.Methods: A hospital based cross sectional study was carried out among 100 cataract patients assigned to undergo conventional extra capsular cataract excision surgery for a period of two years in a tertiary care referral hospital. One day before the surgery these patients were admitted to the indoor wards of department of ophthalmology. From each patient, detailed history was obtained. Visual acuity was checked with Snellen’s visual acuity chart and pinhole improvement was noted.Results: Maximum prevalence was seen in the age group of 51-60 years i.e. 37% followed by 61-70 years of 30%. Thus cataract is seen more commonly in the age group of above 50 years. Prevalence of cataract was more in females (59%) as compared to 41% in males. Cortical cataract constituted 86% of total cases and remaining 14% were constituted by nuclear type of cataract. Majority of the patients i.e. 59% had visual acuity of less than 1/60 followed by 33% of having 5/60 to 1/60. 58% of the patients had against the rule type of astigmatism. 34% of the patients had with the rule type of astigmatism. Only 8% had NOA type of astigmatism.Conclusions: Increasing age and female gender were the most important risk factors in the present study. Cortical type of cataract was more common than nuclear type of cataract. Maximum had low vision.


2011 ◽  
Vol 21 (6) ◽  
pp. 820-825 ◽  
Author(s):  
Feyi G. Adepoju ◽  
Abdulkabir A. Ayanniyi ◽  
Victoria Pam ◽  
Toyin B. Akanbi

Purpose. To critically review the numbers, distribution, staff mix, and productivity of eye care workers (ECW) in Kwara State, north central Nigeria. Methods. A cross-sectional descriptive survey of all ECW identified from all eye care facilities in July 2008 was carried out using a structured questionnaire. Output data on cataract surgery of each institution were also collected and data analyzed using SPSS 16. Results. A total of 157 ECW comprising 8 ophthalmologists, 4 diplomates, 16 residents training ophthalmologists, 96 mid-level ophthalmic personnel (67 ophthalmic nurses, 3 optometrists, and 26 others), and 33 administrative and supporting staff were available to a population of 2.37 million. Ophthalmologist to population ratio was 1:300,000, optometrist 1:790,000, and ophthalmic nurses 1:35,000. Eighty percent of ECW and institutions are located in the state capital. There were no orthoptists, low vision specialists, counselors, or cataract finders, while optometrists, managers, and primary ECW were inadequate. The staff mix was 1 surgeon to 12 other ECW and an average of 182 cataract surgeries per surgeon per year. Conclusions. Emphasis should shift to team building and ensuring available workers perform optimally rather than meeting the absolute numbers of some cadre, which does not guarantee improved output. Issues of equitable distribution, appropriate staff mix, filling identified gaps in human resources, and addressing poor service uptake should be the focus to reach the goals of Vision 2020: The Right to Sight.


2021 ◽  
pp. 026461962110190
Author(s):  
Nidhi Pandya ◽  
Nayan Gupta ◽  
Dimple Nagpal

In a developing country like India, affordable eye care services are limited and less developed. Moreover, a general lack of awareness about proper vision care leads to a rise in the number of individuals with visual impairment. In developing countries like India, the low vision services are still growing. Hence, it becomes necessary to understand the knowledge and practice patterns among optometrists regarding low vision services. This was a cross-sectional study carried out from May 2020 to July 2020 among optometrists across India. The questionnaire was constructed using the information from the already existing literature, and content validity was done through experts in this field. Furthermore, this survey was circulated to 1374 optometrists in the form of Google survey. The participants were able to participate in the survey only after a written informed consent. Analysis was carried out using Statistical Package for the Social Sciences, Version 20.0 (SPSS, Inc., IBM), to report the knowledge, attitude, and practice of the low vision services in India. In total, 280 individuals participated in this survey, and the mean age of the participants was 28 ± 8 years. There were 156 (55.7%) females and 124 (44.3%) males with a response rate of 20.37%. Out of 280 participants, 184 (65.7%) were involved in clinical practice, whereas 96 (34.3%) in optical practice. Lack of accessibility and time were found to be the two major barriers to enhance knowledge in low vision; however, accessibility, lack of awareness, and cost were the hindering factors to practise low vision services among these participants. This study reports that accessibility to the low vision services and awareness about the services are the barriers to uptake of low vision services. Besides this awareness, training programmes and public awareness would effectively contribute to enhance low vision services.


2019 ◽  
Vol 113 (3) ◽  
pp. 260-273
Author(s):  
Mackenzie E. Savaiano ◽  
Michael Hebert

Introduction: Not much is known about the writing skills of students with visual impairments, and this research is often limited to subgroups of the population or subskills. A more comprehensive approach to research on the writing skills of students with visual impairments is needed. Methods: Researchers used a cross-sectional design to examine the writing of students with visual impairments in Nebraska, attempting to include as many students as possible aged from 4 to 21 years. Fifty students participated. All students were given the Essay Composition subtest of the Wechsler Individualized Achievement Test (third edition), with modified instructions. Essays were scored on number of words, essay elements, and mechanics. Descriptive statistics and statistical comparisons of groups are provided. Results: Mean scores of the overall sample and subgroups fell within the average range when compared to normative samples. There were no statistical differences between students who were blind and students with low vision and no statistical differences between writing modality. There were statistical differences between students with multiple disabilities and others. Results suggest substantial heterogeneity in the sample. Discussion: Results suggest some students with visual impairments write as well as do their sighted peers. These results are complicated by heterogeneity and do not imply anything about the writing ability of individual students. Implications for practitioners: Teachers should avoid making assumptions about the writing potential of specific students. Students with visual impairments in this study scored comparably to a normative sample, and students with multiple disabilities may be able to participate in writing activities in a variety of ways.


1970 ◽  
Vol 19 (4) ◽  
pp. 2945-2953
Author(s):  
Samuel Bert Boadi-Kusi ◽  
Michael Agyemang Kwarteng ◽  
Emmanuel Asubonteng

Aim: To design and validate a MNREAD Asante Twi version reading chart, to aid in the assessment of near visual acuity of natives Ghanaians.Methods: Cross-sectional and experimental designs were employed in phases I and II respectively of this study. The chart was developed using 20 transited pupils in class four in the Kumasi metropolis in phase I and validated in a clinical setting at the Manhyia District Hospital, Kumasi, using students in phase II.Results: A total of 100 participants (mean age; 22.19 ± 1.61 years) were involved in the second phase of this study. A Pearson product-moment correlation coefficient was computed to assess the relationship between MNREAD Asante Twi charts logMAR scores in both eyes. The MNREAD-Asante Twi acuity charts had very strong correlations (r = 0.94, p < 0.001) for MNREAD set 1A (black on white background) scores and MNREAD set 2A (black on white background) for acuity scores. Correlation between MNREAD set 1B (white on black background) scores and MNREAD set 2B (white on black background) scores was r = 0.95, p < 0.001.Conclusion: MNREAD Asante Twi reading chart will enhance the measurement of near visual function in native Ghanaians.Keywords: Asante Twi, MNREAD, Visual Acuity, Near chart, Ghana.


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