Gambaran Kualitas Fungsi Penglihatan Pasien Systemic Lupus Erythematosus Berdasarkan Kuesioner NEI VFQ-25 Di Komunitas Odapus Lampung

ABSTRACT: DESCRIPTION OF THE QUALITY OF VISION FUNCTION IN SYSTEMIC LUPUS ERYTHEMA PATIENTS BASED ON THE NEI VFQ-25 QUESTIONNAIRE IN THE ODAPUS COMMUNITY OF LAMPUNGBackground: Systemic Lupus Erythematosus /Systemic Lupus Erythematosus (SLE) is a multisystem autoimmune disease that has characteristic manifestations or symptoms and varied clinical behavior. Eye involvement can be found in about one-third of cases of SLE, and sometimes occurs early in the disease. To assess and measure the quality of vision function in patients with Systemic Lupus Erythematosus, a measuring instrument that can be used is the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) questionnaire. Objective: To describe the quality of vision function in patients with systemic lupus erythematosus based on the NEI VFQ-25 questionnaire in the ODAPUS community in Lampung 2020. Research Methods: This research is a descriptive survey with an approach cross-sectional using primary data in the form of a questionnaire. The sample of this study was all 40 patients who joined the ODAPUS community in Lampung. Data analysis used univariate analysis using tables and graphs in data presentation. Results: The results of the study were 40 patients who met the criteria for inclusion in the study. Of the 40 patients, the patient characteristics were obtained based on the quality of vision function, namely 26-45 years (65.0%), female (97.5%), tertiary education (65.0 %), IRT (42.5%), quality of vision function is not good (90 , 0%), low-dose corticosteroids (85.0%). Conclusion: Given picture quality visual functions of patients with systemic lupus erythematosus-based questionnaire NEI VFQ-25 in the community of Lampung odapus 2020 is not good. Keywords: Quality Vision Function, SLE INTISARI: GAMBARAN KUALITAS FUNGSI PENGLIHATAN PASIEN SYSTEMIC LUPUS ERYTHEMATOSUS BERDASARKAN KUESIONER NEI VFQ-25 DI KOMUNITAS ODAPUS LAMPUNG Latar Belakang: Lupus Eritematosus Sistemic/Systemic Lupus Erythematosus (SLE) adalah suatu penyakit autoimun multisistem yang memiliki manifestasi atau gejala khas dan perilaku klinis yang sangat bervariasi. Keterlibatan mata dapat ditemukan pada kurang lebih satu per tiga kasus SLE, dan kadang terjadi pada awal penyakit. Untuk menilai dan mengukur kualitas fungsi penglihatan pada pasien Systemic Lupus Erythematosus, alat ukur yang dapat digunakan yaitu dengan kuesioner National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25).Tujuan: Untuk mengetahui gambaran kualitas fungsi penglihatan pasien systemic lupus erythematosus berdasarkan kuesioner NEI VFQ-25 di komunitas ODAPUS Lampung 2020.Metode Penelitian: Jenis penelitian ini adalah survei deskriptif dengan pendekatan Cross- sectional menggunakan data primer berupa kuesioner. Sampel penelitian ini adalah seluruh pasien yang bergabung di komunitas ODAPUS Lampung sebanyak 40 orang. Analisis data menggunakan analisis univariat dengan menggunakan tabel dan grafik dalam penyajian data.Hasil: Hasil penelitian terdapat 40 pasien yang memenuhi kriteria untuk dimasukkan dalam penelitian. Dari 40 pasien tersebut didapatkan karakteristik pasien berdasarkan kualitas fungsi penglihatan yaitu terbanyak pada usia 26-45 tahun (65,0%), jenis kelamin perempuan (97,5%), pendidikan perguruan tinggi (65,0%), pekerjaan IRT (42,5%), kualitas fungsi penglihatan tidak baik (90,0%), dan penggunaan kortikosteroid dosis rendah (85,0%). Kesimpulan: Gambaran kualitas fungsi penglihatan pasien systemic lupus erythematosus berdasarkan kuesioner NEI VFQ-25 di komunitas ODAPUS Lampung 2020 yaitu tidak baik. Kata Kunci : Kualitas Fungsi Penglihatan, SLE

Effect of Applying Binocular Visual Training after Slanted Lateral Rectus Recession on Orthophoric Rate and Binocular Visual Function Recovery on Patients with Convergence Insufficiency-Type Intermittent Exotropia

Objective. To explore the effect of applying binocular visual training after slanted lateral rectus recession on orthophoric rate and binocular visual function recovery on patients with convergence insufficiency-type intermittent exotropia (CI-IXT). Methods. A total of 76 CI-IXT child patients treated at the Strabismus and Pediatric Ophthalmology Department of our hospital from June 2019 to June 2020 were selected as the research objects, and those who met the inclusion criteria were equally divided into group A (63 eyes) and group B (61 eyes) according to the sealed envelope randomization. All child patients accepted the slanted lateral rectus recession, and after that, those in group A accepted the binocular visual training and those in group B accepted the conventional visual function rehabilitation training, so as to compare their position of eye, the best corrected visual acuity, etc., after training for statistical analysis. Results. Compared with group B after one month of surgery, group A had significantly less patients with grade I binocular vision function ( P < 0.001) and more patients with grade II and III vision function ( P < 0.05); between group A and group B, after 3 months and 6 months of treatment, the number of eyes with normal stereoscopic vision was significantly higher in group A ( P < 0.05); at 15 days, 1 month, 3 months, and 6 months of treatment, the visual strain scores of group A were significantly lower ( P < 0.001); after treatment, the number of orthophoria eyes was significantly higher in group A ( P < 0.001), while the numbers of overcorrected eyes and undercorrected eyes were significantly higher in group B ( P < 0.001); and the total incidence rate of adverse reactions was significantly lower in group A ( P < 0.05). Conclusion. Applying binocular visual training to child patients with CI-IXT after slanted lateral rectus recession can promote the recovery of binocular vision and ensure higher safety, and further study will help to establish a better solution for the affected children.

Acute posterior multifocal placoid pigment epitheliopathy (APMPPE)

Background Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is a rare inflammatory eye disease, affecting the inner choroid and the outer retina. Recent advances in multimodal imaging have been important in the understanding of the pathophysiology of the disease, allowing a better characterization of the morphology of this condition. Methods Narrative review. Results In this review, a comprehensive overview of clinical features, imaging findings, treatment management, and long-term outcomes of patients with APMPPE will be provided. Conclusions Although APMPPE was originally believed to be a self-limited condition with a good prognosis, the disease can be recurrent and result in significant loss of vision function. Fundus imaging plays an important role in the diagnosis and management of the disease, allowing to evaluate response to treatment and onset of complications.

Implications of a Remote Study of Children With Cerebral Visual Impairment for Conducting Virtual Pediatric Eye Care Research: Virtual Assessment Is Possible for Children With CVI

The Pandemic of 2020 impacted conducting in-person research. Our proposed project already had an asynchronous online component but was later morphed to add a synchronous online component, thereby eliminating the need for in-person assessment. The project compares the results of various tests between a group of children with Cerebral Visual Impairments (CVI) (N = 4) and an age-matched sample of children without CVI (N = 3) from a pediatric low vision clinic. This model was trialed with a small convenient sample of typically developing children in the same age range (N = 4). Given the positive feedback, recruitment for the larger study was done via encrypted e-mail rather than through traditional mailing. The asynchronous components included recruitment, pre-assessment information, the Flemish CVI questionnaire, Vineland-3 comprehensive parent questionnaire for assessment of age equivalent, and vision function tests, such as contrast sensitivity. The synchronous components were administered via Zoom telehealth provided by necoeyecare.org and included assessment of visual acuity via the Freiburg Visual Acuity and Contrast Test (FrACT) electronic software and assessment of visual perceptual batteries via the Children’s Visual Impairment Test for developmental ages 3–6-years (CVIT 3–6). Our virtual testing protocol was successful in the seven participants tested. This paper reviews and critiques the model that we utilized and discusses ways in which this model can be improved. Aside from public health considerations during the pandemic, this approach is more convenient for many families. In a broader perspective, this approach can be scaled for larger N studies of rare conditions, such as CVI without being confined by proximity to the researcher.

Impaired Vision Function Due to Use of Gadget

Background: The disruption of the visual function resulting from the use of gadgets, by explaining the disturbance of the visual function that occurs and the proper and correct use of gadgets, which can maintain vision function, especially for children and adolescents Method: SLiterature sources were searched using data bases: Google Scholar, Pubmed, Proquest, Science Direct, and Sinta using keywords: computer, gadget, portable display, smartphone and eye, myopia, vision, visual. With boolen operators (AND, OR, NOT). The articles obtained were published between January 2015 and October 2020 for selection according to the objectives of the literature review and obtained as many as fifteen studies included in this literature review. Result: Prolonged use of gadgets and the like was significantly associated with decreased visual acuity and the onset of myopia (8 studies), as well the occurrence of one or more Computer Vison Syndrome in the eye organs (7 studies). Conclusion: The use of gadgets is not the only main cause of health problems, but contributes significantly to various health problems, especially impaired vision, namely decreased visual acuity, myopia, and computer vision syndrome. Proper management of gadget usage can prove beneficial in understanding education and other fields better whereas excessive use can lead to various health problems.

Profile of vision function amongst learners with low vision attending inclusive schools in Kakamega County, Kenya

Background: The quality of vision function of low vision (LV) children determines their ease and success in performing activities of daily living including academic activities undertaken whilst at school.Aim: The aim of this study was to determine the vision function of LV learners attending inclusive schools in Kakamega County, Kenya.Setting: This study was designed at public primary inclusive schools in Kakamega County, with LV placements by the County Educational Assessment and Resource Center.Methods: This was a school-based cross-sectional study. A census survey identified 21 LV learners, who met the World Health Organization (WHO) classification of LV and had been assessed and placed in 11 public primary inclusive schools in Kakamega County. Participants underwent standard LV assessment tests. Data were entered into Statistical Package for the Social Sciences (SPSS) version 25 software and analysed using descriptive and inferential statistics. Data were summarised and presented using tables, figures and percentages.Results: Out of the 21 LV learners who were selected, 19 (90.5%) were assessed. The best recorded visual acuity (VA) was 0.33 decimal notation at far and 0.02 and 0.01 in the right eye and the left eye, respectively, at near. The vast majority, 94.7%, had reduction in stereopsis, whilst 42.1% had defects in colour vision, 20.0% reduced contrast sensitivity (CS) and 15.8% had visual field impairment within the central 20 degrees.Conclusion: There is an overall decrease in vision function amongst LV learners attending inclusive schools in Kakamega County. The most affected parts of vision function are VA and stereopsis.

Yoga Ocular Exercises to Maintain Eye Health During Work and Distance Learning in the New Normal Era

The COVID-19 outbreak is a challenge for the world of work and education to change all activities from face-to-face system into remote system with internet and technology-based online system. These online activities lead to increased exposure from digital screen such as computers and mobile phones in the society. Viewing a computer or digital screen often makes our eyes work harder, this high visual demands of digital screen display makes many people susceptible to the development of vision-related symptoms. This article aims to determine the effect of yoga ocular exercises on eye fatigue and increase eye health The method we used was a literature study that focused on yoga ocular interventions in overcoming eye fatigue with databases in the form of PubMed, Willey, Proquest and, Google Scholar published in 2015-2020. Through a review of 8 selected articles, the results showed that yoga ocular practice provides benefits in the form of reduce eye fatigue, relax the mind, prevent asthenopia symptoms, improve binocular vision function by increasing the efficiency of eye motility muscles, and also reduce the intraocular pressure in glaucoma patients. Through the review, it can be seen that yoga ocular practice can prevent vision problems and maintain eye health in the new normal era

Assessment of eye movements and selected vision function tests in three pupils with albinism: A case study in Tanzania

Albinism is a huge challenge both socially and educationally in Tanzania and many other countries. Pupils with albinism are normally encouraged to read with a fixed gaze due to their nystagmus, and there are doubts about whether refraction improves their reading. The aim is to get more knowledge about their functional vision as a fundament for educating pupils with albinism. The article presents a case study with three pupils from a primary school in Tanzania who went through a functional assessment of vision using standardized methods and a new eye-tracker software measuring smooth pursuits. The assessment reveals large individual differences not only in visual acuity but also in ocular motor functions. There is a need for better understanding of the vision challenges these pupils face so that professionals can develop more suitable methods in school for securing their education.

Towards Integrating Data Mining With Knowledge-Based System for Diagnosis of Human Eye Diseases

The eye is the most important sensory organ of vision function. But some eye diseases can lead to vision loss, so it is important to identify and treat eye disease as early as possible. Eye care professionals can help protect their patients from vision loss or blindness by recognizing common eye diseases and recommending for an eye exam. Eye diseases with early detection, treatment, and appropriate follow-up care, vision loss, and blindness from eye disease can be prevented or delayed. In this study, rule-based eye disease identification and advising the knowledge-based system are projected. The projected system is targeting using hidden knowledge extracted by employing the extraction algorithm of data mining. To identify the best prediction model for the diagnosis of eye disease, four experiments for four classification algorithms were performed. Finally, the researchers decided to use the rules of the J48 pruned classification algorithm for further use in the development of a knowledge base of KBS because it exhibited better performance with a 98.5% evaluation result.