Helicobacter pylori (H. pylori) is a gram-negative bacterium that typically infects the mucosa of the stomach. H. pylori is the most frequent causative infectious agent of chronic gastritis and peptic ulcer disease. It has also been associated with a number of extra-gastric diseases-neurological, ocular, hematologic, cardiovascular, rheumatologic, metabolic, and allergic. The possible role of H. pylori in the pathogenesis of uveitis is still unclear. High H. pylori seroprevalence has been found in some studies in patients with other ocular diseases like blepharitis, central serous chorioretinopathy, ocular adnexal lymphoma, and glaucoma. Its seroprevalence in uveitis has been investigated in very few studies. In all of them, however, it was increased. Antibodies have also been found in the anterior chamber of patients with anterior uveitis. Besides, seropositivity was also increased in studies with hypertensive uveitis. Eradication of the bacterium has anecdotally led to the subsidence of anterior uveitis in one patient. In any case, a causal relationship, either infectious or autoimmune, cannot be made at this time due to the scarcity of available research on the problem.
{"title":"Helicobacter pylori and Uveitis: A Brief Narrative Literature Review","authors":"G. Markov, Y. Zdravkov, A. Oscar","doi":"10.37275/sjo.v6i2.109","DOIUrl":"https://doi.org/10.37275/sjo.v6i2.109","url":null,"abstract":"Helicobacter pylori (H. pylori) is a gram-negative bacterium that typically infects the mucosa of the stomach. H. pylori is the most frequent causative infectious agent of chronic gastritis and peptic ulcer disease. It has also been associated with a number of extra-gastric diseases-neurological, ocular, hematologic, cardiovascular, rheumatologic, metabolic, and allergic. The possible role of H. pylori in the pathogenesis of uveitis is still unclear. High H. pylori seroprevalence has been found in some studies in patients with other ocular diseases like blepharitis, central serous chorioretinopathy, ocular adnexal lymphoma, and glaucoma. Its seroprevalence in uveitis has been investigated in very few studies. In all of them, however, it was increased. Antibodies have also been found in the anterior chamber of patients with anterior uveitis. Besides, seropositivity was also increased in studies with hypertensive uveitis. Eradication of the bacterium has anecdotally led to the subsidence of anterior uveitis in one patient. In any case, a causal relationship, either infectious or autoimmune, cannot be made at this time due to the scarcity of available research on the problem.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90785519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wisam Chasib Sarhan Alhamadani, Ali Taha Yasin Al-Ziayyir, Khalid Tawfeeq Najm
Introduction: The visible spectrum (about 400 to 700 nm) with a mosaic of three classes of photoreceptors compose the human visual system. They are sensitive to different wavelength ranges with overlapping. The receivers have high sensitivities at short wavelengths (~440 nm), medium (~535 nm), or longer (~565 nm), which are S, M, and L cones, respectively. The study aimed to determine blue color vision defects in diabetes mellitus. Methods: A cross-sectional study was done at an ophthalmology clinic on 200 eyes (right and left) of patients with DM for a period of 5 one years (2021). Ishihara plates were used initially for screening. The D-15 test was performed for the evaluation of color vision. Results: The mean age of the sample was 45.66±15.65 years. The most frequent disorder visualized was tritanomaly in 63%, followed by trichromate in 27%, and the least disorder was deuteranomaly in 2%. In addition, mixed disorder is seen in 8% of cases. In relation to laterality, right eye tritanomaly was found in 34%, while the left eye was recorded in 29%. The right eye trichromate was observed in 12%, whereas the left eye was reported in 15%. The left eye deuteranomaly was reported more than the right (1.5% vs. 0.5%). Conclusion: Color vision evaluation with good screening color vision test can be detected even before clinically visible diabetic retinopathy. Early detection was helpful in the prevention of vascular changes in the retina. All diabetic patients should be given proper awareness and health education regarding color vision deficiency. Timely assessment of color vision may detect tritanomaly earlier in diabetics.
简介:可见光谱(约400至700 nm)与三类光感受器的马赛克组成了人类的视觉系统。它们对不同波长范围敏感，且有重叠。该接收机在短波长(~ 440nm)、中波长(~ 535nm)和短波长(~ 565nm)具有较高的灵敏度，分别为S锥、M锥和L锥。本研究旨在确定糖尿病患者的蓝色视觉缺陷。方法:在某眼科诊所对糖尿病患者200只眼(左、右)进行横断面研究，为期5年(2021年)。石原版最初用于筛选。采用D-15测试评价色觉。结果:患者平均年龄45.66±15.65岁。最常见的病变是三色异常(63%)，其次是三色盐异常(27%)，最少的病变是三色盐异常(2%)。此外，混合障碍见于8%的病例。与偏侧性相关，右眼三眼畸形占34%，而左眼三眼畸形占29%。右眼三色的占12%，左眼三色的占15%。左眼子宫异常多于右眼(1.5% vs. 0.5%)。结论:色觉评价采用良好的筛查色觉试验，可在糖尿病视网膜病变临床可见之前就被发现。早期发现有助于预防视网膜血管病变。对糖尿病患者应给予适当的色觉认知和健康教育。及时评估色觉可以及早发现糖尿病患者的三色异常。
{"title":"The Color Vision Disorder in Diabetic Patients","authors":"Wisam Chasib Sarhan Alhamadani, Ali Taha Yasin Al-Ziayyir, Khalid Tawfeeq Najm","doi":"10.37275/sjo.v6i2.106","DOIUrl":"https://doi.org/10.37275/sjo.v6i2.106","url":null,"abstract":"Introduction: The visible spectrum (about 400 to 700 nm) with a mosaic of three classes of photoreceptors compose the human visual system. They are sensitive to different wavelength ranges with overlapping. The receivers have high sensitivities at short wavelengths (~440 nm), medium (~535 nm), or longer (~565 nm), which are S, M, and L cones, respectively. The study aimed to determine blue color vision defects in diabetes mellitus. \u0000Methods: A cross-sectional study was done at an ophthalmology clinic on 200 eyes (right and left) of patients with DM for a period of 5 one years (2021). Ishihara plates were used initially for screening. The D-15 test was performed for the evaluation of color vision. \u0000Results: The mean age of the sample was 45.66±15.65 years. The most frequent disorder visualized was tritanomaly in 63%, followed by trichromate in 27%, and the least disorder was deuteranomaly in 2%. In addition, mixed disorder is seen in 8% of cases. In relation to laterality, right eye tritanomaly was found in 34%, while the left eye was recorded in 29%. The right eye trichromate was observed in 12%, whereas the left eye was reported in 15%. The left eye deuteranomaly was reported more than the right (1.5% vs. 0.5%). \u0000Conclusion: Color vision evaluation with good screening color vision test can be detected even before clinically visible diabetic retinopathy. Early detection was helpful in the prevention of vascular changes in the retina. All diabetic patients should be given proper awareness and health education regarding color vision deficiency. Timely assessment of color vision may detect tritanomaly earlier in diabetics.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72960611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Puranto Budi Susetyo, Gitalisa Handayani, A. Djatikusumo, A. Yudantha, Mario Mabuaran Hutapea, A. Victor
Introduction: Central serous chorioretinopathy (CSC) is a condition characterized by the accumulation of transparent fluid in the posterior pole of the fundus. Currently, there are several therapeutic options that can be used to treat chronic CSC. This study aimed to describe the clinical characteristics and results of the management of chronic CSC. Methods: The design of this study was a descriptive study. This research was conducted at the division of vitreoretina, department of ophthalmology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital (RSCM), Jakarta, Indonesia, from April to June 2022. The inclusion criteria were newly diagnosed patients with chronic CSC in the specified period. Data analysis in this study was carried out using descriptive statistics. Snellen vision in patients is converted into logMar vision with the formula-log (decimal vision). Results: There were 17 patients who were included in this study. Among them, 76.4% were men, 52.94% were in the left eye, and there were risk factors for hypertension, as much as 29.41%. Five patients received non-steroidal anti-inflammatory drugs (NSAID) therapy, with 2 of them experiencing increased visual acuity and 3 of them complete resolution. Five patients received anti-VEGF therapy, with 3 of them experiencing increased visual acuity and also complete resolution. Seven patients received subthreshold laser therapy, with all experiencing increased visual acuity, and 4 of them complete resolution. There were 15 patients with subretinal fluid and 2 patients with subretinal fluid combined with retinal pigment epithelial detachment. Conclusion: Most of the patients were male, with an average age of 45.8 years. Most CSC patients affect one eye and still have fairly good vision. The treatments received by patients consisted of non-steroidal anti-inflammatory drugs (NSAID) therapy, anti-VEGF therapy, and subthreshold laser therapy.
{"title":"Evaluation of Chronic Central Serous Chorioretinopathy Treatment at Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia","authors":"Puranto Budi Susetyo, Gitalisa Handayani, A. Djatikusumo, A. Yudantha, Mario Mabuaran Hutapea, A. Victor","doi":"10.37275/sjo.v6i1.105","DOIUrl":"https://doi.org/10.37275/sjo.v6i1.105","url":null,"abstract":"Introduction: Central serous chorioretinopathy (CSC) is a condition characterized by the accumulation of transparent fluid in the posterior pole of the fundus. Currently, there are several therapeutic options that can be used to treat chronic CSC. This study aimed to describe the clinical characteristics and results of the management of chronic CSC. \u0000Methods: The design of this study was a descriptive study. This research was conducted at the division of vitreoretina, department of ophthalmology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital (RSCM), Jakarta, Indonesia, from April to June 2022. The inclusion criteria were newly diagnosed patients with chronic CSC in the specified period. Data analysis in this study was carried out using descriptive statistics. Snellen vision in patients is converted into logMar vision with the formula-log (decimal vision). \u0000Results: There were 17 patients who were included in this study. Among them, 76.4% were men, 52.94% were in the left eye, and there were risk factors for hypertension, as much as 29.41%. Five patients received non-steroidal anti-inflammatory drugs (NSAID) therapy, with 2 of them experiencing increased visual acuity and 3 of them complete resolution. Five patients received anti-VEGF therapy, with 3 of them experiencing increased visual acuity and also complete resolution. Seven patients received subthreshold laser therapy, with all experiencing increased visual acuity, and 4 of them complete resolution. There were 15 patients with subretinal fluid and 2 patients with subretinal fluid combined with retinal pigment epithelial detachment. \u0000Conclusion: Most of the patients were male, with an average age of 45.8 years. Most CSC patients affect one eye and still have fairly good vision. The treatments received by patients consisted of non-steroidal anti-inflammatory drugs (NSAID) therapy, anti-VEGF therapy, and subthreshold laser therapy.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76507309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Streptococcus spp. are gram-positive bacteria and common human pathogens and commensals, causing diseases of various organs in children and adults. They are etiological factors of scarlet fever, pharyngitis, tonsillitis, pneumonia, endocarditis, erysipelas, impetigo, meningitis, necrotising fasciitis, and sepsis, among others. The post-streptococcal syndrome is a presumed autoimmune condition that has been associated with rheumatism, reactive arthritis, glomerulonephritis, and erythema nodosum. This literature review aimed to describe post-streptococcal uveitis in clinical practice. The onset of the immune-mediated complications has varied from 7 to 35 days post-infection. The ocular complications present mainly in the form of blepharoconjunctivitis. There are anecdotal case reports of episcleritis. Keratitis is another possible complication. Preseptal or orbital cellulitis has also been described. Uveitis has been a much rarer finding, and it is hypothesized that the pathogenesis is immune-mediated rather than due to intraocular bacterial infection. Post-streptococcal uveitis has been described in cases of both group A and group B infections. The onset of uveitis has been from 1 week to 36 months after the infection. Post-streptococcal presents mostly as nongranulomatous, bilateral anterior uveitis with a good prognosis and affects mostly young people. Nevertheless, all anatomic types of intraocular inflammation have been observed. The common denominators between the varying clinical pictures appear to be the history of streptococcal infection, most frequently pharyngitis, an elevated anti-streptolysin O titer, and in the more recent studies-the raised anti-deoxyribonuclease antibodies. Furthermore, there has been a generally good therapeutic response to corticosteroids. Few cases have required immunomodulation with methotrexate, mycophenolate, and adalimumab.
{"title":"Post-Streptococcal Uveitis: A Narrative Literature Review","authors":"G. Markov, Yani Zdravkov, Alexander Oscar","doi":"10.37275/sjo.v6i1.104","DOIUrl":"https://doi.org/10.37275/sjo.v6i1.104","url":null,"abstract":"Streptococcus spp. are gram-positive bacteria and common human pathogens and commensals, causing diseases of various organs in children and adults. They are etiological factors of scarlet fever, pharyngitis, tonsillitis, pneumonia, endocarditis, erysipelas, impetigo, meningitis, necrotising fasciitis, and sepsis, among others. The post-streptococcal syndrome is a presumed autoimmune condition that has been associated with rheumatism, reactive arthritis, glomerulonephritis, and erythema nodosum. This literature review aimed to describe post-streptococcal uveitis in clinical practice. The onset of the immune-mediated complications has varied from 7 to 35 days post-infection. The ocular complications present mainly in the form of blepharoconjunctivitis. There are anecdotal case reports of episcleritis. Keratitis is another possible complication. Preseptal or orbital cellulitis has also been described. Uveitis has been a much rarer finding, and it is hypothesized that the pathogenesis is immune-mediated rather than due to intraocular bacterial infection. Post-streptococcal uveitis has been described in cases of both group A and group B infections. The onset of uveitis has been from 1 week to 36 months after the infection. Post-streptococcal presents mostly as nongranulomatous, bilateral anterior uveitis with a good prognosis and affects mostly young people. Nevertheless, all anatomic types of intraocular inflammation have been observed. The common denominators between the varying clinical pictures appear to be the history of streptococcal infection, most frequently pharyngitis, an elevated anti-streptolysin O titer, and in the more recent studies-the raised anti-deoxyribonuclease antibodies. Furthermore, there has been a generally good therapeutic response to corticosteroids. Few cases have required immunomodulation with methotrexate, mycophenolate, and adalimumab.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75930243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Face mask has been a vital protective equipment against COVID-19 in this pandemic era. Several ophthalmic complaints have been associated with face mask use, leading to the term "mask-associated dry eye". There's still a question that arises whether the duration of use contributes to the condition. This review aimed to assess the correlation between prolonged face mask use on dry eyes. Methods: A thorough systematic search was performed through PubMed, Science Direct, and Google Scholar, following the PRISMA 2020 Guideline. Keywords were "mask associated dry eye," OR "dry eye AND face mask" OR "OSDI" OR "tear break up time" AND "COVID-19 pandemic". Results: A total of 1130 articles were identified, and only six cross-sectional studies met the eligibility criteria. Prolonged face mask use is correlated with decreased TBUT in four studies, decreased Schirmer score in two studies, and lower TM parameter in one study. Increased duration of wearing mask is correlated with more frequent symptoms and severity of dry eye according to either OSDI, SPEED Questionnaire or another unspecified questionnaire found in five studies. Conclusion: Prolonged face mask use during the COVID-19 pandemic contributes to increased symptoms and signs of dry eye.
{"title":"Prolonged Face Mask Use During COVID-19 Pandemic Contributes to Increased Symptoms and Signs of Dry Eye: A Systematic Literature Review","authors":"Anak Agung Fridami Dewi, I Gede Bayu Utama Putra","doi":"10.37275/sjo.v6i1.102","DOIUrl":"https://doi.org/10.37275/sjo.v6i1.102","url":null,"abstract":"Introduction: Face mask has been a vital protective equipment against COVID-19 in this pandemic era. Several ophthalmic complaints have been associated with face mask use, leading to the term \"mask-associated dry eye\". There's still a question that arises whether the duration of use contributes to the condition. This review aimed to assess the correlation between prolonged face mask use on dry eyes. \u0000Methods: A thorough systematic search was performed through PubMed, Science Direct, and Google Scholar, following the PRISMA 2020 Guideline. Keywords were \"mask associated dry eye,\" OR \"dry eye AND face mask\" OR \"OSDI\" OR \"tear break up time\" AND \"COVID-19 pandemic\". \u0000Results: A total of 1130 articles were identified, and only six cross-sectional studies met the eligibility criteria. Prolonged face mask use is correlated with decreased TBUT in four studies, decreased Schirmer score in two studies, and lower TM parameter in one study. Increased duration of wearing mask is correlated with more frequent symptoms and severity of dry eye according to either OSDI, SPEED Questionnaire or another unspecified questionnaire found in five studies. \u0000Conclusion: Prolonged face mask use during the COVID-19 pandemic contributes to increased symptoms and signs of dry eye.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"64 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81923031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Central serous chorioretinopathy (CSC) has the main symptoms of choroidal thickening, detachment of retinal pigment epithelium (RPE), and presence of subretinal fluid. Treatment of CSC is indicated for cases with SRF persisting for more than 4 months, decreased visual acuity, history of recurrence, or history of previous CSC in other eyes with poor visual outcome. This case report aims to describe the management of CSC using focal laser photocoagulation. Case presentation: A man, 41 years old, living in the city, came with complaints of sudden blurred vision in his left eye when he woke up 3 months ago. This complaint is accompanied by a decrease in the ability to see in the middle. There are no vision complaints such as flashes of light, no blurred vision such as tunnels or closed curtains, no red eyes, pain, or eye discharge. On ophthalmological examination, there was a decrease in visual acuity oculi sinistra (OS) 6/12, intraocular pressure within normal limits, and orthophoria. On examination of the posterior segment of the OS, a decreased positive foveal reflex was found. Fluorescent angiography fundus photo examination showed central serous chorioretinopathy OS. This patient was diagnosed with central serous chorioretinopathy oculi sinistra. Management is given to patients in the form of disease-related education, laser focal photocoagulation OS, clobazam 10 mg/24 hours, eye drops oxymetazoline HCl 1 drop in the left eye/8 hours. Conclusion: Treatment with laser focal photocoagulation is beneficial in the clinical improvement of cases of central serous chorioretinopathy.
{"title":"Management of Central Serous Chorioretinopathy Using Focal Laser Photocoagulation: A Case Report","authors":"Rezandi Aziztama, Ramzi Amin, A.K. Ansyori","doi":"10.37275/sjo.v6i1.101","DOIUrl":"https://doi.org/10.37275/sjo.v6i1.101","url":null,"abstract":"Introduction: Central serous chorioretinopathy (CSC) has the main symptoms of choroidal thickening, detachment of retinal pigment epithelium (RPE), and presence of subretinal fluid. Treatment of CSC is indicated for cases with SRF persisting for more than 4 months, decreased visual acuity, history of recurrence, or history of previous CSC in other eyes with poor visual outcome. This case report aims to describe the management of CSC using focal laser photocoagulation. \u0000Case presentation: A man, 41 years old, living in the city, came with complaints of sudden blurred vision in his left eye when he woke up 3 months ago. This complaint is accompanied by a decrease in the ability to see in the middle. There are no vision complaints such as flashes of light, no blurred vision such as tunnels or closed curtains, no red eyes, pain, or eye discharge. On ophthalmological examination, there was a decrease in visual acuity oculi sinistra (OS) 6/12, intraocular pressure within normal limits, and orthophoria. On examination of the posterior segment of the OS, a decreased positive foveal reflex was found. Fluorescent angiography fundus photo examination showed central serous chorioretinopathy OS. This patient was diagnosed with central serous chorioretinopathy oculi sinistra. Management is given to patients in the form of disease-related education, laser focal photocoagulation OS, clobazam 10 mg/24 hours, eye drops oxymetazoline HCl 1 drop in the left eye/8 hours. \u0000Conclusion: Treatment with laser focal photocoagulation is beneficial in the clinical improvement of cases of central serous chorioretinopathy.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86053072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Farisa Shauma Fachir, Syamsul Arifin, Silvia Kristanti Tri Febriana, Adi Nugroho, Iwan Aflanie, Tenri Ashari Wanahari
Introduction: Cataract is the most prevalent cause of blindness worldwide, which can be effectively treated with surgery. The high incidence of blindness in women highlights the need to address gender inequality in the utilization of cataract surgery. This study aimed to assess the association between gender and the utilization of cataract surgical services. Methods: A systematic review and meta-analysis were conducted according to preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. A literature search was performed on PubMed and ProQuest in the last 10 years (2012 to 2022). The search strategy used the following terms: ("cataract surgical" or "cataract surgical coverage" or "cataract surgical uptake") and ("sex" or "gender"). Data were analyzed in RevMan 5.3, with pooled effect estimates reported as OR with a 95% confidence interval (CI). Results: A total of 13 articles were identified and included in the meta-analysis. The pooled results of these studies indicate a statistically significant association between gender and the utilization of cataract surgery, with a lower utilization probability, observed among women compared to men (OR 0.76, 95% CI 0.60-0.98, p=0.03). High heterogeneity was observed among studies (I2 89%, p<0.0001). Conclusion: There is an association between gender and the utilization of cataract surgical services, with women being less likely than men to use cataract surgical services.
{"title":"Association between Gender and Utilization of Cataract Surgical Services: A Systematic Review and Meta-Analysis","authors":"Farisa Shauma Fachir, Syamsul Arifin, Silvia Kristanti Tri Febriana, Adi Nugroho, Iwan Aflanie, Tenri Ashari Wanahari","doi":"10.37275/sjo.v6i1.100","DOIUrl":"https://doi.org/10.37275/sjo.v6i1.100","url":null,"abstract":"Introduction: Cataract is the most prevalent cause of blindness worldwide, which can be effectively treated with surgery. The high incidence of blindness in women highlights the need to address gender inequality in the utilization of cataract surgery. This study aimed to assess the association between gender and the utilization of cataract surgical services. \u0000Methods: A systematic review and meta-analysis were conducted according to preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. A literature search was performed on PubMed and ProQuest in the last 10 years (2012 to 2022). The search strategy used the following terms: (\"cataract surgical\" or \"cataract surgical coverage\" or \"cataract surgical uptake\") and (\"sex\" or \"gender\"). Data were analyzed in RevMan 5.3, with pooled effect estimates reported as OR with a 95% confidence interval (CI). \u0000Results: A total of 13 articles were identified and included in the meta-analysis. The pooled results of these studies indicate a statistically significant association between gender and the utilization of cataract surgery, with a lower utilization probability, observed among women compared to men (OR 0.76, 95% CI 0.60-0.98, p=0.03). High heterogeneity was observed among studies (I2 89%, p<0.0001). \u0000Conclusion: There is an association between gender and the utilization of cataract surgical services, with women being less likely than men to use cataract surgical services.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84452949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Chemical ocular injuries represent ophthalmologic emergencies with potentially blinding complications. Burns with alkalis tend to be more serious due to deeper tissue penetration as a result of colliquative necrosis. Uveitis is usually observed in higher grades of burns with significant alterations in the anterior segment of the eye. This study aimed to report a case of late-onset unilateral uveitis following a mild alkali burns with sodium hypochlorite (bleach). Case presentation: A 64-year-old Caucasian woman reported that 3 weeks ago, she had an accident with bleach coming in contact with both eyes. At that time, she had emergency ocular irrigation with saline to both eyes, and she had also used artificial tears for about a week. Besides bilateral conjunctival hyperaemia and punctate corneal epithelial erosions, no other complications had been noted. Her symptoms had subsided in several days. Upon presentation to the clinic, reduced best-corrected visual acuity was observed in both eyes to 20/30, which was attributed to age-related cataracts, normal intraocular pressure, normal conjunctiva in both eyes, the clear cornea in the right eye (OD) and several white, round, middle-sized granulomatous keratic precipitates in the left eye (OS), without epithelial and stromal alterations. The anterior chamber of OS demonstrated a 0.5+ cellular reaction. The remaining ocular status was normal. Conclusion: Based on the history of chemical ocular injury, the lack of systemic diseases and the mild form of ocular inflammation, no additional diagnostic tests were offered. The patient was started on topical dexamethasone phosphate for 1 month with an initial dose of one drop four times daily, which led to remission.
{"title":"Bleach-Associated Uveitis: A Case Report","authors":"G. Markov, Yani Zdravkov, Alexander Oscar","doi":"10.37275/sjo.v6i1.97","DOIUrl":"https://doi.org/10.37275/sjo.v6i1.97","url":null,"abstract":"Introduction: Chemical ocular injuries represent ophthalmologic emergencies with potentially blinding complications. Burns with alkalis tend to be more serious due to deeper tissue penetration as a result of colliquative necrosis. Uveitis is usually observed in higher grades of burns with significant alterations in the anterior segment of the eye. This study aimed to report a case of late-onset unilateral uveitis following a mild alkali burns with sodium hypochlorite (bleach). \u0000Case presentation: A 64-year-old Caucasian woman reported that 3 weeks ago, she had an accident with bleach coming in contact with both eyes. At that time, she had emergency ocular irrigation with saline to both eyes, and she had also used artificial tears for about a week. Besides bilateral conjunctival hyperaemia and punctate corneal epithelial erosions, no other complications had been noted. Her symptoms had subsided in several days. Upon presentation to the clinic, reduced best-corrected visual acuity was observed in both eyes to 20/30, which was attributed to age-related cataracts, normal intraocular pressure, normal conjunctiva in both eyes, the clear cornea in the right eye (OD) and several white, round, middle-sized granulomatous keratic precipitates in the left eye (OS), without epithelial and stromal alterations. The anterior chamber of OS demonstrated a 0.5+ cellular reaction. The remaining ocular status was normal. \u0000Conclusion: Based on the history of chemical ocular injury, the lack of systemic diseases and the mild form of ocular inflammation, no additional diagnostic tests were offered. The patient was started on topical dexamethasone phosphate for 1 month with an initial dose of one drop four times daily, which led to remission.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73414210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Visual impairment affects students' routine in school time and day-to-day activities. This study aimed to describe the prevalence of refractive errors in students from Basrah, Iraq. Methods: This research was an observational study with a cross-sectional design. A total of 105 students participated in this study. The inclusion criteria for the participant were pediatric patients aged 6-15 years old who attended the private ophthalmological clinic in Basrah. The children were evaluated for refractive error by ophthalmologists using Snellen charts, auto refractometer, retinoscopy, and slit-lamp biomicroscopy. Obtained data were analyzed using the SPSS program version 24.0. Results: The prevalence of refractive error was found to be 37/105 (35.24%). The difference in the refractive error types between the students was found to be highly significant (p= 0.01). The majority of the students, 18(48.65%), reported myopia, followed by astigmatism 12(32.43%), and hypermetropia 7(18.92%). The difference in the proportion of risk factors such as watching TV, using a mobile, using a computer, playing video games, and having a family history of refractive error were found to be statistically significant (p-value ≤0.05). Conclusion: The prevalence of refractive errors is high in school students. The common refractive error was found to be myopia.
{"title":"The Prevalence of Refractive Errors in Students from Basrah, Iraq","authors":"Aymen Majeed Fadil Dirawi","doi":"10.37275/sjo.v6i1.96","DOIUrl":"https://doi.org/10.37275/sjo.v6i1.96","url":null,"abstract":"Introduction: Visual impairment affects students' routine in school time and day-to-day activities. This study aimed to describe the prevalence of refractive errors in students from Basrah, Iraq. \u0000Methods: This research was an observational study with a cross-sectional design. A total of 105 students participated in this study. The inclusion criteria for the participant were pediatric patients aged 6-15 years old who attended the private ophthalmological clinic in Basrah. The children were evaluated for refractive error by ophthalmologists using Snellen charts, auto refractometer, retinoscopy, and slit-lamp biomicroscopy. Obtained data were analyzed using the SPSS program version 24.0. \u0000Results: The prevalence of refractive error was found to be 37/105 (35.24%). The difference in the refractive error types between the students was found to be highly significant (p= 0.01). The majority of the students, 18(48.65%), reported myopia, followed by astigmatism 12(32.43%), and hypermetropia 7(18.92%). The difference in the proportion of risk factors such as watching TV, using a mobile, using a computer, playing video games, and having a family history of refractive error were found to be statistically significant (p-value ≤0.05). \u0000Conclusion: The prevalence of refractive errors is high in school students. The common refractive error was found to be myopia.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79064585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Petty Purwanita, Okta Kurniawan Saputra, Erial Bahar, Nurmalia Purnama Sari
Introduction: Endophthalmitis is the most severe ocular complication and often causes blindness. The incidence of endophthalmitis varies depending on the type of surgery performed, from 0.082% to 0.32%. The use of povidone-iodine and topical antibiotics on the conjunctiva has been reported to reduce the likelihood of postoperative infection. This study aimed to compare the effectiveness of levofloxacin ED 0.5% with povidone-iodine 2.5% in reducing the normal bacterial flora of the conjunctiva in intraocular preoperative procedures. Methods: Clinical trial experimental studies. A total of 34 research subjects participated in this study. The research subjects were grouped into treatment groups of 0.5% levofloxacin and 2.5% povidone-iodine. Analysis of differences in the number of bacterial colonies was carried out with the help of bivariate SPSS software. Results: Treatment with levofloxacin 0.5% eye drop was able to reduce the number of colonies by 78.11%, while treatment with povidone-iodine 2.5% was able to reduce the number of colonies by 68.57%. Conclusion: Levofloxacin 0.5% eye drop is superior in reducing the number of conjunctival bacterial colonies in intraocular preoperative procedures compared to 2.5% povidone-iodine.
{"title":"Comparison of the Effectiveness of Levofloxacin Eye Drop 0.5% and Povidone-Iodine 2.5% Against Conjunctival Normal Flora Bacterial Colonies in Intraocular Preoperative Procedures","authors":"Petty Purwanita, Okta Kurniawan Saputra, Erial Bahar, Nurmalia Purnama Sari","doi":"10.37275/sjo.v7i1.95","DOIUrl":"https://doi.org/10.37275/sjo.v7i1.95","url":null,"abstract":"Introduction: Endophthalmitis is the most severe ocular complication and often causes blindness. The incidence of endophthalmitis varies depending on the type of surgery performed, from 0.082% to 0.32%. The use of povidone-iodine and topical antibiotics on the conjunctiva has been reported to reduce the likelihood of postoperative infection. This study aimed to compare the effectiveness of levofloxacin ED 0.5% with povidone-iodine 2.5% in reducing the normal bacterial flora of the conjunctiva in intraocular preoperative procedures. \u0000Methods: Clinical trial experimental studies. A total of 34 research subjects participated in this study. The research subjects were grouped into treatment groups of 0.5% levofloxacin and 2.5% povidone-iodine. Analysis of differences in the number of bacterial colonies was carried out with the help of bivariate SPSS software. \u0000Results: Treatment with levofloxacin 0.5% eye drop was able to reduce the number of colonies by 78.11%, while treatment with povidone-iodine 2.5% was able to reduce the number of colonies by 68.57%. \u0000Conclusion: Levofloxacin 0.5% eye drop is superior in reducing the number of conjunctival bacterial colonies in intraocular preoperative procedures compared to 2.5% povidone-iodine.","PeriodicalId":22012,"journal":{"name":"Sriwijaya Journal of Ophthalmology","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87674870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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