Hubungan antara Tekanan Intraokular, Hipertensi, atau Diabetes Melitus terhadap Visus pada Pasien Katarak Senilis Pasca Fakoemulsifikasi di RSU UKI 2019-2020

Adella, Tirsa (2022) Hubungan antara Tekanan Intraokular, Hipertensi, atau Diabetes Melitus terhadap Visus pada Pasien Katarak Senilis Pasca Fakoemulsifikasi di RSU UKI 2019-2020. S1 thesis, Universitas Kristen Indonesia.

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Abstract

Penelitian ini dilakukan untuk mengetahui apakah tekanan intraokular (TIO) dan komorbid sistemik berupa hipertensi atau diabetes melitus mempengaruhi kualitas visus pasien katarak pasca fakoemulsifikasi. Teknik operasi telah terbukti efektif dalam mengatasi katarak dan memperbaiki visus dibanding teknik operasi lainnya. Peningkatan tekanan intraokular dan khususnya keberadaan komorbid sistemik hipertensi dan diabetes melitus telah diketahui sebelumnya berperan dalam hasil kualitas visus pasien katarak pasca operasi fakoemulsifikasi. Tujuan penulis melakukan penelitian ini adalah untuk mengetahui apakah terdapat hubungan antara TIO, hipertensi, atau diabetes melitus terhadap visus pada pasien katarak senilis pasca fakoemulsifikasi di Rumah Sakit Universitas Kristen Indonesia 2019-2020. Pengumpulan data diambil dalam bentuk rekam medis pasien Rumah Sakit Universitas Kristen Indonesia periode 2019-2020 dengan teknik sampling penelitian purposive sampling dengan jumlah total sampel sebanyak 122 sampel. Data yang diambil berupa usia pasien (>50 tahun), jenis kelamin pasien, TIO dan visus sebelum operasi fakoemulsifikasi, TIO dan visus 1 hari pasca operasi fakoemulsifikasi, dan visus 1 bulan dan 3 bulan pasca operasi fakoemulsifikasi, dan keberadaan komorbid sistemik hipertensi atau diabetes melitus pasien. Hasil uji statistik Kruskal Wallis penelitian ini didapatkan nilai P > 0,05 pada hubungan TIO dengan visus preoperasi, 1 hari, 1 bulan, dan 3 bulan pasca operasi fakoemulsifikasi. Hasil uji statistik Chi-square penelitian ini didapatkan nilai P < 0,05 pada hubungan komorbid sistemik dengan visus 1 bulan pasca operasi dan komorbid sistemik diabetes melitus dengan visus 1 hari dan 1 bulan pasca operasi. Hasil ini berarti tidak terdapat hubungan antara TIO terhadap visus pasien katarak senilis pasca fakoemulsifikasi dan terdapatnya hubungan antara komorbid sistemik diabetes melitus terhadap visus pasien katarak senilis pasca fakoemulsifikasi./ This study was conducted to determine whether intraocular pressure (IOP) and systemic comorbidities hypertension or diabetes mellitus affect the visual quality of post-phacoemulsification cataract patients. Surgical techniques have been shown to be more effective in treating cataracts and improving vision compared to other surgical techniques. Increased intraocular pressure and in particular the presence of systemic comorbidities hypertension and diabetes mellitus have previously been known to play a role in the visual quality outcomes of cataract patients after phacoemulsification surgery. The purpose of this study was to determine whether there is a relationship between IOP, hypertension, or diabetes mellitus with visual acuity in senile cataract patients after phacoemulsification at the UKI hospital during the period 2019-2020. Data collection was taken in the form of medical records of patients at the UKI hospital for the period 2019-2020 using the purposive sampling research sampling technique with a total sample of 122 samples. The data taken were the patient's age (>50 years), the patient's gender, IOP and visual acuity before phacoemulsification surgery, IOP and visual acuity of 1 day after phacoemulsification surgery, visual acuity of 1 month and 3 months after phacoemulsification surgery, and the presence of systemic comorbidities hypertension and diabetes mellitus. The results of the Kruskal Wallis statistical test in this study obtained a P value > 0.05 on the relationship between IOP with visual acuity before phacoemulsification, 1 day, 1 month, and 3 months after phacoemulsification surgery. The results of the Chi-square statistical test in this study obtained a P value < 0.05 on the relationship between systemic comorbidity with visual acuity 1 month after phacoemulsification and diabetes mellitus with visual acuity 1 day and 1 month after phacoemulsification. These results show that there is no relationship between IOP and visual acuity in senile cataract patients post-phacoemulsification and there is a relationship between diabetes mellitus and visual acuity in senile cataract patients post-phacoemulsification.

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