Hubungan Derajat Retinopati Diabetik dengan Perubahan Visus Pasien Retinopati Diabetik di Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung 2020

Isman Ramadan, Eka Hendryanny, Yanuar Zulkifli Harun

Abstract


Abstract. Diabetes mellitus is a metabolic disorder that cannot be cured, therefore it is prone to cause chronic complications, one of which is visual disturbances.  Diabetic Retinopathy is the cause of reduced visual disturbances. The increase of life expectancy lead to the prevalence of visual impairment increases.  Visual assessment using ETDRS aims to see the patient's vision of retinal abnormalities and it is associated with the degree of diabetic retinopathy.  The purpose of this study was to determine the degree of diabetic retinopathy with changes in vision of diabetic retinopathy patients at the National Eye Center, Cicendo Eye Hospital, Bandung.  The research design used analytic observational with cross sectional approach.  Medical record data were taken from January 2019 - October 2020. There were 286 diabetic retinopathy patients who met the inclusion and exclusion criteria.  The results of the Chi-Square test showed that  the degree of diabetic retinopathy was not related with changes in vision in diabetic retinopathy patients (p) = 0 so that the H0 results were unacceptable at α = 5%.  The results of the Chi-Square test showed that out of the four degrees of diabetic retinopathy with changes in vision in patients with diabetic retinopathy the effect was moderate NPDR.  There is a change in vision based on the degree of diabetic retinopathy which is exacerbated by macular involvement and other diabetic retinopathy disorders.  There was no significant relation between the degree of diabetic retinopathy and changes in vision of diabetic retinopathy patients at the National Eye Center, Cicendo Eye Hospital, Bandung. The degree diabetic retinopathy can affect visual changes in diabetic retinopathy patients.

Keywords : Degree of Diabetic Retinopathy, Diabetic Retinopathy, Visual Changes

Abstrak. Diabetes melitus merupakan penyakit kelainan metabolik yang tidak dapat disembuhkan sehingga rentan untuk menimbulkan suatu komplikasi kronis salah satunya terhadap gangguan penglihatan. Retinopati Diabetik merupakan penyebab berkurangnya gangguuan penglihatan di seluruh dunia. Dengan meningkatnya usia harapan hidup, maka prevalensi gangguan penglihatan semakin meningkat. Penilaian visus menggunakan ETDRS yang bertujuan untuk melihat visus pasien kelainan retina dan dikaitkan dengan derajat retinopati diabetik. Tujuan penelitian ini mengetahui derajat retinopati diabetik dengan perubahan visus pasien retinopati diabetik di Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung. Desain penelitian ini menggunakan observasional analitik dengan pendekatan cross sectional. Data rekam medis diambil dari bulan Januari tahun 2019 – Oktober tahun 2020. Diperoleh total subjek penelitian adalah 286 pasien retinopati diabetik yang memenuhi kriteria inklusi dan eksklusi. Hasil Uji Chi-Square menunjukan tidak terdapat hubungan derajat retinopati diabetik dengan perubahan visus pasien retinopati diabetik (p)=0 sehingga didapatkan hasil H0 tidak dapat diterima pada α=5%. Hasil dari uji Chi-Square menunjukan dari keempat derajat retinopati diabetik dengan perubahan visus pasien retinopati diabetik yang berpengaruh adalah moderate NPDR. Terdapat perubahan visus berdasarkan derajat retinopati diabetik yang diperparah akibat keterlibatan makula dan kelainan retinopati diabetik lain. Tidak adanya hubungan secara bermakna derajat retinopati diabetik dengan perubahan visus pasien retinopati diabetik di Pusat Mata Nasional RS Mata Cicendo Bandung. Derajat retinopati diabetik dapat memengaruhi perubahan visus pasien retinopati diabetik.

Kata Kunci: Derajat Retinopati Diabetik, Retinopati Diabetik, Perubahan Visus


Keywords


Derajat Retinopati Diabetik, Retinopati Diabetik, Perubahan Visus

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DOI: http://dx.doi.org/10.29313/kedokteran.v7i1.26497

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