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Gambaran kelainan neuro oftalmologi akibat lesi intrakranial (Chiasma Optikum) di poliklinik mata RSUP Prof. Dr. IGNG Ngoerah tahun 2021-2022



Abstract

Background: Intracranial lesions can cause neuroophthalmological disorders in patients. This study aims to describe neuroophthalmological disorders due to intracranial lesions (optic chiasma) at the Optic Hospital of Prof. Dr. IGNG Ngoerah 2021-2022.

Methods: This type of research is a retrospective descriptive using medical record data in 2021 - 2022. The parameters assessed in this study were age, sex, hemianopsia, visual acuity, color vision impairment, optic nerve papillae atrophy, contrast sensitivity, cupping, and Relative Afferent Pupillary Defect (RAPD). Data were analyzed with SPSS version 23.0 for Windows.

Results: There were 22 patients with intracranial lesions in the Neuro-Ophthalmology Division, Ophthalmic Hospital, Prof. Dr. IGNG Ngoerah, during the study period. Most of the research subjects were male and were in the age group of 41-50 years. The most common complaint is blurred vision without other complaints. The most common type of visual field loss is bitemporal hemianopsia. The most visual acuity is 6/6-6/18, as much as 54.5%, while 25% of eyes have visual acuity <6-60. Nearly half of the eye samples (45.5%) had atrophic papillae and 8 eyes (18.2%) had cupping. A total of 9 eyes (20.5%) had impaired color vision, 28 eyes (63.6%) had impaired contrast sensitivity, and 2 eyes (4.5%) had positive RAPD.

Conclusion: There is a significant relationship between visual acuity, color vision impairment, and contrast sensitivity. There is no relationship between complaints of pain and the type of hemianopsia.

 

Latar Belakang: Lesi intrakranial dapat menyebabkan kelainan neuro oftalmologi pada pasien. Penelitian ini bertujuan untuk mengetahui gambaran kelainan neuro oftalmologi akibat lesi intrakranial (chiasma optikum) di Poliklinik Mata RSUP Prof. Dr. IGNG Ngoerah tahun 2021-2022.

Metode: Jenis penelitian adalah deskriptif retrospektif dengan menggunakan data rekam medik pada tahun 2021 - 2022. Parameter yang dinilai pada penelitian ini adalah usia, jenis kelamin, hemianopsia, tajam penglihatan, gangguan penglihatan warna, atrofi papil nervus optikus, sensitivitas kontras, cupping, dan Relative Afferent Pupillary Defect (RAPD). Data dianalisis dengan SPSS versi 23.0 untuk Windows.

Hasil: Terdapat 22 pasien Lesi Intrakranial di Divisi Neuro Oftalmologi Poli Mata RSUP Prof. Dr. IGNG Ngoerah selama periode penelitian. Subjek penelitian lebih banyak berjenis kelamin laki-laki dan berada pada kelompok usia 41-50 tahun. Keluhan yang paling sering terjadi adalah penglihatan kabur tanpa keluhan lainnya. Jenis gangguan lapang pandang yang paling sering dialami adalah hemianopsia bitemporal. Tajam penglihatan terbanyak adalah 6/6-6/18 sebanyak 54,5% sedangkan 25% mata memiliki tajam penglihatan <6-60. Hampir setengah sampel mata (45,5%) mengalami papil atrofi dan 8 mata (18,2%) mengalami cupping. Sebanyak 9 mata (20,5%) mengalami gangguan penglihatan warna, 28 mata (63,6%) mengalami gangguan sensitivitas kontras, dan 2 mata (4,5%) memiliki RAPD positif.

Kesimpulan: Terdapat hubungan bermakna antara tajam penglihatan dengan gangguan penglihatan warna dan sensitivitas kontras. Tidak terdapat hubungan antara keluhan nyeri dan jenis hemianopsia.

Keywords: Neuro Oftalmologi Lesi Intrakranial Hemianopsia Penglihatan Warna Sensitivitas Kontras

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How to Cite

Noviantari, I. G. A. R., Triningrat, A. A. M. P. ., Wijayati, M. P. ., & Manuaba, I. B. P. (2023). Gambaran kelainan neuro oftalmologi akibat lesi intrakranial (Chiasma Optikum) di poliklinik mata RSUP Prof. Dr. IGNG Ngoerah tahun 2021-2022. Intisari Sains Medis, 14(2), 552–558. https://doi.org/10.15562/ism.v14i2.1692
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I Gusti Agung Ratna Noviantari
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Anak Agung Mas Putrawati Triningrat
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Made Paramita Wijayati
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Ida Bagus Putra Manuaba
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