- Hermina Balikpapan<\/a><\/li>
- 14 November 2023<\/li><\/ul><\/div>
Causes and Symptoms of Cataract ?<\/a><\/h3>
Cataract is an eye disease caused by damage to lens proteins, causing the lens to become blurry. Damage to this lens protein can be triggered by several factors, including degeneration due to aging; triggered by other diseases, either in the eyes or in the body; trauma and congenital or birth defects. Even though cataract blindness is reversible, if not treated properly, cataracts can cause blindness. \n\n \n\n \n\n \n\n \nFig 1. Anatomy of the eyeball. Fig 2. Whitish color on the eye beads. \n\n \nAccording to the World Report on Vision in 2019, it is estimated that globally approximately 2.2 billion people have vision problems. The visual impairment or blindness that occurs in 1 billion people can actually be prevented. Meanwhile in Indonesia, based on national data from the Ministry of Health's 2014 - 2016 Rapid Assessment of Avoidable Blindness (RAAB) Blindness Survey, targeting a population aged 50 years and over, it is known that the blindness rate reached 3% and cataracts were the highest cause of blindness (81%). \n\n Various early symptoms that can be an indication that someone is suffering from cataracts: \n1. Blurred vision when looking at objects or reading writing \n2. Sensitive to light rays \n3. Difficulty seeing at night / excessive glare, especially when driving at night \n4. Whitish color in the pupils / eye beads \n\n Cataract examination with the Snellen Chart can help to measure visual acuity. The doctor will also perform a slit lamp biomicroscopy examination to examine the front segment of the eyeball, including the cornea, iris, pupil and eye lens. Examination by dilating the pupil is needed to assess the condition of the retina / optic nerve. \n\n Prevention of cataracts: \n1. Diligently check your eye health \nAdults under 50 years of age are advised to have their eyes checked every one to two years. Meanwhile, for those aged over 50 years, it is recommended to have their eyes checked at least once a year. \n2. Protect the eyes from exposure to UV rays \nUV rays can damage eye proteins, therefore we must avoid direct exposure to sunlight by wearing sunglasses or head protection such as a hat, especially when doing activities under the hot sun. \n3. Maintain health \nMaintaining health is important in preventing disease from easily attacking the body. Because certain diseases such as diabetes can increase the risk of cataracts. \n4. Consume nutritious food \nAntioxidants can stop protein damage in the lens of the eye, so this can prevent the risk of cataracts. \n5. Maintain an ideal body weight \nBeing overweight or obese can increase the risk of diabetes, which is a risk factor for cataracts. \n6. Don't smoke \n Smoking can create free radicals which increase the risk of developing cataracts \n7. Do not consume alcoholic drinks \nExcessive alcohol consumption can increase the risk of cataracts. \n\n Friends of Hermina, if you have complaints in the eye area, please visit a specialist doctor at our hospital to immediately get the right treatment. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Mekarsari<\/a><\/li>
- 16 September 2023<\/li><\/ul><\/div>
Everything about Cataracts, from Symptoms to Treatment.<\/a><\/h3>
Happy friend Hermina, \n\n Cataract is a clouding of the lens of the eye or its capsule (around the transparent membrane) which can block the passage of light through the lens to the retina of the eye. If the size is large enough or located in the path of light entry, it can reduce visual acuity. \n\n In general, cataracts are related to the aging process which can start at the age of 40 years. The speed of development of cataracts and the extent of cataracts vary greatly from person to person. This disease process develops gradually, so that in the fourth or fifth decade the cataract will finally mature and make the lens completely cloudy, disrupting routine activities. Treatment options including correction with glasses can be done in the early stages of cataract. Meanwhile, in the mature stage of cataract, surgery is the main choice. \n\n The World Report on Vision in 2019 reported that 2.2 billion people had vision problems. In 2017, the Indonesian Eye Doctors Association (Perdami) stated that 81.2% experienced cataracts, generally occurring at ages over 50 years. Cataracts are the main cause of blindness worldwide. \n\n Several factors influence the occurrence of cataracts: \n\n \n Congenital cataracts: research shows that there is a close relationship between congenital cataracts and maternal nutrition, infections (Rubella and Rubeola), and lack of oxygenation due to placental bleeding. \n Age-related (senile cataract): the most common type of cataract. \n Traumatic injury1,2: The most common cause of unilateral cataracts in young adults. Trauma can be: perforation, blunt force, electric shock, ultraviolet radiation, ionizing radiation, chemical trauma. \n Endocrine Diseases3: Diabetes mellitus, Hypoparathyroidism, Cretinism. \n Primary Eye Diseases: Chronic anterior uveitis, high myopia, hereditary fundal dystrophy. \n Medications: Corticosteroids and anticholinesterase inhibitors. \n Malnutrition4: a diet that lacks antioxidants and vitamins. \n Alcohol and smoking. \n \n\n Cataract patients may complain of any of the following symptoms. Gradual decrease in vision, blurry feeling as if there is smoke blocking it, the patient also complains of shadowy vision as if there are tears. Apart from that, complaints of sensitivity or glare to light, especially when exposed to car headlights or exposed to sunlight during the day. Color vision problems may also be found, such as objects appearing faded or yellow. \n\n Cataracts can be evaluated and diagnosed with the following steps: \n\n \n History: the patient's main complaint is decreased/impaired vision, history of eye conditions in the past, history of systemic diseases that cause or worsen symptoms. \n Comprehensive eye examination: visual acuity and refraction, slit-lamp examination, pupil response, and eye fundus/nerve examination by dilating the pupil. If there are abnormalities on examination of the posterior segment of the eye, for example age-related macular degeneration or retinopathy in diabetics, it can be an important factor in determining the visual results after surgery. \n \n\n Treatment options depend on the degree of cloudiness that is affecting important daily activities. If visual acuity is 6/24 or better, treatment with medication or glasses may be considered. Recently there has been research on drops that can dissolve cataracts, but they are still in the trial stage. Cataract surgery can be chosen if visual acuity is worse than 6/24 or there are medical indications (phacolytic glaucoma, phacomorphic glaucoma, retinal detachment) where cataracts have a negative impact on visual conditions. Before surgery is carried out, there are several general conditions that must be evaluated in order to get better surgical results, including diabetes, hypertension, heart disease, nerve disease, and respiratory tract disease. \n\n The prognosis of visual outcomes in cataract surgery depends on several factors such as the level of visual impairment, type of cataract, time and method of intervention, unilateral or bilateral eye involvement, and the presence of other systemic diseases. In the majority of cases, surgery restores vision very effectively. Recent studies reveal that in the majority of cases, the prognosis after surgery is very good, reaching 70-95%, if the patient strictly follows the post-operative instructions and treatment regimen suggested by the ophthalmologist.5 It is recommended to have regular eye examinations, which will detect development of cataracts in the other eye. \n\n There are several things you can do to prevent the occurrence or worsening of cataracts, including: \n\n \n Stop smoking and consuming alcohol, which interfere with general health conditions, including the risk of cataracts. \n Maintain a healthy diet and good physical activity, to optimize antioxidant levels in the body to maintain eye health. \n Do regular medical check-ups, cataracts are closely related to diabetes and hypertension. \n Use glasses that protect your eyes from UVB rays when outdoors. \n Consult an ophthalmologist to carry out an eye health test at least once a year. \n \n\n \nSo Friends of Hermina, if you experience complaints such as the signs and symptoms described above, immediately consult an Eye Specialist so that you can detect further and immediately plan cataract surgery. \n\n Best Regards. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Arcamanik<\/a><\/li>
- 11 April 2023<\/li><\/ul><\/div>
Effect of Gadgets on the Eyes<\/a><\/h3>
Gadgets have a big influence on people's lives today. Communication is a basic need, so nowadays gadgets are no longer a luxury item like they were a decade ago. We frequently come across people of all ages, from the lower to the upper classes, who have all used gadgets. With the sophistication of the features contained in gadgets, gadgets are used to simplify tasks and work or as a filler in spare time, starting as a means of communication, games, agendas, watching movies, and knowing the latest news. Gadgets are so attached to everyday life that we often ignore the impact that gadgets have on our health. \n\n Excessive use of gadgets without realizing it can cause dry eye disorders, tired eyes, or asthenopia. There is also a term that we know as Computer Vision Syndrome (CVS), which includes dry eyes and tired eyes. CVS, or computer vision syndrome, is a collection of symptoms of eye health problems due to focusing the eyes on the monitor screen continuously for 3 hours or more a day. In children, excessive use of gadgets can cause an increased risk of myopia, nearsightedness, or both. \n\n Generally, CVS sufferers will complain of headaches, dizziness, blurred vision, neck pain, red eyes, double vision, difficulty focusing the eyes, and even fatigue. Patients who experience dry eyes will complain of red, sore, itchy, and watery eyes. Meanwhile, complaints of tired eyes (or eyestrain orasthenopia) include eyes feeling tired, uncomfortable, and watery; they can be accompanied by headaches and blurry vision. \n\n In children, complaints of dry eyes are difficult for them to convey; usually they are marked by complaints of frequent blinking. Although allergies can also cause complaints of frequent blinking. \n\n CVS occurs because the eye muscles become tense and tired from looking at a computer screen for too long, and the eyes also become dry because, generally, the number of blinks a person makes when looking at a computer screen decreases so that the eyes lack tears. Yet in one minute, to keep the eyes moist, a person must blink at least 17 times. These symptoms can also be exacerbated by lights that are too bright or air conditioning winds that are too strong, causing dry eyes. \n\n In children, excessive use of gadgets can cause an increased risk of nearsightedness or myopia. If a child already has a tendency to be nearsighted due to genetic factors that are passed down from parents who have myopia, then the risk of adding myopia to the child's eyes can be faster with excessive use of gadgets. It's not the gadgets that cause myopia but the activities of children who are used to seeing objects at close range excessively. It will distract and defocus their eyes on distant objects. The risk of myopia can appear earlier or the added minus can be bigger. \n\n CVS complaints are temporary and can be overcome by resting. Computer vision syndrome is not dangerous and can heal by itself, but of course it will interfere with activities and work if you don't understand how to prevent it. \n\n Ways to handle these complaints include: \n\n \n Using moisturizing eye drops to treat dry eyes \n Rest your eyes by looking 20 feet (6 meters) away for 20 seconds every 20 minutes while staring at the monitor screen continuously, or what we know as the 20-20-20 rule. \n Carry out regular eye examinations at the eye doctor at least once every 6 months. \n Rest your eyes by looking 20 feet (6 meters) away for 20 seconds every 20 minutes while staring at the monitor screen continuously according to the 20-20-20 rule. \n Adjust the room's lighting and monitor screen. If you often use a laptop or computer for activities, you should place the monitor about 50 to 60 centimeters from your eyes. The lighting from the monitor should not be too bright or too dim. The monitor screen is positioned so as to avoid glare from windows or excessive room lighting. So, monitor light and lighting in the room should be moderate. \n When using a smart phone or tablet, the font or writing size can be enlarged and set at a distance of approximately 30–40 cm from the eye and lower than eye level. The center of the gadget screen is between 10–23 cm below the eye position. \n \n\n The human eye is only able to see light with a wavelength of 400 nm–760 nm, which is called visible light. Visible light is needed by our eyes in the process of vision so that we can recognize various colors of objects. Visible light also has bad side effects, especially blue light, which has a wavelength of 415–455 nm. Blue light is everywhere around us; everyone is at risk of being exposed to blue light. Sources of blue light include the sun, televisions, smartphones, and other gadgets; LED screens; and even fluorescent lights. The accumulation of long-term exposure to blue light that enters the eye can accelerate macular degeneration. \n\n The macula is the part of the retina (the nerve lining of the eye) that functions as central vision. Patients with macular degeneration will experience problems with their central vision because the cells in the macula have been damaged by exposure to UV rays and blue light. Unfortunately, this disease cannot be cured and is a cause of blindness. \n\n To overcome this, you need eyeglass lenses that can filter out blue light radiation (commonly called blue cut To overcome this, you need eyeglass lenses that can filter out blue light radiation (commonly called "blue cut lenses"), you need to stop smoking and adopt a healthy lifestyle, and you shouldn't forget to consume foods that contain the anti-oxidants lutein and zeaxanthin. Food sources rich in lutein and zeaxanthin include vegetables and fruits such as kale, spinach, broccoli, turnip greens, sweet corn, tomatoes, peas, beans, eggs, oranges, and carrots. \n\n Download the Hermina Mobile Apps application to facilitate health access and registration at Hermina Arcamanik Hospital. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Arcamanik<\/a><\/li>
- 02 September 2022<\/li><\/ul><\/div>
Cataracts: Causes, Types, and Prevention<\/a><\/h3>
A cataract is a clouding that occurs in part or all of the lens of the eye. This will decrease vision, as clouding the eye's lens will cause light to not be refracted properly. \n\n Cataracts in the eye can be caused by several factors, namely, age/degenerative factors; high UV exposure to the eyes; being a tropical country with the sun shining all year round (Indonesia has a relatively large number of cataract sufferers); drug abuse/supplements, especially steroids; systemic disease (diabetes mellitus) and other eye diseases (uveitis); blunt and sharp trauma or accidents to the eye; previous eye surgery; other unknown factors such as congenital cataracts (congenital abnormalities). \n\n Common symptoms of cataracts include blurred or cloudy vision that is not visible at all, sensitive eyes to light or glare, frequent changes to eyeglass or contact lens prescriptions, glare in bright areas, and clearer vision in dimly lit rooms. Blurred vision or double vision \n\n If cataracts are not treated, they can interfere with quality of life. Driving can be affected, which can be dangerous and also a danger to others. Many people become blind from untreated cataracts, and cataracts can even lead to total blindness if left untreated for a long time. In addition, in some people, it can also cause inflammation in the eye or glaucoma. \n\n Surgery to treat cataracts is the only proven way to remove cataracts by removing the opaque lens and replacing it with a new lens. This procedure is safe and very effective. Cataract surgery involves two phases, namely removing the cloudy lens and replacing it with an intraocular lens or implanted lens. \n\n At Hermina Arcamanik Hospital, cataract surgery uses a phacoemulsification technique with local anesthesia. The patient is usually given a sedative to make the operation comfortable. Anaesthetic drops and local anesthetic are injected around the eye. Phacoemulsification is the process of destroying cataracts by using ultrasound power with a needle the size of a ballpoint pen that vibrates 40,000 times per second. The shattered lens is filled with water and aspirated out. Finally, an implanted lens or intraocular lens is inserted. The operation is completed in 15–30 minutes. \n\n The advantages of the phacoemulsification technique include faster recovery so that patients can return to normal activities and smaller incisions than those used in conventional surgery. \n\n If a person has cataracts and blurred vision that makes it difficult to do anything, it is time to consider cataract surgery. Surgery on each eye is performed on separate days, but often at one or two-week intervals. This approach allows the first eye to recover and your vision in that eye to stabilize before surgery is performed on the other eye. It will take a few days to a few weeks to stabilize after cataract surgery. The doctor will prescribe glasses just 4 weeks after surgery. While waiting those 4 weeks, you can put on your old glasses, although you may realize your vision isn't ideal. \n\n That's what you need to know about cataract surgery. If you or someone close to you notices symptoms of cataracts, immediately make an appointment with an ophthalmologist at Hermina Arcamanik Hospital. \n<\/p><\/div><\/div><\/div>
- 02 September 2022<\/li><\/ul><\/div>
- 11 April 2023<\/li><\/ul><\/div>
- 16 September 2023<\/li><\/ul><\/div>
- 14 November 2023<\/li><\/ul><\/div>