Gambaran Karakteristik Pasien Retinopati Diabetik yang Dilakukan Pembedahan Vitrektomi Di RSKM Padang Eye Center Tahun 2019-2020

Abstract

Background : Diabetic retinopathy is a complication from diabetes as progressive microangiopathy causing microvascular damage on retina it can cause permanent blindness. Factors influencing the severity of diabetic retinopathy are hyperglycemic state, duration of sickness and hypertension. Surgical procedures for diabetic retinopathy is a vitrectomy to clean the cloudy vitreous caused by bleeding, thereby increasing visual acuity. Objective : The purpose of this study was to determine characteristics of diabetic retinopathy patients performed vitrectomy surgery. Methods : The type of this research is descriptive categoric with cross sectional design. The population in this study ware patients diabetic retinopathy patients performed vitrectomy surgery at RSKM Padang Eye Center in 2019-2020 with 50 patients. Univariate data analysis using the SPSS program version 25.0. Results : Characteristics of diabetic retinopathy patients performed vitrectomy surgery obtained the most age 46 to 55 years and 56 to 65 years each 17 people (34%), the gender was dominated female 29 people (58%), with type 2 diabetes type (98%), long duration of diabetes < 5 years (38%), with a history of hypertension as many as 38 people (76%), the most diabetic retinopathy PDR +PV (50%), with bilateral eye (86%), the most type of vitrectomy action was vitrectomy + endolaser + inj. Anti-VEGF (34%), experienced visus before treatment with bad category (96%), visus 1 month after surgery is mostly still in bad category (84%), and subjective visus quality of patients after 1 month of surgery (42%). Conclusion : Most age 46-65 years, female gender, type 2 diabetes melitus, longduration of diabetes <5 years, have a history of hypertension, with degree  of PDR + PV, bilateral involved eyes, vitrectomy + endolaser + inj. Anti-VEGF, poor visus beforesurgery, visus after vitrectomy surgery is poor but there is improvement in visus by 38%, and the patient's subjective quality of visus after surgery improved.