Ni Putu Pradita Dhriti Indriyani Sukadan

CHARACTERISTICS OF AMBLIOPIA IN ANISOMETROPIC PATIENTS AT EYE POLYLINIC SANGLAH GENERAL HOSPITAL DENPASAR

Introduction

characteristics of ambliopia in anisometropic patients at eye polylinic sanglah general hospital denpasar. Study characteristics of amblyopia in anisometropic patients at Sanglah General Hospital Denpasar. Reveals prevalence, demographics (children, female), refractive errors (astigmatism), and spectacle use.

Abstract

The purpose of this cross sectional study was to determine the characteristics of amblyopia in anisometropic patients at Eye Polyclinic Sanglah General Hospital Denpasar.The data hat obtained are secondary data derived from medical records of refractive error in anisometropic patients on April 2016-August 2017 period, and involved 62 patients as research subjects based on consecutive sampling.The results of this study showed that from 62 anisometropic patients, there were 56 patients (90%) affected amblyopia. Based on the sociodemographic aspect, the highest number of patients with amblyopia in the children age group were 24 peoples (43%), females more than males were 37 peoples (66%), the majority of patients living in Denpasar were 28 peoples (50%), and the students were the most type of occupationin amblyopic patients is 35 peoples (63%). Patients with severe anisometropia were 24 peoples (43%), moderate amblyopia at 48 eyes (43%), and affected on both eyes (ocular dextra sinistra) about 35 peoples (63%). The type of refractive error was found to be at most is astigmatism about 74 eyes (66%), and the use of spectacles in 51 people (91%).Based on this research, it can be concluded that subject who were affected amblyopia in anisometropic patients most at age children, female, living in Denpasar, and as students. Severe anisometropia, moderate amblyopia, affected on both eyes, astigmatism, and the uses of spectacles were found to be the most of the subject.

Review

This cross-sectional study investigated the characteristics of amblyopia among anisometropic patients presenting at Sanglah General Hospital in Denpasar, utilizing secondary data from medical records spanning April 2016 to August 2017. The research aimed to delineate various sociodemographic and clinical features associated with amblyopia in this specific patient group. Encompassing 62 patients, the study notably found a high prevalence, with 90% of anisometropic patients also affected by amblyopia. The abstract provides a descriptive overview of patient demographics (children, females, Denpasar residents, students), clinical features (severe anisometropia, moderate amblyopia, bilateral involvement), and refractive error types (predominantly astigmatism), alongside information on spectacle use. A key strength of this study lies in its descriptive elucidation of amblyopia characteristics in a specific Indonesian setting, thereby contributing valuable regional data to the understanding of this condition. The high reported prevalence of amblyopia (90%) among anisometropic patients is a significant finding that underscores the importance of early detection and intervention within this population. The detailed breakdown of patient demographics—identifying children, females, and students as predominantly affected groups—provides actionable insights for targeted screening programs. Furthermore, the identification of astigmatism as the most common refractive error type and the high rate of spectacle use among these patients offer practical information for clinical management and public health initiatives in the region. While providing useful descriptive data, the cross-sectional design and reliance on secondary medical record data inherently limit the depth and generalizability of the findings. The study describes correlations but cannot infer causality or provide insights into the progression or treatment outcomes beyond the reported spectacle use. A notable point requiring clarification is the finding of "affected on both eyes (ocular dextra sinistra) about 35 peoples (63%)" in the context of amblyopia, as amblyopia is typically defined as a unilateral or asymmetrical condition. Future research could expand upon these findings by employing a prospective design to explore risk factors in more detail, evaluate the effectiveness of specific interventions, or include a control group for comparative analysis. Further analysis of the specific magnitudes and types of anisometropia and amblyopia, alongside a deeper dive into the exact visual acuities, would also enhance the understanding gained from this initial descriptive work.

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