Hubungan Tekanan Darah Pada Pasien Retinopati Hipertensi Dengan Stadium Retinopati Hipertensi Di RSUP H Adam Malik Medan

ABSTRAK

Latar Belakang : Hipertensi merupakan salah satu penyebab morbiditas
dan mortalitas paling sering di seluruh dunia. Kelainan pembuluh darah ini
dapat berdampak langsung ataupun tidak langsung terhadap sistem organ
tubuh, termasuk mata. Retinopati hipertensi adalah kondisi dengan
karakteristik

perubahan vaskularisasi retina pada populasi yang

menderita hipertensi.
Tujuan : Penelitian ini untuk mengetahui hubungan tekanan darah pada
pasien retinopati hipertensi dengan stadium retinopati hipertensi di RSUP.
H. Adam Malik Medan
Metode : Penelitian ini merupakan cross sectional observasional dengan
pengukuran data yang artinya terhadap subjek yang diteliti tidak diberikan
perlakuan dan pengambilan data dilakukan dengan sekali pengukuran.
Pasien terdiri dari 51 subjek (102 mata), kemudian dilakukan pemeriksaan
oftalmoskopi direk dan indirek
Hasil Penelitian : Retinopati Hipertensi sangat erat kaitannya dengan
peningkatan tekanan darah. Dari penelitian ini stadium retinopati

hipertensi yang terbanyak adalah stadium II sebanyak 49 mata (48.03%)
sesuai klasifikasi Scheie oleh American Academy of Ophthalmology. Dan
28 orang (54.5%) merupakan penderita retinopati hipertensi dengan
hipertensi sistemik tahap II menurut Joint National Committee 7

Kesimpulan :

Hasil ini menunjukkan ada hubungan bermakna antara

peningkatan tekanan darah dengan stadium retinopati hipertensi

Kata Kunci : Tekanan Darah, Hipertensi, Retinopati Hipertensi

i
Universitas Sumatera Utara

ABSTRACT
Background : Hypertensive retinopathy has long been regarded as a risk
indicator for systemic morbidity and mortality. Based studies show that
hypertensive retinopathy caused direct or indirect to organs system and

eye is one of them. These data support the concept that an assessment of
retina vascular changes may provide further information for vascular risk
stratification in persons with hypertension.
Objective : To find out association between blood pressure on
hypertension patient and hypertensive retinopathy in Adam Malik Hospital
Medan
Method : This study using observational cross sectional method which
means the subject undergo examination one time. The patient consist of
51

subjects

(102

eyes),

then

underwent

a

direct

and

indirect

ophthalmoscopy
Result : There were 51 subjects with hypertensive retinopathy, 22 patient
of them (43.13%) are in 46 - 55 years age group and the most frequent
grade of hypertensive retinopathy is grade II according to Scheie
classification, American Academy of Ophthalmology, is 49 eyes (48.03%).
Most of subjects is 28 person (54.9%) had stage II of systemic
hypertensive, Joint National Commitee 7. Anova research showed that
there is correlation between blood pressure

with staging hypertensive

retinopathy. From the table we can see significant blood pressure to find

out existence of hypertensive retinopathy which p = 0.0001 (p < 0.05)

Conclusion : The result shows that grading of Hypertension has
association between blood pressure and staging hypertensive retinopathy
Keywords : blood pressure, hypertension, hypertensive retinopathy

ii
Universitas Sumatera Utara