Perbandingan Panjang Sumbu Bola Mata Pada Anak Miopia Dan Emmetropia Di RSUP. H. Adam Malik Medan Tahun 2014
Lampiran 1
FORMULIR PERSETUJUAN PASIEN (INFORM CONCENT)
Tanggal Pemeriksaan
:
No. Penelitian
:
No. MR
:
Nama
:
Alamat lengkap
:
Telepon
:
Tanggal Lahir
:
Umur
:
Jenis Kelamin
: a. Laki – laki
Pendidikan Terakhir
SMU
: a. SD
b. Perempuan
b. SMP
c.
ANAMNESIS
Keluhan Utama
:
Visus
: OD :
PH:
OS:
PH:
Segmen Anterior
Palpebra Superior / Inferior
:
Conj. Tarsalis Superior / Inferior :
Conj. Bulbi
:
Cornea
:
COA
:
Pupil
:
Iris
:
Universitas Sumatera Utara
Lensa
:
Hasil koreksi kelainan refraksi
Subjektif
OD
:S
C
x
°
OS
:S
C
x
°
Panjang Sumbu Bola Mata
OD
:-
OS
: -
-
-
-
-
Saya setuju untuk ikut serta dalam penelitian tentang
”Perbandingan Panjang Sumbu Bola Mata pada anak Miopia &
Emmetropia” yang telah dijelaskan dalam penelitian ini. Keikutsertaan
saya bersifat sukarela dan saya telah mengerti sepenuhnya informasi
tentang penelitian ini termasuk tujuan dan prosedurnya.
(.............................)
Universitas Sumatera Utara
Lampiran 2
NO
NAMA
KLP
USIA
sex
SUKU
STATUS
REFRAKSI
SFOD
SFOS
PANJANG SUMBU BOLA MATA
PSBOD
PSBODk
PSBOS
PSBOSk
1
25.67
2
23.35
1
1
1
24.6
2
24.03
2
1
1
23.95
1
23.97
1
1
Grace Arta
1
1
2
1
3
2
Yoga Ambarita
1
2
1
2
3
2
2
1
Patricia
1
4
Nurul Arafah
1
2
2
3
1
1
23.39
1
23.54
1
5
Michael Zebua
1
1
1
4
1
1
24.63
2
24.01
2
6
Valiant Ticonumu
1
2
1
4
2
2
25.22
2
25.02
2
7
Angel Jelita
1
1
2
3
1
1
23.19
1
23.11
1
8
Desi
1
2
2
3
2
2
26.69
2
27.39
2
9
Putri Andi
1
2
2
3
1
2
24.07
2
23.7
1
10
M. Fajar Raihan
1
1
1
3
1
1
23.95
1
23.45
1
11
M. Zahran Rafi
1
1
1
3
1
1
23.67
1
23.78
1
12
Mayra Izzati
1
1
2
3
1
1
22.84
1
22.94
1
13
Lulu
1
1
2
3
1
2
23.45
1
23.47
1
14
Intan Juwita Alam
1
1
2
3
1
1
24.35
2
23.65
1
15
Imelda Aprilia
1
2
2
3
1
1
24.03
2
24.12
2
16
Dylan Ignas
1
2
1
1
1
1
23.27
1
23.97
1
17
Ananda Milala
1
1
1
1
2
2
24.01
2
24.78
2
18
Adrian Natanael
1
1
2
1
2
2
24.48
2
25.96
2
19
Andana Disa Kaban
1
1
2
1
1
1
22.85
1
23.07
1
20
Angel Muliana
1
2
2
3
1
1
25.12
2
25.14
2
21
Eka Basaria
1
2
2
3
2
2
23.39
1
23.17
1
Universitas Sumatera Utara
22
Michael Alwendo
1
2
1
1
2
2
26.11
2
25.78
2
23
Nurasyiqin
Yeni Apulina
Sinulingga
1
2
2
2
1
1
23.18
1
23.46
1
1
2
2
1
2
2
25.91
2
26.07
2
25
Mika Andi
1
2
1
2
2
2
24.9
2
25.1
2
26
Agus
1
1
1
2
1
1
22.85
1
22.83
1
27
Ahmad
1
1
1
2
1
1
22.92
1
23.06
1
28
Rita
1
1
2
2
1
1
22.08
1
21.96
1
29
Yuni
1
1
2
2
1
1
23.22
1
23.32
1
30
yani
1
1
2
2
1
1
23.05
1
23.53
1
31
Ririn
1
1
2
3
1
1
23.49
1
23.61
1
32
Rona
1
2
2
3
1
1
22.78
1
22.72
1
33
Ceti
1
2
2
3
1
1
23.97
1
23.78
1
34
Vivi Julianti
1
2
2
3
1
1
23.1
1
22.92
1
35
M. Haiqal
1
2
1
2
1
1
25.14
2
25.07
2
36
Siti khadijah
1
2
2
3
1
1
23.73
1
23.93
1
37
Maria
1
2
2
1
1
1
22.86
1
22.3
1
38
Imanuel Daud
1
1
1
1
1
1
24.62
2
24.75
2
39
Nadia Tifanni
1
2
2
1
1
1
23.61
1
23.78
1
40
Adinda Putri
1
2
2
3
1
1
23.85
1
23.49
1
41
Endang Yoana
1
2
2
1
3
3
24.56
2
24.71
2
42
Alfida Unaiyah Afif
1
1
2
3
3
3
24.37
2
25.01
2
1
Hamdani
2
2
1
3
0
0
23.85
1
23.37
1
2
Nanda
2
1
2
3
0
0
23.18
1
23.01
1
3
Laura Angela
2
1
2
1
0
0
23.45
1
23.56
1
4
Remonta Sembiring
2
2
1
1
0
0
23.67
1
23.78
1
24
Universitas Sumatera Utara
5
Syakira
2
1
2
3
0
0
23.34
1
23.36
1
6
Haya
2
1
2
2
0
0
23.41
1
23.45
1
7
Chairul
2
1
1
3
0
0
23.5
1
23.54
1
8
Risma
2
2
2
3
0
0
23.76
1
23.85
1
9
Jihan
2
1
2
3
0
0
23.53
1
23.41
1
10
Oyok
2
1
1
1
0
0
23.56
1
23.41
1
11
Widya Ulfa
2
2
2
5
0
0
23.58
1
23.47
1
12
Ina Amelia
2
1
2
5
0
0
23.41
1
23.45
1
13
Fitri Utami
2
2
2
5
0
0
23.65
1
23.67
1
14
Yolanda
2
2
2
1
0
0
23.68
1
23.78
1
15
Remika
2
1
2
1
0
0
23.95
1
23.86
1
16
Siti
2
2
2
3
0
0
23.86
1
23.79
1
17
Al Hasbi
2
1
1
3
0
0
23.85
1
23.86
1
18
Rafa
2
1
1
3
0
0
23.79
1
23.68
1
19
Zahra
2
1
2
1
0
0
23.67
1
23.75
1
20
21
Revi
2
1
1
3
0
0
23.66
1
23.68
1
Novi
2
1
2
2
0
0
21.98
1
21.94
1
22
Yolanda
2
1
2
1
0
0
22.65
1
22.95
1
23
Revalina
2
1
2
3
0
0
22.59
1
22.65
1
24
Susi
2
2
2
1
0
0
23.48
1
23.56
1
25
Santi
2
2
2
2
0
0
23.62
1
23.67
1
26
Dandi
2
1
1
2
0
0
23.6
1
23.68
1
27
Fadli
2
2
1
3
0
0
23.69
1
23.58
1
28
Romi
2
1
1
3
0
0
23.78
1
23.64
1
29
Johanes
2
1
1
1
0
0
23.85
1
23.76
1
Universitas Sumatera Utara
30
Alif
2
1
1
5
0
0
23.65
1
23.77
1
31
Akbar
2
1
1
5
0
0
23.56
1
23.49
1
32
Novri
2
2
1
5
0
0
23.88
1
23.98
1
33
Imam
2
2
1
3
0
0
23.68
1
23.88
1
34
Fadila
2
2
2
3
0
0
23.64
1
23.58
1
35
Rini
2
2
2
2
0
0
23.78
1
23.85
1
36
Bayu
2
1
1
2
0
0
23.63
1
23.58
1
37
Sofyan
2
2
1
3
0
0
23.75
1
23.65
1
38
Indra Nasution
2
2
1
1
0
0
23.68
1
23.72
1
39
Ridwan
2
1
1
5
0
0
23.58
1
23.64
1
40
Muhammad Sani
2
1
1
3
0
0
23.47
1
23.49
1
41
Dara
2
1
2
2
0
0
23.58
1
23.55
1
42
Sri Santika
2
2
2
2
0
0
23.66
1
23.7
1
0.
Normal
1.
Ringan
2.
Sedang
3.
Berat
0.
Normal
1.
Ringan
2.
Sedang
3.
Berat
1. Miopia
2.
Emmetropia
1. 15 Wanita
1.
Batak
2. Jawa
3.
Melayu
4. Nias
5. Padang
1. < 24
1. < 24
2. >= 24
2. >= 24
Universitas Sumatera Utara
Lampiran 3
Usia (tahun) * Mata Crosstabulation
Us ia (tahun)
15 tahun
Total
Count
% within Us ia (tahun)
% within Mata
% of Total
Count
% within Us ia (tahun)
% within Mata
% of Total
Count
% within Us ia (tahun)
% within Mata
% of Total
Mata
Miopia
Emmetropia
19
25
43.2%
56.8%
45.2%
59.5%
22.6%
29.8%
23
17
57.5%
42.5%
54.8%
40.5%
27.4%
20.2%
42
42
50.0%
50.0%
100.0%
100.0%
50.0%
50.0%
Total
44
100.0%
52.4%
52.4%
40
100.0%
47.6%
47.6%
84
100.0%
100.0%
100.0%
Jenis kelamin * Mata Crosstabulation
Jenis kelamin
Pria
Wanita
Total
Count
% within Jenis kelamin
% within Mata
% of Total
Count
% within Jenis kelamin
% within Mata
% of Total
Count
% within Jenis kelamin
% within Mata
% of Total
Miopia
13
39.4%
31.0%
15.5%
29
56.9%
69.0%
34.5%
42
50.0%
100.0%
50.0%
Mata
Emmetropia
20
60.6%
47.6%
23.8%
22
43.1%
52.4%
26.2%
42
50.0%
100.0%
50.0%
Total
33
100.0%
39.3%
39.3%
51
100.0%
60.7%
60.7%
84
100.0%
100.0%
100.0%
Universitas Sumatera Utara
Suku * Mata Crosstabulation
Suku
Batak
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Jawa
Melayu
Nias
Padang
Total
Miopia
12
54.5%
28.6%
14.3%
9
52.9%
21.4%
10.7%
19
52.8%
45.2%
22.6%
2
100.0%
4.8%
2.4%
0
.0%
.0%
.0%
42
50.0%
100.0%
50.0%
Mata
Emmetropia
10
45.5%
23.8%
11.9%
8
47.1%
19.0%
9.5%
17
47.2%
40.5%
20.2%
0
.0%
.0%
.0%
7
100.0%
16.7%
8.3%
42
50.0%
100.0%
50.0%
Total
22
100.0%
26.2%
26.2%
17
100.0%
20.2%
20.2%
36
100.0%
42.9%
42.9%
2
100.0%
2.4%
2.4%
7
100.0%
8.3%
8.3%
84
100.0%
100.0%
100.0%
Status Refraksi OD * Mata Crosstabulation
Miopia
Status
Refraks i
OD
Normal
Ringan
Sedang
Berat
Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Mata
Emmetropia
0
42
Total
42
.0%
100.0%
100.0%
.0%
.0%
31
100.0%
50.0%
0
50.0%
50.0%
31
100.0%
.0%
100.0%
73.8%
36.9%
8
.0%
.0%
0
36.9%
36.9%
8
100.0%
.0%
100.0%
19.0%
9.5%
3
.0%
.0%
0
9.5%
9.5%
3
100.0%
.0%
100.0%
7.1%
3.6%
42
.0%
.0%
42
3.6%
3.6%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Universitas Sumatera Utara
Status Refraksi OS * Mata Crosstabulation
Miopia
Status
Refraks i
OS
Normal
Ringan
Sedang
Berat
Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Mata
Emmetropia
0
42
Total
42
.0%
100.0%
100.0%
.0%
.0%
30
100.0%
50.0%
0
50.0%
50.0%
30
100.0%
.0%
100.0%
71.4%
35.7%
10
.0%
.0%
0
35.7%
35.7%
10
100.0%
.0%
100.0%
23.8%
11.9%
2
.0%
.0%
0
11.9%
11.9%
2
100.0%
.0%
100.0%
4.8%
2.4%
42
.0%
.0%
42
2.4%
2.4%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Pa nja ng S um bu Bola Ma ta : OD * Ma ta Crosstabulation
Panjang Sumbu
Bola Mata : OD
< 24
>= 24
Total
Count
% within P anjang
Sumbu Bola Mata : OD
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OD
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OD
% within Mata
% of Total
Miopia
24
Mata
Emmetropia
42
36.4%
63.6%
100.0%
57.1%
28.6%
18
100.0%
50.0%
0
78.6%
78.6%
18
100.0%
.0%
100.0%
42.9%
21.4%
42
.0%
.0%
42
21.4%
21.4%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Total
66
Universitas Sumatera Utara
Pa nja ng S um bu Bola Ma ta : OS * Ma ta Crosstabulation
Panjang Sumbu
Bola Mata : OS
< 24
>= 24
Total
Count
% within P anjang
Sumbu Bola Mata : OS
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OS
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OS
% within Mata
% of Total
Miopia
27
Mata
Emmetropia
42
39.1%
60.9%
100.0%
64.3%
32.1%
15
100.0%
50.0%
0
82.1%
82.1%
15
100.0%
.0%
100.0%
35.7%
17.9%
42
.0%
.0%
42
17.9%
17.9%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Total
69
Descriptives (OD Normal, miopia)
Descriptive Statistics
N
Panjang Sumbu
Bola Mata : OD
Valid N (listwise)
42
Minimum
Maximum
21.98
23.95
Mean
23.5507
Std. Deviation
.36598
42
Oneway
Descriptives
Panjang Sumbu Bola Mata : OD
N
Ringan
Sedang
Berat
Total
31
8
3
42
Mean
23.6068
25.0888
24.8667
23.9790
Std. Deviation
.73350
1.11831
.70216
1.01684
Std. Error
.13174
.39538
.40539
.15690
95% Confidence Interval for
Mean
Lower Bound Upper Bound
23.3377
23.8758
24.1538
26.0237
23.1224
26.6109
23.6622
24.2959
Minimum
22.08
23.39
24.37
22.08
Maximum
25.14
26.69
25.67
26.69
Test of Homogeneity of Variances
Panjang Sumbu Bola Mata : OD
Levene
Statistic
1.551
df1
df2
2
39
Sig.
.225
Universitas Sumatera Utara
ANOV A
Panjang Sumbu Bola Mata : OD
Sum of
Squares
16.511
25.881
42.393
Between Groups
W ithin Groups
Total
df
2
39
41
Mean S quare
8.256
.664
F
12.440
Sig.
.000
Post Hoc Tests
Multiple Comparisons
Dependent Variable: Panjang Sumbu Bola Mata : OD
LSD
(I) Status Refraksi OD
Ringan
Sedang
Berat
(J) Status Refraksi OD
Sedang
Berat
Ringan
Berat
Ringan
Sedang
Mean
Difference
(I-J)
-1.48198*
-1.25989*
1.48198*
.22208
1.25989*
-.22208
Std. Error
.32305
.49256
.32305
.55151
.49256
.55151
Sig.
.000
.015
.000
.689
.015
.689
95% Confidence Interval
Lower Bound Upper Bound
-2.1354
-.8286
-2.2562
-.2636
.8286
2.1354
-.8934
1.3376
.2636
2.2562
-1.3376
.8934
*. The mean difference is s ignificant at the .05 level.
Descriptives (OS Normal, miopia)
Descriptive Statistics
N
Panjang Sumbu
Bola Mata : OS
Valid N (listwise)
Minimum
Maximum
21.94
23.98
42
Mean
Std. Deviation
23.5486
.36011
42
Oneway
Descriptives
Panjang Sumbu Bola Mata : OS
N
Ringan
Sedang
Berat
Total
Mean
23.5632
25.4088
24.3567
23.9714
31
8
3
42
Std. Deviation
.69629
1.22230
.88461
1.08993
Std. Error
.12506
.43215
.51073
.16818
95% Confidence Interval for
Mean
Lower Bound Upper Bound
23.3078
23.8186
24.3869
26.4306
22.1592
26.5542
23.6318
24.3111
Minimum
21.96
23.17
23.35
21.96
Maximum
25.14
27.39
25.01
27.39
Test of Homogeneity of Variances
Panjang Sumbu Bola Mata : OS
Levene
Statistic
1.722
df1
df2
2
39
Sig.
.192
Universitas Sumatera Utara
ANOV A
Panjang Sumbu Bola Mata : OS
Between Groups
W ithin Groups
Total
Sum of
Squares
22.138
26.568
48.706
df
2
39
41
Mean S quare
11.069
.681
F
16.249
Sig.
.000
Post Hoc Tests
Multiple Comparisons
Dependent Variable: Panjang Sumbu Bola Mata : OS
LSD
(I) Status Refraksi OD
Ringan
Sedang
Berat
Mean
Difference
(I-J)
-1.84552*
-.79344
1.84552*
1.05208
.79344
-1.05208
(J) Status Refraksi OD
Sedang
Berat
Ringan
Berat
Ringan
Sedang
Std. Error
.32730
.49905
.32730
.55877
.49905
.55877
Sig.
.000
.120
.000
.067
.120
.067
95% Confidence Interval
Lower Bound Upper Bound
-2.5076
-1.1835
-1.8029
.2160
1.1835
2.5076
-.0781
2.1823
-.2160
1.8029
-2.1823
.0781
*. The mean difference is s ignificant at the .05 level.
T-Test
Group Statistics
Panjang Sumbu
Bola Mata : OD
Panjang Sumbu
Bola Mata : OS
Mata
Miopia
Emmetropia
Miopia
Emmetropia
42
42
42
Mean
23.9790
23.5507
23.9714
Std. Deviation
1.01684
.36598
1.08993
Std. Error
Mean
.15690
.05647
.16818
42
23.5486
.36011
.05557
N
Independent Samples Test
Levene's Test for
Equality of Variances
F
Panjang Sumbu
Bola Mata : OD
Panjang Sumbu
Bola Mata : OS
Equal variances
as sumed
Equal variances
not ass umed
Equal variances
as sumed
Equal variances
not ass umed
31.128
27.058
Sig.
.000
.000
t-test for Equality of Means
t
df
Sig. (2-tailed)
Mean
Difference
Std. Error
Difference
95% Confidence
Interval of the
Difference
Lower
Upper
2.569
82
.012
.42833
.16675
.09660
.76006
2.569
51.447
.013
.42833
.16675
.09363
.76304
2.387
82
.019
.42286
.17712
.07051
.77521
2.387
49.846
.021
.42286
.17712
.06707
.77864
Universitas Sumatera Utara
Lampiran 4
Universitas Sumatera Utara
Lampiran 5
Universitas Sumatera Utara
Lampiran 6
DAFTAR RIWAYAT HIDUP
1. Identitas
Nama
Tempat / Tanggal Lahir
Suku/Bangsa
Agama
Alamat
Suami
Anak
: dr. Amelia Rizar
: Pekanbaru/ 4 Januari 1985
: Padang / Indonesia
: Islam
: Jl. Eka Surya Komp. Grand Monaco
blok G no. 5 Medan
: Faisal Syarif ST
:-
2. Pendidikan
- SD Santa Maria Pekanbaru tamat Tahun 1996
- SMP Santa Maria Pekanbaru tamatTahun 1999
- SMA Santa Maria Pekanbaru tamat Tahun 2001
- Missisquoi Valley Union High School Amerika tamat Tahun 2002
- S1 Fakultas Kedokteran Univeristas Islam Sumatera Utara
Medan, tamat Tahun 2009
3. Riwayat Pekerjaan
Dokter Umum di Klinik Jamsostek Martubung tahun 2009
Dokter Umum di Klinik Jamsostek Mabar tahun 2009
Dokter Umum di RS. Bakti Medan tahun 2010-2011
4. Perkumpulan Profesi
Anggota IDI Sumatera Utara
Anggota Muda Perdami Cabang Sumatera Utara
5. Tulisan
1. Sjogren Syndrome
2. Toksik Optik Neuropati & Nutrisional Optik Neuropati
6. Seminar Yang Telah Diikuti
- Peserta One Day Dinner Symosium Grand Elite Hotel Medan,
20 Februari 2013
- Peserta In the Workshop “ Impact of Glaucoma : Challenge That
Needs to be Incorporated “ Sumatera Eye Center Conventional
Hall Medan, 23-24 Maret 2013
Universitas Sumatera Utara
-
Peserta Annual Scientific Meeting “Eye Rehabilitation for Simple
Life” Trans Luxury Hotel Bandung, 12-14 April 2013
Peserta Daily Practice in pediatric Ophthalmology Grand Elite
Hotel Medan, 25 Mei 2013
Peserta The 7th Asian Neuro-Ophthalmology Society Congress
Bali, 27-29 September 2013
Peserta Simposium Myopic Choroidal Neovascularization JW.
Marriot Hotel Medan, 24 Juni 2014
Peserta Practical Pearls in Pediatric Ophthalmology Auditorium
Fakultas Kedokteran Universitas Airlangga Surabaya, 21
Februari 2015
Universitas Sumatera Utara
FORMULIR PERSETUJUAN PASIEN (INFORM CONCENT)
Tanggal Pemeriksaan
:
No. Penelitian
:
No. MR
:
Nama
:
Alamat lengkap
:
Telepon
:
Tanggal Lahir
:
Umur
:
Jenis Kelamin
: a. Laki – laki
Pendidikan Terakhir
SMU
: a. SD
b. Perempuan
b. SMP
c.
ANAMNESIS
Keluhan Utama
:
Visus
: OD :
PH:
OS:
PH:
Segmen Anterior
Palpebra Superior / Inferior
:
Conj. Tarsalis Superior / Inferior :
Conj. Bulbi
:
Cornea
:
COA
:
Pupil
:
Iris
:
Universitas Sumatera Utara
Lensa
:
Hasil koreksi kelainan refraksi
Subjektif
OD
:S
C
x
°
OS
:S
C
x
°
Panjang Sumbu Bola Mata
OD
:-
OS
: -
-
-
-
-
Saya setuju untuk ikut serta dalam penelitian tentang
”Perbandingan Panjang Sumbu Bola Mata pada anak Miopia &
Emmetropia” yang telah dijelaskan dalam penelitian ini. Keikutsertaan
saya bersifat sukarela dan saya telah mengerti sepenuhnya informasi
tentang penelitian ini termasuk tujuan dan prosedurnya.
(.............................)
Universitas Sumatera Utara
Lampiran 2
NO
NAMA
KLP
USIA
sex
SUKU
STATUS
REFRAKSI
SFOD
SFOS
PANJANG SUMBU BOLA MATA
PSBOD
PSBODk
PSBOS
PSBOSk
1
25.67
2
23.35
1
1
1
24.6
2
24.03
2
1
1
23.95
1
23.97
1
1
Grace Arta
1
1
2
1
3
2
Yoga Ambarita
1
2
1
2
3
2
2
1
Patricia
1
4
Nurul Arafah
1
2
2
3
1
1
23.39
1
23.54
1
5
Michael Zebua
1
1
1
4
1
1
24.63
2
24.01
2
6
Valiant Ticonumu
1
2
1
4
2
2
25.22
2
25.02
2
7
Angel Jelita
1
1
2
3
1
1
23.19
1
23.11
1
8
Desi
1
2
2
3
2
2
26.69
2
27.39
2
9
Putri Andi
1
2
2
3
1
2
24.07
2
23.7
1
10
M. Fajar Raihan
1
1
1
3
1
1
23.95
1
23.45
1
11
M. Zahran Rafi
1
1
1
3
1
1
23.67
1
23.78
1
12
Mayra Izzati
1
1
2
3
1
1
22.84
1
22.94
1
13
Lulu
1
1
2
3
1
2
23.45
1
23.47
1
14
Intan Juwita Alam
1
1
2
3
1
1
24.35
2
23.65
1
15
Imelda Aprilia
1
2
2
3
1
1
24.03
2
24.12
2
16
Dylan Ignas
1
2
1
1
1
1
23.27
1
23.97
1
17
Ananda Milala
1
1
1
1
2
2
24.01
2
24.78
2
18
Adrian Natanael
1
1
2
1
2
2
24.48
2
25.96
2
19
Andana Disa Kaban
1
1
2
1
1
1
22.85
1
23.07
1
20
Angel Muliana
1
2
2
3
1
1
25.12
2
25.14
2
21
Eka Basaria
1
2
2
3
2
2
23.39
1
23.17
1
Universitas Sumatera Utara
22
Michael Alwendo
1
2
1
1
2
2
26.11
2
25.78
2
23
Nurasyiqin
Yeni Apulina
Sinulingga
1
2
2
2
1
1
23.18
1
23.46
1
1
2
2
1
2
2
25.91
2
26.07
2
25
Mika Andi
1
2
1
2
2
2
24.9
2
25.1
2
26
Agus
1
1
1
2
1
1
22.85
1
22.83
1
27
Ahmad
1
1
1
2
1
1
22.92
1
23.06
1
28
Rita
1
1
2
2
1
1
22.08
1
21.96
1
29
Yuni
1
1
2
2
1
1
23.22
1
23.32
1
30
yani
1
1
2
2
1
1
23.05
1
23.53
1
31
Ririn
1
1
2
3
1
1
23.49
1
23.61
1
32
Rona
1
2
2
3
1
1
22.78
1
22.72
1
33
Ceti
1
2
2
3
1
1
23.97
1
23.78
1
34
Vivi Julianti
1
2
2
3
1
1
23.1
1
22.92
1
35
M. Haiqal
1
2
1
2
1
1
25.14
2
25.07
2
36
Siti khadijah
1
2
2
3
1
1
23.73
1
23.93
1
37
Maria
1
2
2
1
1
1
22.86
1
22.3
1
38
Imanuel Daud
1
1
1
1
1
1
24.62
2
24.75
2
39
Nadia Tifanni
1
2
2
1
1
1
23.61
1
23.78
1
40
Adinda Putri
1
2
2
3
1
1
23.85
1
23.49
1
41
Endang Yoana
1
2
2
1
3
3
24.56
2
24.71
2
42
Alfida Unaiyah Afif
1
1
2
3
3
3
24.37
2
25.01
2
1
Hamdani
2
2
1
3
0
0
23.85
1
23.37
1
2
Nanda
2
1
2
3
0
0
23.18
1
23.01
1
3
Laura Angela
2
1
2
1
0
0
23.45
1
23.56
1
4
Remonta Sembiring
2
2
1
1
0
0
23.67
1
23.78
1
24
Universitas Sumatera Utara
5
Syakira
2
1
2
3
0
0
23.34
1
23.36
1
6
Haya
2
1
2
2
0
0
23.41
1
23.45
1
7
Chairul
2
1
1
3
0
0
23.5
1
23.54
1
8
Risma
2
2
2
3
0
0
23.76
1
23.85
1
9
Jihan
2
1
2
3
0
0
23.53
1
23.41
1
10
Oyok
2
1
1
1
0
0
23.56
1
23.41
1
11
Widya Ulfa
2
2
2
5
0
0
23.58
1
23.47
1
12
Ina Amelia
2
1
2
5
0
0
23.41
1
23.45
1
13
Fitri Utami
2
2
2
5
0
0
23.65
1
23.67
1
14
Yolanda
2
2
2
1
0
0
23.68
1
23.78
1
15
Remika
2
1
2
1
0
0
23.95
1
23.86
1
16
Siti
2
2
2
3
0
0
23.86
1
23.79
1
17
Al Hasbi
2
1
1
3
0
0
23.85
1
23.86
1
18
Rafa
2
1
1
3
0
0
23.79
1
23.68
1
19
Zahra
2
1
2
1
0
0
23.67
1
23.75
1
20
21
Revi
2
1
1
3
0
0
23.66
1
23.68
1
Novi
2
1
2
2
0
0
21.98
1
21.94
1
22
Yolanda
2
1
2
1
0
0
22.65
1
22.95
1
23
Revalina
2
1
2
3
0
0
22.59
1
22.65
1
24
Susi
2
2
2
1
0
0
23.48
1
23.56
1
25
Santi
2
2
2
2
0
0
23.62
1
23.67
1
26
Dandi
2
1
1
2
0
0
23.6
1
23.68
1
27
Fadli
2
2
1
3
0
0
23.69
1
23.58
1
28
Romi
2
1
1
3
0
0
23.78
1
23.64
1
29
Johanes
2
1
1
1
0
0
23.85
1
23.76
1
Universitas Sumatera Utara
30
Alif
2
1
1
5
0
0
23.65
1
23.77
1
31
Akbar
2
1
1
5
0
0
23.56
1
23.49
1
32
Novri
2
2
1
5
0
0
23.88
1
23.98
1
33
Imam
2
2
1
3
0
0
23.68
1
23.88
1
34
Fadila
2
2
2
3
0
0
23.64
1
23.58
1
35
Rini
2
2
2
2
0
0
23.78
1
23.85
1
36
Bayu
2
1
1
2
0
0
23.63
1
23.58
1
37
Sofyan
2
2
1
3
0
0
23.75
1
23.65
1
38
Indra Nasution
2
2
1
1
0
0
23.68
1
23.72
1
39
Ridwan
2
1
1
5
0
0
23.58
1
23.64
1
40
Muhammad Sani
2
1
1
3
0
0
23.47
1
23.49
1
41
Dara
2
1
2
2
0
0
23.58
1
23.55
1
42
Sri Santika
2
2
2
2
0
0
23.66
1
23.7
1
0.
Normal
1.
Ringan
2.
Sedang
3.
Berat
0.
Normal
1.
Ringan
2.
Sedang
3.
Berat
1. Miopia
2.
Emmetropia
1. 15 Wanita
1.
Batak
2. Jawa
3.
Melayu
4. Nias
5. Padang
1. < 24
1. < 24
2. >= 24
2. >= 24
Universitas Sumatera Utara
Lampiran 3
Usia (tahun) * Mata Crosstabulation
Us ia (tahun)
15 tahun
Total
Count
% within Us ia (tahun)
% within Mata
% of Total
Count
% within Us ia (tahun)
% within Mata
% of Total
Count
% within Us ia (tahun)
% within Mata
% of Total
Mata
Miopia
Emmetropia
19
25
43.2%
56.8%
45.2%
59.5%
22.6%
29.8%
23
17
57.5%
42.5%
54.8%
40.5%
27.4%
20.2%
42
42
50.0%
50.0%
100.0%
100.0%
50.0%
50.0%
Total
44
100.0%
52.4%
52.4%
40
100.0%
47.6%
47.6%
84
100.0%
100.0%
100.0%
Jenis kelamin * Mata Crosstabulation
Jenis kelamin
Pria
Wanita
Total
Count
% within Jenis kelamin
% within Mata
% of Total
Count
% within Jenis kelamin
% within Mata
% of Total
Count
% within Jenis kelamin
% within Mata
% of Total
Miopia
13
39.4%
31.0%
15.5%
29
56.9%
69.0%
34.5%
42
50.0%
100.0%
50.0%
Mata
Emmetropia
20
60.6%
47.6%
23.8%
22
43.1%
52.4%
26.2%
42
50.0%
100.0%
50.0%
Total
33
100.0%
39.3%
39.3%
51
100.0%
60.7%
60.7%
84
100.0%
100.0%
100.0%
Universitas Sumatera Utara
Suku * Mata Crosstabulation
Suku
Batak
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Count
% within Suku
% within Mata
% of Total
Jawa
Melayu
Nias
Padang
Total
Miopia
12
54.5%
28.6%
14.3%
9
52.9%
21.4%
10.7%
19
52.8%
45.2%
22.6%
2
100.0%
4.8%
2.4%
0
.0%
.0%
.0%
42
50.0%
100.0%
50.0%
Mata
Emmetropia
10
45.5%
23.8%
11.9%
8
47.1%
19.0%
9.5%
17
47.2%
40.5%
20.2%
0
.0%
.0%
.0%
7
100.0%
16.7%
8.3%
42
50.0%
100.0%
50.0%
Total
22
100.0%
26.2%
26.2%
17
100.0%
20.2%
20.2%
36
100.0%
42.9%
42.9%
2
100.0%
2.4%
2.4%
7
100.0%
8.3%
8.3%
84
100.0%
100.0%
100.0%
Status Refraksi OD * Mata Crosstabulation
Miopia
Status
Refraks i
OD
Normal
Ringan
Sedang
Berat
Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Count
% within Status
Refraks i OD
% within Mata
% of Total
Mata
Emmetropia
0
42
Total
42
.0%
100.0%
100.0%
.0%
.0%
31
100.0%
50.0%
0
50.0%
50.0%
31
100.0%
.0%
100.0%
73.8%
36.9%
8
.0%
.0%
0
36.9%
36.9%
8
100.0%
.0%
100.0%
19.0%
9.5%
3
.0%
.0%
0
9.5%
9.5%
3
100.0%
.0%
100.0%
7.1%
3.6%
42
.0%
.0%
42
3.6%
3.6%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Universitas Sumatera Utara
Status Refraksi OS * Mata Crosstabulation
Miopia
Status
Refraks i
OS
Normal
Ringan
Sedang
Berat
Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Count
% within Status
Refraks i OS
% within Mata
% of Total
Mata
Emmetropia
0
42
Total
42
.0%
100.0%
100.0%
.0%
.0%
30
100.0%
50.0%
0
50.0%
50.0%
30
100.0%
.0%
100.0%
71.4%
35.7%
10
.0%
.0%
0
35.7%
35.7%
10
100.0%
.0%
100.0%
23.8%
11.9%
2
.0%
.0%
0
11.9%
11.9%
2
100.0%
.0%
100.0%
4.8%
2.4%
42
.0%
.0%
42
2.4%
2.4%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Pa nja ng S um bu Bola Ma ta : OD * Ma ta Crosstabulation
Panjang Sumbu
Bola Mata : OD
< 24
>= 24
Total
Count
% within P anjang
Sumbu Bola Mata : OD
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OD
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OD
% within Mata
% of Total
Miopia
24
Mata
Emmetropia
42
36.4%
63.6%
100.0%
57.1%
28.6%
18
100.0%
50.0%
0
78.6%
78.6%
18
100.0%
.0%
100.0%
42.9%
21.4%
42
.0%
.0%
42
21.4%
21.4%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Total
66
Universitas Sumatera Utara
Pa nja ng S um bu Bola Ma ta : OS * Ma ta Crosstabulation
Panjang Sumbu
Bola Mata : OS
< 24
>= 24
Total
Count
% within P anjang
Sumbu Bola Mata : OS
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OS
% within Mata
% of Total
Count
% within P anjang
Sumbu Bola Mata : OS
% within Mata
% of Total
Miopia
27
Mata
Emmetropia
42
39.1%
60.9%
100.0%
64.3%
32.1%
15
100.0%
50.0%
0
82.1%
82.1%
15
100.0%
.0%
100.0%
35.7%
17.9%
42
.0%
.0%
42
17.9%
17.9%
84
50.0%
50.0%
100.0%
100.0%
50.0%
100.0%
50.0%
100.0%
100.0%
Total
69
Descriptives (OD Normal, miopia)
Descriptive Statistics
N
Panjang Sumbu
Bola Mata : OD
Valid N (listwise)
42
Minimum
Maximum
21.98
23.95
Mean
23.5507
Std. Deviation
.36598
42
Oneway
Descriptives
Panjang Sumbu Bola Mata : OD
N
Ringan
Sedang
Berat
Total
31
8
3
42
Mean
23.6068
25.0888
24.8667
23.9790
Std. Deviation
.73350
1.11831
.70216
1.01684
Std. Error
.13174
.39538
.40539
.15690
95% Confidence Interval for
Mean
Lower Bound Upper Bound
23.3377
23.8758
24.1538
26.0237
23.1224
26.6109
23.6622
24.2959
Minimum
22.08
23.39
24.37
22.08
Maximum
25.14
26.69
25.67
26.69
Test of Homogeneity of Variances
Panjang Sumbu Bola Mata : OD
Levene
Statistic
1.551
df1
df2
2
39
Sig.
.225
Universitas Sumatera Utara
ANOV A
Panjang Sumbu Bola Mata : OD
Sum of
Squares
16.511
25.881
42.393
Between Groups
W ithin Groups
Total
df
2
39
41
Mean S quare
8.256
.664
F
12.440
Sig.
.000
Post Hoc Tests
Multiple Comparisons
Dependent Variable: Panjang Sumbu Bola Mata : OD
LSD
(I) Status Refraksi OD
Ringan
Sedang
Berat
(J) Status Refraksi OD
Sedang
Berat
Ringan
Berat
Ringan
Sedang
Mean
Difference
(I-J)
-1.48198*
-1.25989*
1.48198*
.22208
1.25989*
-.22208
Std. Error
.32305
.49256
.32305
.55151
.49256
.55151
Sig.
.000
.015
.000
.689
.015
.689
95% Confidence Interval
Lower Bound Upper Bound
-2.1354
-.8286
-2.2562
-.2636
.8286
2.1354
-.8934
1.3376
.2636
2.2562
-1.3376
.8934
*. The mean difference is s ignificant at the .05 level.
Descriptives (OS Normal, miopia)
Descriptive Statistics
N
Panjang Sumbu
Bola Mata : OS
Valid N (listwise)
Minimum
Maximum
21.94
23.98
42
Mean
Std. Deviation
23.5486
.36011
42
Oneway
Descriptives
Panjang Sumbu Bola Mata : OS
N
Ringan
Sedang
Berat
Total
Mean
23.5632
25.4088
24.3567
23.9714
31
8
3
42
Std. Deviation
.69629
1.22230
.88461
1.08993
Std. Error
.12506
.43215
.51073
.16818
95% Confidence Interval for
Mean
Lower Bound Upper Bound
23.3078
23.8186
24.3869
26.4306
22.1592
26.5542
23.6318
24.3111
Minimum
21.96
23.17
23.35
21.96
Maximum
25.14
27.39
25.01
27.39
Test of Homogeneity of Variances
Panjang Sumbu Bola Mata : OS
Levene
Statistic
1.722
df1
df2
2
39
Sig.
.192
Universitas Sumatera Utara
ANOV A
Panjang Sumbu Bola Mata : OS
Between Groups
W ithin Groups
Total
Sum of
Squares
22.138
26.568
48.706
df
2
39
41
Mean S quare
11.069
.681
F
16.249
Sig.
.000
Post Hoc Tests
Multiple Comparisons
Dependent Variable: Panjang Sumbu Bola Mata : OS
LSD
(I) Status Refraksi OD
Ringan
Sedang
Berat
Mean
Difference
(I-J)
-1.84552*
-.79344
1.84552*
1.05208
.79344
-1.05208
(J) Status Refraksi OD
Sedang
Berat
Ringan
Berat
Ringan
Sedang
Std. Error
.32730
.49905
.32730
.55877
.49905
.55877
Sig.
.000
.120
.000
.067
.120
.067
95% Confidence Interval
Lower Bound Upper Bound
-2.5076
-1.1835
-1.8029
.2160
1.1835
2.5076
-.0781
2.1823
-.2160
1.8029
-2.1823
.0781
*. The mean difference is s ignificant at the .05 level.
T-Test
Group Statistics
Panjang Sumbu
Bola Mata : OD
Panjang Sumbu
Bola Mata : OS
Mata
Miopia
Emmetropia
Miopia
Emmetropia
42
42
42
Mean
23.9790
23.5507
23.9714
Std. Deviation
1.01684
.36598
1.08993
Std. Error
Mean
.15690
.05647
.16818
42
23.5486
.36011
.05557
N
Independent Samples Test
Levene's Test for
Equality of Variances
F
Panjang Sumbu
Bola Mata : OD
Panjang Sumbu
Bola Mata : OS
Equal variances
as sumed
Equal variances
not ass umed
Equal variances
as sumed
Equal variances
not ass umed
31.128
27.058
Sig.
.000
.000
t-test for Equality of Means
t
df
Sig. (2-tailed)
Mean
Difference
Std. Error
Difference
95% Confidence
Interval of the
Difference
Lower
Upper
2.569
82
.012
.42833
.16675
.09660
.76006
2.569
51.447
.013
.42833
.16675
.09363
.76304
2.387
82
.019
.42286
.17712
.07051
.77521
2.387
49.846
.021
.42286
.17712
.06707
.77864
Universitas Sumatera Utara
Lampiran 4
Universitas Sumatera Utara
Lampiran 5
Universitas Sumatera Utara
Lampiran 6
DAFTAR RIWAYAT HIDUP
1. Identitas
Nama
Tempat / Tanggal Lahir
Suku/Bangsa
Agama
Alamat
Suami
Anak
: dr. Amelia Rizar
: Pekanbaru/ 4 Januari 1985
: Padang / Indonesia
: Islam
: Jl. Eka Surya Komp. Grand Monaco
blok G no. 5 Medan
: Faisal Syarif ST
:-
2. Pendidikan
- SD Santa Maria Pekanbaru tamat Tahun 1996
- SMP Santa Maria Pekanbaru tamatTahun 1999
- SMA Santa Maria Pekanbaru tamat Tahun 2001
- Missisquoi Valley Union High School Amerika tamat Tahun 2002
- S1 Fakultas Kedokteran Univeristas Islam Sumatera Utara
Medan, tamat Tahun 2009
3. Riwayat Pekerjaan
Dokter Umum di Klinik Jamsostek Martubung tahun 2009
Dokter Umum di Klinik Jamsostek Mabar tahun 2009
Dokter Umum di RS. Bakti Medan tahun 2010-2011
4. Perkumpulan Profesi
Anggota IDI Sumatera Utara
Anggota Muda Perdami Cabang Sumatera Utara
5. Tulisan
1. Sjogren Syndrome
2. Toksik Optik Neuropati & Nutrisional Optik Neuropati
6. Seminar Yang Telah Diikuti
- Peserta One Day Dinner Symosium Grand Elite Hotel Medan,
20 Februari 2013
- Peserta In the Workshop “ Impact of Glaucoma : Challenge That
Needs to be Incorporated “ Sumatera Eye Center Conventional
Hall Medan, 23-24 Maret 2013
Universitas Sumatera Utara
-
Peserta Annual Scientific Meeting “Eye Rehabilitation for Simple
Life” Trans Luxury Hotel Bandung, 12-14 April 2013
Peserta Daily Practice in pediatric Ophthalmology Grand Elite
Hotel Medan, 25 Mei 2013
Peserta The 7th Asian Neuro-Ophthalmology Society Congress
Bali, 27-29 September 2013
Peserta Simposium Myopic Choroidal Neovascularization JW.
Marriot Hotel Medan, 24 Juni 2014
Peserta Practical Pearls in Pediatric Ophthalmology Auditorium
Fakultas Kedokteran Universitas Airlangga Surabaya, 21
Februari 2015
Universitas Sumatera Utara