JUDUL JURNAL DAN EDISI TNOA Journal of Ophthalmic Science and
Research VOL 54 October – Desember 2019 JUDUL ARTIKEL Study of Meibomian Gland Dysfunction and Hypercholesterolemia LATAR BELAKANG Abnormality of the meibomian glands, commonly characterized by terminal duct obstruction and/or qualitative/quantitative changes in the glandular secretion. It may result in alteration of the tear film, symptoms of eye irritation, clinically apparent inflammation, and ocular surface disease. Hypercholesterolemia (total cholesterol >200 mg/dl) is an important risk factor for cerebrovascular disease, ischemic heart disease, and peripheral vascular disease Recent studies indicate that patients with moderate-to-severe MGD have a high incidence of total blood cholesterol than the general population. Furthermore, the young- and middle-aged patients with MGD with no history of hypercholesterolemia may have higher blood cholesterol levels than the general population TUJUAN investigate the association between MGD and hypercholesterolemia in young- and middle-aged adults aged 20–60 years. METODOLOGI Desain : observational case–control study Populasi sampel : Individuals aged 20 – 60 years • Case group : Diagnosed with MGD and no known hypercholesterolemia (60) • Control group : Without MGD and no known hypercholesterolemia (60) Waktu : Jan 2015 – Juni 2016 Tempat : rural tertiary hospital HASIL 1. Cholesterol levels among different age groups within cases and controls in this study reveal higher mean cholesterol level among the individuals aged 51–60 years. Increasing age correlates also with increase in the total cholesterol levels and MGD. 2. MGD grade 2 and above found more frequently in patients with hyper cholestherolemia, Since MGD Grade 2 and above alone are symptomatic, it may be stated that symptomatic MGD is associated with hypercholesterolemia as past studies by William and Pinna suggested. 3. Cholesterol esters are present in patients with MGD and increased cholesterol in the glandular secretion might have a role in the pathogenesi of MGD. Increase in cholesterol con-centration in meibum results in incre-ase in its melting point, and viscosityThese changes result in meibomian gland plugging and development of MGD.
KESIMPULAN Among young and middle aged adults
aged 20–60 years, individuals with moderate MGD have a higher incidence of hypercholesterolemia than the healthy controls. RANGKUMAN DAN HASIL 1. Pasien dengan MGD pada PEMBELAJARAN kelompok usia 51 tahun memiliki kadar kolesterol yang lebih tinggi dibanding populasi kontrol 2. Peningkatan sekresi kolesterol meningkatkan viskositas meibom yang dapat mengakibatkan sumbatan sehingga terbentuk MGD 3. MGD grade 2 atau MGD simptomatik ditemukan pada pasien dengan hiperkolesterolemia
Serum GGT Activity and HSCRP Level in Patients With Type 2 Diabetes Mellitus With Good and Poor Glycemic Control An Evidence Linking Oxidative Stress, Inflammation and Glycemic Control