Laporan Kesehatan Indera Bulan September 2019 PDF

LAPORAN
KEGIATAN PROGRAM GANGGUAN INDERA
Puskesmas : CIANJUR KOTA

Kecamatan : CIANJUR
Bulan : SEPTEMBER
Tahun : 2019
Jumlah Kasus Baru Menurut Golongan Umur Jumlah Jumlah Total Jumlah
No. KEGIATAN
0-7 hr 8-28 hr 1-11 bln 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th > 59 th Kasus baru Total Kasus lama Total Kunjungan Total Kasus KET
1 2 L P L P L P L P L P L P L P L P L P L P L P L P L P Dirujuk
I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
b. Kelainan Refraksi 0 0 0 0
- Miopi 0 0 0 0
- Hipermetropia 0 0 0 0
- Presbiopia 0 0 0 0
- Astigmatisme 0 0 0 0
c. Glukoma 0 0 0 0
d. Lain-lain (sebutkan) : 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
e. Jumlah operasi katarak 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0
Tajam penglihatan : 6/12 - 6/18 0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
II Jenis Gangguan Pendengaran dan Ketulian
a. OMSK/Congek 0 0 0 0
b. Serumen 0 0 0 0
c. Presbikusis 0 0 0 0
d. Tuli akibat bising 0 0 0 0
e. Tuli kongenital (tuli sejak lahir) 0 0 0 0
f. lain-lain (sebutkan) : 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
4 Hipermetropia 0 0 0 0
5 Presbiopia 0 0 0 0
6 Astigmatisme 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0
8 Buta 0 0 0 0
9 Low vision 0 0 0 0
10 Benda asing dimata 0 0 0 0
11 Konjungtivitis 2 1 1 2 2 4 0
12 Hordeulum 0 0 0 0
13 Pterydium 0 0 0 0
14 Penyakit mata lainnya 1 1 0 1 0
0 0 0 0
B. Pendengaran 0
1 Otitis eksterna 0 0 0 0
2 Otitis media akut 0 0 0 0
3 Otitis media supuratif kronik 0 0 0 0
4 Serumen 0 0 0 0
5 Presbikusis 0 0 0 0
6 Tuli akibat bising 0 0 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0
8 Gangguan pendengaran lainnya 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 0 0 0 0
14 Penyakit mata lainnya 0 0 0 0
0 0 0 0
B. Pendengaran
4 Serumen 0 0 0 0
0 0 0 0
Rekapitulasi Kasus Disabilitas
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
4 Keterlambatan bicara (F80) 0 0 0 0 0 0
5 Gagap (Stutering/stammering) (F98.5) 0 0 0 0 0 0
6 Gangguan kognisi (R41) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
8 Kesulitan makan pada anak (P92) 0 0 0 0 0 0
9 Retensi sputum (J00-J18) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
11 Inkontinensia urin (N39.4) 0 0 0 0 0 0
12 Gangguan kekakuan otot (M60-M63) 0 0 0 0 0 0
13 Nyeri muskuloskeletal (M79.6) 0 0 0 0 0 0
14 Nyeri neuropati (G60) 0 0 0 0 0 0
15 Neoplasm related pain acute and chronic (keganasan) (G89.3) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
Jenis Disabilitas
1 a. Disabilitas fisik 0 0 0 0 0 0
2 b. Disabilitas intelektual 0 0 0 0 0 0
3 c. Disabilitas sensorik 0 0 0 0 0 0
4 d. Disabilitas mental 0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui, Cianjur, September 2019

Kepala Puskesmas Cianjur Kota Pengelola Program Kesehatan Indera
_________________________
NIP. Ai Rusmiati
NIP.
LAPORAN
Puskesmas: MUKA
Kecamatan: CIANJUR
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 2 1 1 2 2 4 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 0 1 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
2 Otitis media akut 2 1 1 2 2 4 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 3 1 1 3 4 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
Rekapitulasi Kasus Disabilitas 0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
Jenis Disabilitas 0 0 0 0 0 0
a. Disabilitas fisik 0 0 0 0 0 0
b. Disabilitas intelektual 0 0 0 0 0 0
c. Disabilitas sensorik 0 0 0 0 0 0
d. Disabilitas mental 0 0 0 0 0 0
0 0 0 0 0 0

Kepala Puskesmas Muka Pengelola Program Kesehatan Indera
_________________________
NIP. Heri Mulyana
NIP.
LAPORAN
Puskesmas
: NAGRAK
Kecamatan
: CIANJUR
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 2 5 2 4 3 2 3 3 5 2 2 1 1 13 22 35 0
14 Penyakit mata lainnya 1 1 1 2 1 3 0
0 0 0 0
B. Pendengaran 0
1 Otitis eksterna 2 1 1 1 1 3 3 6 0
3 Otitis media supuratif kronik 2 1 1 1 1 5 1 3 1 1 6 11 17 0
4 Serumen 0 0 0 0
8 Gangguan pendengaran lainnya 1 1 1 1 2 1 4 3 7 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Kepala Puskesmas Nagrak Pengelola Program Kesehatan Indera
_________________________
NIP. Syafur Yusuf
NIP.
LAPORAN
Puskesmas : RAWAT INAP CIRANJANG

Kecamatan : CIRANJANG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 0 2 0
≥ 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 1 2 3 0 7 5 12 0
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Lain-lain (sebutkan) : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Konjuntivitis 0 0 0 0 0 0 4 1 3 2 2 4 2 3 2 2 0 1 1 0 14 13 27 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan : 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. OMSK/Congek 0 0 0 0 0 0 0 0 0 0 1 2 1 0 0 0 0 0 0 0 2 2 4 0
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 2 1 2 1 0 0 0 0 0 2 4 6 0
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan) : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hordeulum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Pterydium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Penyakit mata lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B. Pendengaran 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui, Ciranjang, September 2019

Kepala Puskesmas Ciranjang Pengelola Program Kesehatan Indera
_________________________
NIP. Nunuy Risnawaty
NIP.
LAPORAN
Puskesmas CIBAREGBEG
Kecamatan CIBEBER
Bulan SEPTEMBER
Tahun 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 1 1 2 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
14 Penyakit mata lainnya 1 2 1 2 3 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
13 Nyeri muskuloskeletal (M79.6) 6 4 11 7 6 11 23 34 46 56 102
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui, Cibaregbeg, September 2019

Kepala Puskesmas Cibaregbeg Pengelola Program Kesehatan Indera
_________________________
NIP. Nisaa Fithriyah Mabrur, Amd.
A.Md. Keb
NRPTT. 20130101035
LAPORAN
Puskesmas : CILAKU
Kecamatan : CILAKU
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 2 2 1 3 2 5 3 2 5
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 2 2 1 3 2 5 3 2 5
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
4 Hipermetropia 1 2 1 2 3 1 2 3
8 Buta 0 0 0 0
11 Konjungtivitis 2 4 5 6 4 3 13 11 24 13 11 24
13 Pterydium 1 1 0 1 1 1
14 Penyakit mata lainnya 1 1 1 1 2 1 1 2
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui, Cilaku , September 2019

Kepala Puskesmas Cilaku Pengelola Program Kesehatan Indera
________________________ Jayadi,A.Md.Kep,Sip
NIP. Nip.197006081994031 005
LAPORAN
Puskesmas : WARUNGKONDANG
Kecamatan : WARUNGKONDANG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 0 1 1 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 1 1 0 1 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 1 1 0 1 0
0 0 0 0
2 Otitis media akut 1 0 1 1 0
4 Serumen 2 2 0 2 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui, Warung Kondang , September 2019

Kepala Puskesmas Warung Kondang Pengelola Program Kesehatan Indera
________________________ Euis Masnoneh

NIP. NIP.
LAPORAN
Puskesmas : GEKBRONG
Kecamatan : GEKBRONG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 8 4 5 5 13 18 0
≥ 3/60 1 8 4 5 5 13 18 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 8 4 5 5 13 18 0
2 Glukoma 0 0 0 0
3 Miopi 2 2 4 5 3 3 9 10 19 0
4 Hipermetropia 2 2 1 1 3 3 6 0
8 Buta 0 0 0 0
11 Konjungtivitis 3 4 8 9 11 13 24 0
13 Pterydium 2 4 7 5 9 9 18 0
0 0 0 0
B. Pendengaran 0
2 Otitis media akut 2 1 2 1 3 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
13 Nyeri muskuloskeletal (M79.6) 5 6 8 10 13 21 26 37 63 74 115 189
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Gekbrong, September 2019

Kepala Puskesmas Gekbrong Pengelola Program Kesehatan Indera
Ratna Winarsih, SKM.M.Kes Purwanto Selamet, Amd.Kep

NIP. 19690320 198901 2 001 NIP.197910062008011006
LAPORAN
Puskesmas : CIBEBER
Kecamatan : CIBEBER
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0 0
≥ 3/60 1 0 1 1 0
- Miopi 1 2 1 6 1 9 10 0
- Hipermetropia 6 0 6 6 0 5
- Presbiopia 0 0 0 0 2
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 1 2 1 1 1 1 2 6 8 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 0 1 1 0
2 Glukoma 0 0 0 0
3 Miopi 1 2 1 6 1 9 10 0
4 Hipermetropia 6 0 6 6 0
8 Buta 0 0 0 0
11 Konjungtivitis 2 1 4 4 6 2 4 2 1 5 2 1 1 1 15 21 36 0
12 Hordeulum 1 0 1 1 0
13 Pterygium 1 2 3 3 3 6 9 0
0 0 0 0
B. Pendengaran 0
3 Otitis media supuratif kronik 2 1 1 1 1 2 4 6 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cibeber, September 2019

Kepala Puskesmas Cibeber Pengelola Program Kesehatan Indera
__________________________ Dewi Wahyuni

NIP. NIP.
LAPORAN
Puskesmas : HAURWANGI
Kecamatan : HAURWANGI
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 2 1 2 1 3 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 2 1 2 1 3 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 1 1 2 1 3 3 1 2 4 10 14 0
12 Hordeulum 1 1 1 1 2 3 0
13 Pterydium 2 1 1 1 2 3 5 0
0 0 0 0
B. Pendengaran 0
1 Otitis eksterna 1 1 1 1 2 0
4 Serumen 4 5 4 5 9 0
1 1 0 2 2 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 1 2 1 2 1 3 4 7 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
LAPORAN
Puskesmas : CIKONDANG
Kecamatan : BOJONGPICUNG
Bulan : AGUSTUS
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cikondang, September 2019

Kepala Puskesmas Cikondang Pengelola Program Kesehatan Indera
_____________________________ Rudi
NIP. NIP.
LAPORAN
Puskesmas : CIHERANG
Kecamatan : KARANGTENGAH
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 1 1 1 2 0 0 1
≥ 3/60 0 0 0 0
- Miopi 1 2 0 3 3 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 2 2 3 3 5 8 0
b. Serumen 1 1 1 1 2 3 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 1 1 2 0
2 Glukoma 0 0 0 0
3 Miopi 1 2 0 3 3 0 0 2
8 Buta 0 0 0 0
11 Konjungtivitis 2 3 1 2 1 2 7 4 11 0
12 Hordeulum 2 1 2 1 3 0
0 0 0 0
B. Pendengaran 0
2 Otitis media akut 1 2 1 1 2 1 3 5 8 0
4 Serumen 2 2 1 1 3 3 6 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 2 1 2 2 3 4 7 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Ciherang, September 2019

Kepala Puskesmas Ciherang Pengelola Program Kesehatan Indera
_____________________________ Bambang
NIP. NIP.
LAPORAN
Puskesmas : SUKALUYU
Kecamatan : SUKALUYU
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 2 1 2 3 1 2 3 3
≥ 3/60 0 0 0 0
- Miopi 1 1 1 1 2 3 1 2 3 3
c. Glukoma 2 2 0 2 2 2 2
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru Menurut Golongan Umur
Jumlah Kasus Baru 0-7 hr 8-28 hr 1-11 bln 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th > 59 th
A. Penglihatan L P L P L P L P L P L P L P L P L P L P
1 Katarak 1 2 1 2 3 1 2 3 3
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
10 Benda asing dimata 1 2 2 3 2 0 2 7 5 12 7 5 12
12 Hordeulum 2 1 2 1 3 2 1 3 3
0 0 0 0
Jumlah Kasus Baru Menurut Golongan Umur
0-7 hr 8-28 hr 1-11 bln 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th > 59 th
L P L P L P L P L P L P L P L P L P L P
B. Pendengaran 0
4 Serumen 0 0 0 0
6 Tuli akibat bising 1 1 1 1 2 1 0 1
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
Jumlah Kasus Baru Menurut Golongan Umur 0 0 0 0
0-7 hr 8-28 hr 1-11 bln 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th > 59 th
L P L P L P L P L P L P L P L P L P L P
2 Otitis media akut 1 3 2 3 3 6 3 3 6
4 Serumen 1 2 2 1 3 1 2 3
6 Tuli akibat bising 1 0 1 1 1 0 1
8 Gangguan pendengaran lainnya 2 2 0 2 2 0 2
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Sukaluyu, September 2019

Kepala Puskesmas Sukaluyu Pengelola Program Kesehatan Indera
_____________________________ Linlin Susianti

NIP. NIP.
LAPORAN
Puskesmas : BOJONGPICUNG
Kecamatan : BOJONGPICUNG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
≥ 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 1 1 2 3 2 5 5
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 2 0 0 4 3 7 1 2 3 5 5 10 8
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 1 1 2 3 2 5 3
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Lain-lain (sebutkan) : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 2 2 4 3 2 5 5 4 9 0
b. Serumen 0 0 0 0 0 0 1 1 1 1 0 1 0 1 1 0 0 0 0 0 3 4 7 2 3 5 5 7 12 8
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 1 1 2 3 3 6 4
d. Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan) : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 1 2 3 3
2 Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 2 0 0 4 3 7 4 3 7 6
4 Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 2 1 3 1
6 Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 1 1
11 Konjungtivitis 0 0 0 0 2 1 1 1 1 0 0 0 1 1 1 0 0 0 0 0 6 3 9 6 3 9 0
12 Hordeulum 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 3 2 1 3 0
13 Pterydium 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 2 0 0 0 0
14 Penyakit mata lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
B. Pendengaran 0
1 Otitis eksterna 0 0 0 0 0 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 1 2 3 1 3 4 0
2 Otitis media akut 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 2 1 1 2 0
3 Otitis media supuratif kronik 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 1 2 0
4 Serumen 0 0 0 0 0 0 1 1 1 1 0 1 0 1 1 0 0 0 0 0 3 4 7 3 4 7 4
5 Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 2 1 3 3
6 Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Gangguan pendengaran lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 1 1 2 1 3 4 1 1 2 2
2 Glukoma 0 0 0 0 0 0 0
3 Miopi 1 2 3 2 4 6 0
4 Hipermetropia 0 0 0 0 0 0 0
5 Presbiopia 1 1 2 1 3 4 0
6 Astigmatisme 0 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0 0
12 Hordeulum 1 1 2 1 3 4 1 1 2 0
13 Pterydium 0 0 0 0 0 0 0 0 0 0
14 Penyakit mata lainnya 0 0 0 0 0 0 0 0 0 0
0 0 0 0
1 Otitis eksterna 1 2 3 2 4 6 1 2 3 0
3 Otitis media supuratif kronik 1 2 3 2 4 6 1 2 3 0
4 Serumen 1 1 2 1 3 4 1 1 2 1
5 Presbikusis 1 1 2 1 3 4 1 1 2 1
6 Tuli akibat bising 0 0 0 0 0 0 0 0 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Bojong Picung, September 2019

Kepala Puskesmas Bojong Picung Pengelola Program Kesehatan Indera
___________________________ Sulastri Lestari

NIP. NIP.
LAPORAN
Puskesmas : CIPANAS
Kecamatan : CIPANAS
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 1 0 1 0
≥ 3/60 1 1 0 1 0
- Miopi 0 0 0 0
c. Glukoma 2 2 0 2 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 16 2 4 1 1 3 21 24 0
b. Serumen 2 1 1 2 3 0
c. Presbikusis 2 0 2 2 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 2 1 1 2 3 0
5 Presbikusis 2 0 2 2 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 2 0 2 2 0
2 Glukoma 2 0 2 2 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
LAPORAN
Puskesmas : CIPANAS
Kecamatan : CIPANAS
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 1 0 1 0
≥ 3/60 1 1 0 1 0
- Miopi 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 16 2 4 1 1 3 21 24 0
b. Serumen 2 1 1 2 3 0
c. Presbikusis 2 0 2 2 0
0 0 0 0
0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cipanas, September 2019

Kepala Puskesmas Cipanas Pengelola Program Kesehatan Indera
_______________________ N. Nurjanah
NIP. NIP.
LAPORAN
Puskesmas : KARANGTENGAH
Kecamatan : KARANGTENGAH
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 2 3 2 2 3 5 8
≥ 3/60 0 0 0 0
- Miopi 1 1 1 3 1 3 4 7 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 1 0 2 2 0
b. Serumen 1 2 1 2 1 1 2 1 5 6 11 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 2 3 4 4 7 11 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
4 Hipermetropia 2 1 2 2 1 5 3 8 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 1 2 1 2 1 1 2 1 5 6 11 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cianjur, September 2019

Kepala Puskesmas Karang Tengah Pengelola Program Kesehatan Indera
_____________________________ Egi Mulyadi

NIP. NIP.
LAPORAN
Puskesmas : UPTD RAWAT INAP MANDE

Kecamatan : MANDE
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0 0 0 0
≥ 3/60 2 2 2 2 4 0 2 2 4
b. Kelainan Refraksi 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0
- Hipermetropia 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0
c. Glukoma 0 0 0 0 0 0 0
d. Lain-lain (sebutkan) : 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
e. Jumlah operasi katarak 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0
Tajam penglihatan : 6/12 - 6/18 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0
> 6/60 0 0 0 0 0 0 0
a. OMSK/Congek 1 1 1 1 2 0 1 1 2
b. Serumen 2 1 1 1 3 2 5 0 3 2 5
c. Presbikusis 0 0 0 0 0 0 0
d. Tuli akibat bising 0 0 0 0 0 0 0
e. Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0
f. lain-lain (sebutkan) : 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0 0 0 0
2 Glukoma 0 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0 0
4 Hipermetropia 0 0 0 0 0 0 0
5 Presbiopia 0 0 0 0 0 0 0
6 Astigmatisme 0 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0
10 Benda asing dimata 2 1 1 1 3 2 5 0 3 2 5
11 Konjungtivitis 1 2 2 2 1 2 2 1 1 1 1 2 8 10 18 0 8 10 18
12 Hordeulum 0 0 0 0 0 0 0
13 Pterydium 0 0 0 0 0 0 0
0 0 0 0 0 0 0
B. Pendengaran 0
1 Otitis eksterna 0 0 0 0 0 0 0
2 Otitis media akut 0 0 0 0 0 0 0
3 Otitis media supuratif kronik 0 0 0 0 0 0 0
4 Serumen 0 0 0 0 0 0 0
5 Presbikusis 0 0 0 0 0 0 0
6 Tuli akibat bising 0 0 0 0 0 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0
8 Gangguan pendengaran lainnya 0 0 0 0 0 0 0
0 0 0 0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0 0 0
2 Glukoma 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0
4 Hipermetropia 0 0 0 0 0 0
5 Presbiopia 0 0 0 0 0 0
6 Astigmatisme 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0
11 Konjungtivitis 0 0 0 0 0 0
12 Hordeulum 0 0 0 0 0 0
13 Pterydium 0 0 0 0 0 0
0 0 0 0 0 0
B. Pendengaran 0 0 0 0 0 0
3 Otitis media supuratif kronik 0 0 0 0 0 0
4 Serumen 0 0 0 0 0 0
5 Presbikusis 0 0 0 0 0 0
6 Tuli akibat bising 0 0 0 0 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0
8 Gangguan pendengaran lainnya 0 0 0 0 0 0
0 0 0 0 0 0
Rekapitulasi Kasus Disabilitas 0 0 0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Mande, September 2019

Kepala Puskesmas UPTD Rawat Inap Mande Pengelola Program Kesehatan Indera
drg. Tutik Suprihatin, M.Kes. Juliah

NIP. NIP.
LAPORAN
Puskesmas : PACET
Kecamatan : PACET
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 3 2 3 2 1 7 4 11 0
0 0 0 0
B. Pendengaran 0
2 Otitis media akut 3 2 1 1 4 3 7 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
d. Disabilitas mental 1 18 15 2 1 17 20 37 0 0 0
0 0 0 0 0 0
Mengetahui Pacet, September 2019

Kepala Puskesmas Pacet Pengelola Program Kesehatan Indera
__________________________ Wiwi
NIP. NIP.
LAPORAN
Puskesmas : SUKANAGALIH
Kecamatan : PACET
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 2 1 1 2 3 5 0
≥ 3/60 1 1 1 1 2 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 3 2 3 2 1 7 4 11 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
d. Disabilitas mental 1 18 15 2 1 17 20 37 0 0 0
0 0 0 0 0 0
Mengetahui Sukanagalih, September 2019

Kepala Puskesmas Sukanagalih Pengelola Program Kesehatan Indera
__________________________ Dilah
NIP. NIP.
LAPORAN
Puskesmas : KADEMANGAN
Kecamatan : MANDE
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 1 1 2 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 20 20 20 20 40 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
13 Nyeri muskuloskeletal (M79.6) 26 59 26 59 85 118 137 255
16 Decubitus (L89) 1 0 1 1 2 1 3
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui, Kademangan, September 2019

Kepala Puskesmas Kademangan Pengelola Program Kesehatan Indera
E. Hanny .Windyalaras M.Kep Elly.Astuti. Amd.Kep

NIP. NIP.
LAPORAN
Puskesmas : CUGENANG
Kecamatan : CUGENANG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 0 1 1 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
e. Jumlah operasi katarak 1 0 1 1 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 2 1 1 1 1 5 6 0
b. Serumen 1 1 2 1 2 1 1 2 1 1 2 9 6 15 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 0 1 1 0 2
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 1 2 2 1 1 2 2 1 1 1 8 6 14 0
1 1 1 1 3 1 4 0
B. Pendengaran 0
2 Otitis media akut 1 1 2 2 1 2 1 1 5 6 11 0
4 Serumen 1 1 2 1 2 1 1 2 1 1 2 9 6 15 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Kepala Puskesmas Cugenang Pelaksana Program Kesehatan Indra
dr. Dewi Ruslinda Septiana Nur Rahmawati

NIP. 19700427 201001 2 003
LAPORAN
Puskesmas : SUKARESMI
Kecamatan: SUKARESMI
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 2 2 2 2 4 0
c. Glukoma 0 0 0 0
0 0 0 0
1 2 1 2 3 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 1 0 1 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Sikaresmi, September 2019

Kepala Puskesmas Sukaresmi Pengelola Program Kesehatan Indera
__________________________ Kankan
NIP. NIP.
LAPORAN
Puskesmas: CIJEDIL
Kecamatan: CUGENANG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
≥ 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Lain-lain (sebutkan) : konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 2 2 2 1 2 7 7 14 7 7 14 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tajam penglihatan : 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. OMSK/Congek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 1 2 3 1 2 3 0 0
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. lain-lain (sebutkan) : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 2 2 0 2 2 0
2 Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 2 2 3 1 2 7 8 15 7 8 15 0 0
12 Hordeulum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Pterydium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Penyakit mata lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 2 0 3 1 4 3 1 4 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B. Pendengaran 0
1 Otitis eksterna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Otitis media akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Otitis media supuratif kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 2 3 1 2 3 0 0
5 Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Gangguan pendengaran lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Konjungtivitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Hordeulum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Pterydium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Penyakit mata lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B. Pendengaran 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Otitis eksterna 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Otitis media akut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Otitis media supuratif kronik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Serumen 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Gangguan pendengaran lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rekapitulasi Kasus Disabilitas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Keterlambatan bicara (F80) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Gagap (Stutering/stammering) (F98.5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Gangguan kognisi (R41) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kesulitan makan pada anak (P92) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Retensi sputum (J00-J18) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Inkontinensia urin (N39.4) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Gangguan kekakuan otot (M60-M63) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Nyeri muskuloskeletal (M79.6) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Nyeri neuropati (G60) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Neoplasm related pain acute and chronic (keganasan) (G89.3)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Disabilitas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. Disabilitas fisik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Disabilitas intelektual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Disabilitas sensorik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Disabilitas mental 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui Cijedil, September 2019

Kepala Puskesmas Cijedil Pengelola Program Kesehatan Indera
Dede Rahmat Slamet, SKM.,M.Kes Ruslan Abdul Gani

NIP : 19640420 198903 1 010 NIP : 19810122 201409 1 002
LAPORAN
Puskesmas : SUKAMAHI
Kecamatan : SUKARESMI
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 1 1 1 2 0
≥ 3/60 1 1 1 1 2 0
- Miopi 2 1 2 1 2 3 6 5 11 0
- Hipermetropia 1 1 1 2 2 3 5 0
- Presbiopia 2 2 2 2 4 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 1 2 2 2 1 1 4 6 10 0
b. Serumen 1 2 3 2 2 2 2 1 7 8 15 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 2 1 1 3 1 4 0
2 Glukoma 0 0 0 0
3 Miopi 3 2 4 3 7 5 12 0
8 Buta 0 0 0 0
11 Konjungtivitis 3 2 3 4 3 3 9 9 18 0
0 0 0 0
B. Pendengaran 0
3 Otitis media supuratif kronik 1 2 3 3 1 2 1 1 3 2 9 10 19 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 1 1 1 1 2 2 4 0
2 Glukoma 0 0 0 0
3 Miopi 3 3 3 4 4 4 11 10 21 0
8 Buta 0 0 0 0
11 Konjungtivitis 5 3 2 3 5 2 8 12 20 0
0 0 0 0
4 Serumen 2 2 3 4 1 6 6 12 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
13 Nyeri muskuloskeletal (M79.6) 8 12 15 8 7 5 30 25 55 50 115 165
14 Nyeri neuropati (G60) 3 7 13 16 7 23 14 55 69
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
c. Disabilitas sensorik 1 1 0 1 0 3 3
0 0 0 0 0 0
Mengetahui Cianjur, 31 September 2019

Kepala Puskesmas Sukamahi Pengelola Program Kesehatan Indera
Ujang Ruhiyat Kusmana, S.Kep.Ners Siti Salsiah Nuryawati, Amd.Keb

NIP. 19780501 200604 1022
LAPORAN
Puskesmas : RAWAT INAP SINDANGBARANG

Kecamatan: SINDANGBARANG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 2 1 1 3 1 4 0
c. Glukoma 0 0 0 0
d. Lain-lain (sebutkan) : konjungtivitis 1 2 2 3 2 5 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 1 2 2 2 4 0 4 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
13 Pterydium 1 3 1 2 1 5 3 8 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Sindangbarang, 30 September 2019

Kepala Puskesmas Rawat Inap Sindangbarang Pengelola Program Kesehatan Indera
Wirno Susanto, SKM.M.Si Sutianingsih

Nip. 19700312 199203 1 006 NIP.
LAPORAN
Puskesmas : CIKALONGKULON
Kecamatan : CIKALONGKULON
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
d. Lain-lain (sebutkan) : konjungtivitis 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cikalong, September 2019

Kepala Puskesmas Cikalongkulon Pengelola Program Kesehatan Indera
__________________________ Enjang Muslih

NIP. NIP.
LAPORAN
Puskesmas: CIJAGANG
Kecamatan: CIKALONGKULON
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 1 2 1 2 3 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 1 1 1 2 3 0
b. Serumen 2 0 2 2 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 1 3 1 2 4 2 5 1 11 8 19 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cijagang, September 2019

Kepala Puskesmas Cijagang Pengelola Program Kesehatan Indera
__________________________ Yusita
NIP. NIP.
LAPORAN
Puskesmas : DTP RAWAT INAP SUKANAGARA

Kecamatan : SUKANAGARA
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 1 3 2 2 5 2 1 7 5 12 0
≥ 3/60 0 0 0 0
b. Kelainan Refraksi 5 10 1 3 5 8 0
- Miopi 0 0 0 0
c. Glukoma 1 2 1 1 1 2 2 1 3 0 1
d. Lain-lain (sebutkan) : 2 2 0 2 0
0 0 0 0
0 0 0 0
0 0 0 0
f. Follow up pasca operasi katarak 2 2 1 4 1 5 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 3 6 5 10 5 15 16 31 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
12 Hordeulum 1 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 2 2 1 4 1 5 1 2 3 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 3 0 3 0 9 9
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Sukanagara, September 2019

Kepala Puskesmas Rawat Inap Sukanagara Pengelola Program Kesehatan Indera
__________________________ Mulyani
NIP. NIP.
LAPORAN
Puskesmas : CAMPAKA
Kecamatan : CAMPAKA
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 2 1 2 1 3 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
d. Lain-lain (sebutkan) : 1 1 0 1 0
corneal ulcer 1 0 1 1 0
hordeolum 1 1 0 1 0
conjuntival ulcer 1 1 0 1 0
keratoconjuntivitis 1
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 1 1 4 1 1 6 7 0
b. Serumen 1 1 0 1 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
13 Pterydium 1 2 1 2 3 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
8 Gangguan pendengaran lainnya 1 0 1 1 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 2 5 1 1 6 3 9 0
2 Glukoma 1 0 1 1 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Campaka, September 2019

Kepala Puskesmas Campaka Pengelola Program Kesehatan Indera
__________________________ Susilawati Sukarsa

NIP. NIP.
LAPORAN
Puskesmas : CAMPAKAMULYA
Kecamatan : CAMPAKAMULYA
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 1 3 3 4 3 7 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
Jumlah Kasus Baru
b. Serumen 2 3 2 3 5 0
0 0 0 0
0 0 0 0
0 0 0 0
A. Penglihatan
1 Katarak 2 3 0 5 5 0
2 Glukoma 0 0 0 0
3 Miopi 1 1 0 1 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
1 Otitis eksterna 2 0 2 2 0
4 Serumen 2 2 0 2 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 2 2 0 2 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0

16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Campaka Mulya, September 2019

Kepala Puskesmas Campaka Mulya Pengelola Program Kesehatan Indera
__________________________ Santika Andalasary

NIP. NIP.
LAPORAN
Puskesmas : TAKOKAK
Kecamatan : TAKOKAK
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 3 3 3 4 12 8 18 26 0
≥ 3/60 0 0 0 0
- Miopi 2 2 1 2 1 6 7 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 1 2 2 3 1 3 4 8 12 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 2 2 1 2 1 6 7 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 1 2 2 3 1 3 4 8 12 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Kepala Puskesmas Takokak Pengelola Program Kesehatan Indera
_________________________
NIP. H. Kiki Malki
NIP. 1996305081992031003
LAPORAN
Puskesmas: DTP RAWAT INAP CIDAUN

Kecamatan: CIDAUN
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 5 4 5 4 9 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 1 1 1 1 2 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cidaun, September 2019

Kepala Puskesmas Rawat Inap Cidaun Pengelola Program Kesehatan Indera
__________________________ Ema Fithriyah

NIP. NIP.
LAPORAN
Puskesmas : PAGELARAN
Kecamatan : PAGELARAN
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Pagelaran, September 2019

Kepala UPTD Puskesmas Rawat Inap Pagelaran Pengelola Program Kesehatan Indera
Zeni Bagja Nugraha, SKM Ai Irma Suryani, Amd. Keb

NIP. 19810603 201212 1 001 NRPTT. 20140701016
LAPORAN
Puskesmas: SINDANGKERTA
Kecamatan: PAGELARAN
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Sindangkerta, September 2019

Kepala Puskesmas Sindangkerta Pengelola Program Kesehatan Indera
__________________________
__________________________ Nani Nuryani
NIP. NIP.
LAPORAN
Puskesmas: NARINGGUL
Kecamatan: NARINGGUL
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN 0-7 hr 8-28 hr 1-11 bln 1-4 th 5-9 th 10-14 th 15-19 th 20-44 th 45-59 th > 59 th Kasus baru Total Kasus lama Total Kunjungan Total Kasus
1 2 L P L P L P L P L P L P L P L P L P L P L P L P L P Dirujuk KET

a. Katarak : > 3/60 1 1 0 1 0
≥ 3/60 0 0 0 0 0 0
b. Kelainan Refraksi 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0
- Astigmatisme 0 0 0 0 0 0
c. Glukoma 0 0 0 0 0 0
d. Lain-lain (sebutkan) : 0 0 0 0 0 0
- Konjungtivitis 2 5 3 2 1 6 7 13 6 7 13
0 0 0 0 0 0
0 0 0 0 0 0
e. Jumlah operasi katarak 0 0 0 0 0 0
f. Follow up pasca operasi katarak 0 0 0 0 0 0
Tajam penglihatan : 6/12 - 6/18 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0
> 6/60 0 0 0 0 0 0
b. Serumen 1 1 0 1 0 0 0
c. Presbikusis 0 0 0 0 0 0
d. Tuli akibat bising 0 0 0 0 0 0
e. Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0
f. lain-lain (sebutkan) : 0 0 0 0 1 1
- Otitis Media Akut 2 1 1 1 1 3 3 6 0 0 0
- Keratitis 0 0 0 0 0 0
0 0 0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak : > 3/60 0 0 0 0 0 0
2 Glukoma 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0
11 Konjungtivitis 1 1 1 1 3 1 4 0 0 0
12 Hordeulum 0 0 0 0 0 0
13 Pterydium 0 0 0 0 0 0
- Keratitis 0 0 0 0 0 0
B. Pendengaran
2 Otitis Media Akut 2 1 2 1 3 0 1 1
4 Serumen 1 1 0 1 0 0 0
0 0 0 0 0 0
Jumlah Kasus Lama
1 Katarak 1 2 1 3 2 1 3
2 Glukoma 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0
11 Konjungtivitis 1 4 2 2 0 0 0 6 3 9
12 Hordeulum 0 0 0 0 0 0
13 Pterydium 0 0 0 0 0 0
- Keratitis 0 0 0 0 0 0
B. Pendengaran 0 0 0 0 0 0
2 Otitis media akut 1 1 1 0 0 0 0 0 0
4 Serumen 0 0 0 0 0 0
0 0 0 0 0 0
Rekapitulasi Kasus Disabilitas 0 0 0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Naringgul, September 2019

Kepala Puskesmas Naringgul Pengelola Program Kesehatan Indera
YOGESWARA SOEHARTO, dr AYI GUNAWAN, AMK

NIP. 19830609 201412 1 001
LAPORAN
Puskesmas : GUNUNGBITUNG
Kecamatan : CIBINONG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 1 1 2 0 4 4 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 0 1 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Gunungbitung, September 2019

Kepala Puskesmas Gunungbitung Pengelola Program Kesehatan Indera
__________________________ Rubiyanti Zahra

NIP. NIP.
LAPORAN
Puskesmas : CIBINONG
Kecamatan : CIBINONG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 1 1 1 1 2 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 10 16 7 5 4 3 21 24 45 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 3 2 3 2 5 0
2 Glukoma 1 1 1 1 2 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cibinong, September 2019

Kepala Puskesmas Cibinong Pengelola Program Kesehatan Indera
__________________________ Yoki
NIP. NIP.
LAPORAN
Puskesmas : TANGGEUNG
Kecamatan : TANGGEUNG
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 2 5 2 3 3 3 2 5 5 4 2 5 16 25 41 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Tanggeung, September 2019

Kepala Puskesmas Tanggeung Pengelola Program Kesehatan Indera
__________________________ Eli Heti

NIP. NIP.
LAPORAN
Puskesmas CIJATI
Kecamatan CIJATI
Bulan SEPTEMBER
Tahun 2019
No. KEGIATAN

a. Katarak : > 3/60 2 2 2 2 4 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 0 0 0 1 1
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 2 1 2 1 3 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 1 1 0 1 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cijati, September 2019

Kepala Puskesmas Cijati Pengelola Program Kesehatan Indera
__________________________ Lanti Nurfiah

NIP. NIP.
LAPORAN
Puskesmas : BOJONGLARANG
Kecamatan : CIJATI
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 1 2 1 2 3 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 0 1 1 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Bojonglarang, September 2019

Kepala Puskesmas Bojonglarang Pengelola Program Kesehatan Indera
__________________________ Muhammad Abdul Hadi

NIP. NIP.
LAPORAN
Puskesmas : LELES
Kecamatan : LELES
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 1 0 1 1 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 2 2 0 2 0 6 6
11 Inkontinensia urin (N39.4) 1 1 0 1 0 3 3
14 Nyeri neuropati (G60) 5 5 3 4 8 9 17 18 33 51
15 Neoplasm related pain acute and chronic (keganasan) (G89.3) 3 6 2 3 5 9 14 18 24 42
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Leles, September 2019

Kepala Puskesmas Leles Pengelola Program Kesehatan Indera
__________________________ Irsan
NIP. NIP.
LAPORAN
Puskesmas :PASIRKUDA
Kecamatan :PASIRKUDA
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0
11 Konjungtivitis 2 0 0 1 1 1 3 2 5 0
0 0 0 0
B. Pendengaran 0
4 Serumen 1 1 1 1 2 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Pasirkuda, September 2019

Kepala Puskesmas Pasirkuda Pengelola Program Kesehatan Indera
__________________________ Dida Parida

NIP. NIP.
LAPORAN
Puskesmas : AGRABINTA
Kecamatan : AGRABINTA
Bulan SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 4 3 2 6 3 9 3 2 5 9 5 14
≥ 3/60 1 1 1 1 2 1 1 1 1
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
a. OMSK/Congek 2 1 1 4 0 4 3 1 4 3 3
b. Serumen 1 1 2 0 2 1 1 2 1 1
e. Tuli kongenital (tuli sejak lahir) 1 0 1 1 1 1 1 1
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 1 1 2 1 1 2
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
11 Konjungtivitis 1 1 1 1 2 1 1 2
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 1 2 1 2 3 4 5 9 1 2 3
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
13 Pterydium 2 2 2 0 6 6 2 2
0 0 0 0
3 Otitis media supuratif kronik 1 1 1 2 1 3 1 1
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Agrabinta, September 2019

Kepala Puskesmas Agrabinta Pengelola Program Kesehatan Indera
__________________________ Imas
NIP. NIP.
LAPORAN
Puskesmas : KADUPANDAK
Kecamatan: KADUPANDAK
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 1 2 2 1 3 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 1 2 1 2 2 4 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 1 1 1 1 2 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 1 1 0 1 0
0 0 0 0
B. Pendengaran 0
4 Serumen 1 1 0 2 2 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Kadupandak, September 2019

Kepala Puskesmas Kadupandak Pengelola Program Kesehatan Indera
__________________________ Cep Muslih

NIP. NIP.
LAPORAN
Puskesmas : CIKADU
Kecamatan : CIKADU
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0
≥ 3/60 0 0 0 0
- Miopi 0 0 0 0
c. Glukoma 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
< 6/18 - 6/60 0 0 0 0
> 6/60 0 0 0 0
b. Serumen 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Jumlah Kasus Baru
A. Penglihatan
1 Katarak 1 1 1 1 2 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 1 1 0 2 2 0
0 0 0 0
B. Pendengaran 0
4 Serumen 0 0 0 0
0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0
2 Glukoma 0 0 0 0
3 Miopi 0 0 0 0
8 Buta 0 0 0 0
0 0 0 0
4 Serumen 0 0 0 0
0 0 0 0
1 Afarasia (R47.0) 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Mengetahui Cikadu, September 2019

Kepala Puskesmas Cikadu Pengelola Program Kesehatan Indera
__________________________ Wahyu Widianto

NIP. NIP.
LAPORAN
Instansi : DINAS KESEHATAN

Kabupaten : CIANJUR
Bulan : SEPTEMBER
Tahun : 2019
No. KEGIATAN

a. Katarak : > 3/60 0 0 0 0 0 0 0 0 0 0 0 1 1 1 4 6 20 29 27 30 50 62 112 3 2 5 13 9 22 4 0
≥ 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 13 11 14 17 27 42 5 8 3 6 4 10 5 0
b. Kelainan Refraksi 0 0 0 0 0 0 0 0 0 0 5 10 1 0 0 0 0 0 0 0 3 5 8 0 0 0 0 0 0 0 0
- Miopi 0 0 0 0 0 0 0 0 1 2 0 1 2 3 10 11 9 16 6 7 28 40 68 1 2 3 6 7 13 11 0
- Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 4 1 8 3 12 15 0 0 0 0 0 0 5 0
- Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 4 3 5 4 9 1 1 2 3 2 5 5 0
- Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 4 6 4 0 8 5 13 2 1 3 2 0 2 3 0
d. Lain-lain (sebutkan) : 0 0 0 0 0 0 0 0 0 0 0 0 3 1 3 4 6 2 1 2 13 9 22 0 0 0 7 7 14 0 0
e. Jumlah operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 4 2 6 0 0 0 2 1 3 3 0

f. Follow up pasca operasi katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 1 4 1 5 0 0 0 0 0 0 0 0
Tajam penglihatan : 6/12 - 6/18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
< 6/18 - 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
> 6/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
a. OMSK/Congek 0 0 0 0 0 1 2 19 8 11 4 6 5 5 3 9 3 3 2 4 27 58 85 6 3 9 10 5 15 0 0
b. Serumen 0 0 0 1 2 0 2 2 16 23 13 16 12 16 7 11 8 6 8 5 68 77 145 3 4 7 10 11 21 8 0
c. Presbikusis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 1 0 2 3 5 1 1 2 3 3 6 4 0
d. Tuli akibat bising 0 0 0 0 0 0 0 0 2 0 0 0 3 0 0 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0
e. Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 0 0
f. lain-lain (sebutkan) : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0
Jumlah Kasus Baru

A. Penglihatan
1 Katarak 0 0 0 0 0 0 1 1 0 0 0 1 1 1 4 2 19 23 33 23 54 58 112 0 0 0 8 7 15 10 0
2 Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 1 4 2 5 5 0 0 0 0 0 0
3 Miopi 0 0 0 0 0 0 0 0 1 2 0 0 3 2 8 10 6 17 4 5 22 36 58 0 0 0 4 3 7 8 0
4 Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 2 1 8 8 2 1 0 7 13 16 29 0 1 0 1 2 3 0 0
5 Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 2 1 3 0 0 0 2 1 3 1 0
6 Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0 0 0 1 2 1 1 0 0 0 0 0 0 0 1 2 3 0 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0 0 0 1 2 5 6 2 0 4 1 0 0 0 1 14 9 23 0 0 0 11 7 18 1 0
11 Konjungtivitis 0 0 0 1 6 5 9 16 16 24 21 21 44 40 37 40 33 30 11 13 173 191 364 0 0 0 35 34 69 0 0
12 Hordeulum 0 0 0 0 0 1 1 0 0 1 1 4 3 4 2 2 2 1 2 7 11 17 13 0 0 0 4 2 6 3 0
13 Pterydium 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 6 6 8 13 9 22 24 46 0 0 0 1 0 1 0 0
14 Penyakit mata lainnya 0 0 0 0 0 0 1 0 1 1 0 2 1 1 3 1 5 6 3 0 14 11 25 0 0 0 6 2 8 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 3 1 4 0 0 0 0 0 0 0 0
B. Pendengaran
1 Otitis eksterna 0 0 0 0 0 0 2 3 1 1 1 0 0 1 0 0 0 1 1 0 5 6 11 0 0 0 1 3 4 0 0
2 Otitis media akut 0 0 0 0 0 1 3 2 5 9 6 4 3 4 3 2 6 3 0 0 27 25 52 2 2 0 5 6 11 6 0
3 Otitis media supuratif kronik 0 0 0 0 0 0 7 8 15 8 12 5 4 3 4 12 3 4 1 5 43 41 77 0 3 0 1 1 2 0 0
4 Serumen 0 0 0 0 0 0 2 5 9 13 25 27 3 6 4 10 8 4 6 15 57 74 113 0 0 0 4 6 10 4 0
5 Presbikusis 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 1 1 2 2 3 7 0 2 0 2 1 3 3 0
6 Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 2 0 0 0 1 0 1 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0
8 Gangguan pendengaran lainnya 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 0 2 2 0 5 4 9 0 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 2 2 0 0 0 0 0 0 0 0
Jumlah Kasus Lama
1 Katarak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 10 9 7 6 6 4 10 22 25 47 4 4 8 2 0
2 Glukoma 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 2 0 0 3 5 0 2 0 0 0
3 Miopi 0 0 0 0 0 0 0 0 0 0 3 3 3 4 4 4 0 0 0 0 1 2 3 13 14 27 0 0 0 0 0
4 Hipermetropia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Presbiopia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 3 4 0 0 0 0 0
6 Astigmatisme 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Xeroptalmia (rabun senja) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Buta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Low vision 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Benda asing dimata 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Konjungtivitis 0 0 0 0 0 0 0 0 0 1 5 4 4 4 8 8 3 2 0 0 5 3 8 16 30 46 7 3 10 0 0
12 Hordeulum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 3 4 1 1 2 0 0
13 Pterydium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 0 6 6 2 0 2 0 0
14 Penyakit mata lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B. Pendengaran
1 Otitis eksterna 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 1 2 3 3 6 9 1 2 3 0 0
2 Otitis media akut 0 0 0 0 0 0 0 0 1 2 0 2 1 1 0 0 0 0 0 0 1 1 2 4 7 11 4 4 8 0 0
3 Otitis media supuratif kronik 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 4 5 9 1 3 4 0 0
4 Serumen 0 0 0 0 0 0 0 0 2 2 3 4 1 0 1 4 0 0 0 0 1 1 2 11 10 21 2 3 5 1 0
5 Presbikusis 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 1 1 2 1 3 4 1 1 2 1 0
6 Tuli akibat bising 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0
7 Tuli kongenital (tuli sejak lahir) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Gangguan pendengaran lainnya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 2 2 0 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rekapitulasi Kasus Disabilitas
1 Afarasia (R47.0) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Disartria (R47.1) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Dysphonia (49.0) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Keterlambatan bicara (F80) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Gagap (Stutering/stammering) (F98.5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Gangguan kognisi (R41) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Dispagia (R13) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Kesulitan makan pada anak (P92) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Retensi sputum (J00-J18) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Retensi urin (N33) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 5 0 5 0 15 15 0 0 0 0 0
11 Inkontinensia urin (N39.4) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 3 3 0 0 0 0 0
12 Gangguan kekakuan otot (M60-M63) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 83 27 29 27 32 93 144 237 288 423 711 0 0 0 0 0
13 Nyeri muskuloskeletal (M79.6) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 7 18 5 3 4 24 16 40 32 88 120 0 0 0 0 0
14 Nyeri neuropati (G60) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 6 2 3 5 9 14 18 24 42 0 0 0 0 0
15 Neoplasm related pain acute and chronic (keganasan) (G89.3)
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 2 1 3 0 0 0 0 0
16 Decubitus (L89) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Jenis Disabilitas
1 a. Disabilitas fisik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 b. Disabilitas intelektual 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 3 3 0 0 0 0 0
3 c. Disabilitas sensorik 0 0 0 0 0 0 0 0 0 0 0 0 1 18 15 2 1 0 0 0 17 20 37 0 0 0 0 0 0 0 0
4 d. Disabilitas mental 0 0 0 0 0 0 0 0 0 0 0 1 18 15 2 1 0 0 0 17 20 37 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui, Cianjur, 31 Oktober 2019

Kasie P2PTM dan Keswa Pengelola Program Kesehatan Indera
HJ. LINA HERLINAYATI, S. Si. T. EKA RAHMAWATI, S.Kep., Ners.,M.Kep.

NIP. 19690510 199103 2 008 NIP. 19821106 200501 2 001

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LAPORAN

KEGIATAN PROGRAM GANGGUAN INDERA

Puskesmas : CIANJUR KOTA

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

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I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

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Puskesmas : RAWAT INAP CIRANJANG

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui, Ciranjang, September 2019

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Mengetahui, Cilaku , September 2019

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui, Warung Kondang , September 2019

________________________ Euis Masnoneh

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui Gekbrong, September 2019

Ratna Winarsih, SKM.M.Kes Purwanto Selamet, Amd.Kep

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui Cibeber, September 2019

__________________________ Dewi Wahyuni

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui Cikondang, September 2019

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui Ciherang, September 2019

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui Sukaluyu, September 2019

_____________________________ Linlin Susianti

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui Bojong Picung, September 2019

___________________________ Sulastri Lestari

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

Mengetahui Cipanas, September 2019

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

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_____________________________ Egi Mulyadi

Puskesmas : UPTD RAWAT INAP MANDE

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

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drg. Tutik Suprihatin, M.Kes. Juliah

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E. Hanny .Windyalaras M.Kep Elly.Astuti. Amd.Kep

I Jenis Gangguan Penglihatan dan Kebutaan (H00-H59)

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dr. Dewi Ruslinda Septiana Nur Rahmawati

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