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3 LAPORAN GIF (GANGGAUN INDRA FUNGSI)

Puskesmas : BULAN : JANUARI TAHUN : 2024


Jumlah Kasus Baru Menurut Golongan Umur Jumlah Jumlah Total Jumlah
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th kasus baru kasus lama Kunjungan Kasus KET.
L P L P L P L P L P L P L P L P L P L P L P Total L P Total L P Total Dirujuk

Jenis Gangguan Penglihatan dan


I
Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 1 1 2
≤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
b. Kelainan Refraksi 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 5 0 5 5 0 0 0 0 5 5 10
- 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 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 0 0
c. Glaukoma 0 0 0 0 0 0 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. Retinopati Diabetikum 0 0 0 0 0 0 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. 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
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 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. 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

e. Jumlah operasi katarak


f. Follow up pasca operasi katarak
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
< 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
< 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

Jenis Gangguan Pendengaran dan


II
Ketulian (H60-H95)
a. Otitis Media Supuratif Kronik
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 1
(OMSK/Congek)
b. 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 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 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 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 Konginital (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
Mengetahui Oemeu, 31 Januari 2024
Kepala Puskesmas Oemeu Pengelola PTM

Yoseph Anapah, SKM Ana Maria Mayestica Adur, S.Kep,Ns


NIP.19711205 199303 1 006 NIP. 199407062022032012
3 LAPORAN GIF (GANGGAUN INDRA FUNGSI)
Puskesmas : BULAN : FEBRUARI TAHUN : 2024
Jumlah Kasus Baru Menurut Golongan Umur Jumlah Jumlah Total Jumlah
NO KEGIATAN 0-7 hr 8-28 hr 1-11 bn 1-4 th 5-9 th 10-14 th 15-19 tn 20-44 th 45-59 th >59 th kasus baru kasus lama Kunjungan Kasus KET.
L P L P L P L P L P L P L P L P L P L P L P Total L P Total L P Total Dirujuk

Jenis Gangguan Penglihatan dan


I
Kebutaan (H00-H59)
a. Katarak: > 3/60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 0
b. Kelainan Refraksi 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 5 16 5 16 21 0 0 0 5 16 21 37
- 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 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 0 0
c. Glaukoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 2 0 0 0 0 2 2 4
d. Retinopati Diabetikum 0 0 0 0 0 0 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. 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
f. Retinopati of prematurity (ROP) 0 0 0 0 0 0 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. 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

e. Jumlah operasi katarak


f. Follow up pasca operasi katarak
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
< 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
< 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

Jenis Gangguan Pendengaran dan


II
Ketulian (H60-H95)
a. Otitis Media Supuratif Kronik
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 1
(OMSK/Congek)
b. 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 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 0 0
d. Tuli akibat Bising (NIHL) 0 0 0 0 0 0 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 Konginital (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
Mengetahui Oemeu, 29 Februari 2024
Kepala Puskesmas Oemeu Pengelola PTM

Yoseph Anapah, SKM Ana Maria Mayestica Adur, S.Kep,Ns


NIP.19711205 199303 1 006 NIP. 199407062022032012

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