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All Journal Althea Medical Journal Ophthalmologica Indonesiana
Susi Heryati
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Health Professions Medicine & Pharmacology Public Health

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Characteristics and Predisposing Factors of Bacterial Corneal Ulcer in the National Eye Center, Cicendo Eye Hospital, Bandung from January to December 2011 Astrid Maharani Putri; Susi Heryati; Nursiah Nasution
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Corneal ulcer is an emergency condition in ophthalmology, causing visual impairment, mostly by bacterial infection with rapid pathogenesis. The aim of this study was to discover the characteristics of bacterial corneal ulcer patients in the National Eye Center, Cicendo Eye Hospital, Bandung.Methods: A total of 99 medical records consisted of patients diagnosed with bacterial corneal ulcer were selected in this descriptive study. The clinical patterns and predisposing factors of the patients were analyzed. The study also identified the pathogenic bacteria of the cases. This study was carried out in the National Eye Center, Cicendo Eye Hospital, Bandung from January to December 2011 Clinical patterns. The collected data were analyzed and presented in frequency tabulation.Results: The male to female ratio was 2:1, with the average age of 44.4 years. The most common presenting symptom was eye pain (70.7%). Most patients came with decreased visual acuity that was categorized as (near-) blindness (78.8%) and the location of the ulcer was in central area of the cornea (56.5%). The most common predisposing factor was ocular trauma (74.7%) that was caused by exposed to plants. Single-bacterial infection (67.7%) was predominant, with 56 cases (56.6%) of Gram-positive cocci infection.Conclusions:  Bacterial corneal ulcer contributes to 48.8% of all microbial corneal ulcers. Most patients came with mild condition, centralized location, and poor visual function. The common predisposing factor was trauma associated with exposed to plants. DOI: 10.15850/amj.v2n3.505
PANUVEITIS AS A MANIFESTATION OF OCULAR SYPHILIS IN PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS : A CASE SERIES: Poster Presentation - Case Series - Resident SITI AISYAH; Angga Fajriansyah; Susi Heryati; Arief Akhdestira Mustaram; Patrioka Muslima; Elfa Ali Idrus
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/m73f9e22

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Introduction : Syphilis is a sexually transmitted disease caused by the spirochete bacterium Treponema pallidum. Syphilis can result in multiple organ involvement, including the eyes, and demonstrates various clinical findings. Ocular syphilis is an important cause of uveitis in the new era of co-infection with the human immunodeficiency virus (HIV). Case Illustration : Case 1: A 29-year-old male HIV-positive with 5 months of blurred vision, pain, and redness in left eye (LE) with skin rashes on the palms and foots (Figure 1). The visual acuity was 1/300 in LE, anterior segment showed flare cell (Figure 2). Fundus examination (Figure 3) revealed multiple exudative lesion of right eye (RE) and vitreus opacity of LE due to inflammation. VDRL and TPHA tests were positive. Case 2: 38-year-old male, HIV-positive and tuberculosis-positive, with 2 months of blurred vision,pain and redness in both eyes with skin rashes on the palms and foots (Figure 1). The visual acuity of the RE was 1/60 and 1,5/60 in the LE on the initial visit. Anterior segment eye examination revealed flare and cell (Figure 2). Fundus examination revealed (Figure 3) preretinal hemorrhage and exudate of both eyes. VDRL and TPHA testing were positive, CD4 count showed severe immunodeficiency. Discussion : This study depicts clinical features and outcomes of two cases of ocular syphilis with HIV co- infection. Poor visual outcome was associated with posterior segment-involving uveitis at presentation. Conclusion : An accurate diagnosis is crucial, treatment is adjusted according to the clinical stage. Comprehensive education is needed for patients and their families.
Co-Authors Angga Fajriansyah Arief Akhdestira Mustaram Astrid Maharani Putri Elfa Ali Idrus Nursiah Nasution Patrioka Muslima Siti Aisyah