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Outcome of laser Treatment for Retinopathy of Prematurity Idayani Panggalo; Habibah S Muhidin; Andi Muhammad Ichsan; Budu; Andi Suryanita; Dyah Ayu Windy
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/npeamz55

Abstract

Introduction & ObjectivesRetinopathy of prematurity is a proliferative disorder that requires urgent treatment. Proper casefinding and treatment will prevent permanent blindness in infants. Laser photocoagulation is anpreferred technique for the treatment of ROP. Aim of this study to describe the result of laserindirect Ophthalmoscopy in Makassar, South Sulawesi, Indonesia. MethodsThis is Observational retrospective study, from 1130 screening procedures during 2020 until 2022.This study found 41 ROP patients who had received therapy. ResultsFrom 43 patients who received therapy, most were ROP stage 3 (80%), APROP (19%) and the restwere Stage IV A . 40 infants received lasers photocoagulation, and one infant received both laserphotocoagulation and intravitreal anti-VEGF. Regression was found in all cases of stage 3 ROP.Patients with aggressive posterior ROP also were treated successfully, except one patientprogressed to stage 4 ROP. Conclusionwith screening and prompt treatment, good outcomes have been obtained for infants with ROP
Bilateral Retinal Astrocytic Hamartoma in Patient with Retinitis Pigmentosa: A Case Report: Poster Presentation - Case Report - Resident NURUL MUTHIA ALVIANI; Yunita Mansyur; Andi Suryanita Tajuddin; Budu
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/wacwsz10

Abstract

Abstract Introduction : Retinal astrocytic hamartomas (RAH) are benign tumors derived from glial cells. It is usually asymptomatic and detected incidentally during screening patients with visual impairment. The variety of lesions in these tumors poses special challenges in their diagnosis and treatment. Modern imaging methods, including as spectral domain optical coherence tomography (OCT), have substantially increased knowledge of these lesions. The aim of this case report is to report a case of retinal astrocytic hamartoma with retinitis pigmentosa in a male patient. Case Illustration : A 22-year-old man presented with blurred vision with headache for 2 weeks accompanied by floaters, flashes of light and night blindness and the UCVA was 20/100 on both eyes. On fundoscopic examination, we found a well-defined multilobulated lesions with cystic impressions on optic nerve head, arteriolar attenuation, and bone spicule pigmentation in peripheral retina. Ultrasonography examination showed a hyperechoic mass with acoustic shadow on optic nerve head. Optical Coherence Tomography (OCT) showed hyper-reflective intraretinal mass with “moth-eaten pattern”. Electroretinogram's (ERG) patient showed reduction of a-wave and b-wave. Patient then referred to Low Vision and was given glasses. Discussion : Retinal Astrocytic Hamartoma (RAH) is a benign tumor of the astrocytes and found within the nerve fiber layer of the retina. It is associated with certain types of phakomatosis but also in Retinitis Pigmentosa. Retinitis Pigmentosa can cause visual impairment as illustrated in this case. Conclusion : Retinal astrocytic hamartomas of the optic nerve head have been described in patients with retinitis pigmentosa. The tumors can be found anywhere. A comprehensive evaluation and examination are required.