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All Journal Althea Medical Journal Berkala Kedokteran Ophthalmologica Indonesiana Ophthalmologica Indonesiana
Irawati Irfani
Department Of Ophthalmology, Faculty Of Medicine, Universitas Padjadjaran Cicendo National Eye Centre, Bandung, West Java
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Physics Public Health

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Characteristics of Childhood Steroid-Induced Glaucoma patients in National Eye Center, Cicendo Eye Hospital, Bandung, Indonesia from 2007 to 2011 Badriyah, Indri Nurul; Irfani, Irawati; Rakhmilla, Lulu Eva
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.225 KB)

Abstract

Background: The prevalence of children’s blindness in developing countries is still high especially in Asian countries. This children’s blindness influences their motoric, social and emotional developments and their chances to get education. One of the causes is steroid-induced glaucoma. The aim of the study was to identify the characteristics of childhood steroid-induced glaucoma in National Eye Center, Cicendo Eye Hospital, Bandung, Indonesia.Methods: A descriptive study was conducted to 22 medical records of childhood steroid-induced glaucoma patients in National Eye Center, Cicendo Eye Hospital Bandung from 2007−2011. The inclusion criterias were medical records contained complete demographic (age, sex, address and socioeconomic status), clinical (visual acuity, intraocular pressure, cup-disc ratio, underlying eye disease, working diagnosis, treatment and patient’s compliance to follow up) and risk factor (type and route of administration of steroid and duration of steroid usage).Results: Majority of patients were boys (73%), aged 4−7 years old (41%), from Bandung (55%), with moderate socioeconomic condition (73%). Most of the patients experienced blindness (64%), intraocular pressure around 20−30 mmHg (33%), cup-disc ratio above 0.4 (77%). The underlying eye disease was conjunctivitis vernalis (95%). They were treated by medicamentosa or trabeculectomy. The most common used steroid contained dexamethasone (100%) for more than 1 year of usage (64%). Patients’s compliance to follow up was mostly good (59%).Conclusions: Most of the patients with steroid-induced glaucoma is still very young and the use of topical dexamethasone to treat conjunctivitis vernalis for a long time leads to steroid-induced glaucoma. DOI: 10.15850/amj.v2n3.558
Characteristics of Anterior Segment Dysgnesis in Pediatric and Strabismus Ophthalmology Unit at Cicendo Eye Hospital 2012-2014 Ramadanti, Sarah Nurul; Irfani, Irawati; Khairani, Astrid Feinisa
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.069 KB)

Abstract

Background: Developmental anomalies in congenital anomalies cause malformation, such as Anterior Segment Dysgenesis (ASD). Disorder in maturation of anterior segment of the eye occurs in ASD, associated with increased risk of glaucoma. This relation is not supported with enough data about characteristics pediatric patients with ASD in Indonesia. The aim of the study was to describe characteristics ASD in pediatric patient Cicendo Eye Hospital based on patients’ identity, clinical profile and obstetrics profile.Methods: This study used a descriptive method and conducted retrospectively. Data were collected from medical records of patient with ASD in Pediatric Ophthalmology and Strabismus Unit at Cicendo Eye Hospital, from January 2012 to December 2014. This study was conducted from July to November 2015. Total sampling based on inclusion criteria were used in this study. Statistic software was used to analyze data. Results: This study used a descriptive method and conducted retrospectively. Data were collected from medical records of patient with ASD in Pediatric Ophthalmology and Strabismus Unit at Cicendo Eye Hospital, from January 2012 to December 2014. This study was conducted from July to November 2015. Total sampling based on inclusion criteria were used in this study. Statistic software was used to analyze data. Conclusions: Characteristics pediatric patients with ASD at Cicendo Eye Hospital based on patients identity are mostly patients diagnosed in infant age group, from outside Bandung, and mostly boys. Based on clinical profile most diagnosis is congenital glaucoma, bilateral dominantly, and without complication. Based on obstetric profile most patients with ASD were born at term without difficulties. [AMJ.2016;3(4):616–70] DOI: 10.15850/amj.v3n4.948
Characteristics of Anterior Segment Dysgnesis in Pediatric and Strabismus Ophthalmology Unit at Cicendo Eye Hospital 2012-2014 Sarah Nurul Ramadanti; Irawati Irfani; Astrid Feinisa Khairani
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.069 KB)

Abstract

Background: Developmental anomalies in congenital anomalies cause malformation, such as Anterior Segment Dysgenesis (ASD). Disorder in maturation of anterior segment of the eye occurs in ASD, associated with increased risk of glaucoma. This relation is not supported with enough data about characteristics pediatric patients with ASD in Indonesia. The aim of the study was to describe characteristics ASD in pediatric patient Cicendo Eye Hospital based on patients’ identity, clinical profile and obstetrics profile.Methods: This study used a descriptive method and conducted retrospectively. Data were collected from medical records of patient with ASD in Pediatric Ophthalmology and Strabismus Unit at Cicendo Eye Hospital, from January 2012 to December 2014. This study was conducted from July to November 2015. Total sampling based on inclusion criteria were used in this study. Statistic software was used to analyze data. Results: This study used a descriptive method and conducted retrospectively. Data were collected from medical records of patient with ASD in Pediatric Ophthalmology and Strabismus Unit at Cicendo Eye Hospital, from January 2012 to December 2014. This study was conducted from July to November 2015. Total sampling based on inclusion criteria were used in this study. Statistic software was used to analyze data. Conclusions: Characteristics pediatric patients with ASD at Cicendo Eye Hospital based on patients identity are mostly patients diagnosed in infant age group, from outside Bandung, and mostly boys. Based on clinical profile most diagnosis is congenital glaucoma, bilateral dominantly, and without complication. Based on obstetric profile most patients with ASD were born at term without difficulties. [AMJ.2016;3(4):616–70] DOI: 10.15850/amj.v3n4.948
Characteristics of Childhood Steroid-Induced Glaucoma patients in National Eye Center, Cicendo Eye Hospital, Bandung, Indonesia from 2007 to 2011 Indri Nurul Badriyah; Irawati Irfani; Lulu Eva Rakhmilla
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.225 KB)

Abstract

Background: The prevalence of children’s blindness in developing countries is still high especially in Asian countries. This children’s blindness influences their motoric, social and emotional developments and their chances to get education. One of the causes is steroid-induced glaucoma. The aim of the study was to identify the characteristics of childhood steroid-induced glaucoma in National Eye Center, Cicendo Eye Hospital, Bandung, Indonesia.Methods: A descriptive study was conducted to 22 medical records of childhood steroid-induced glaucoma patients in National Eye Center, Cicendo Eye Hospital Bandung from 2007−2011. The inclusion criterias were medical records contained complete demographic (age, sex, address and socioeconomic status), clinical (visual acuity, intraocular pressure, cup-disc ratio, underlying eye disease, working diagnosis, treatment and patient’s compliance to follow up) and risk factor (type and route of administration of steroid and duration of steroid usage).Results: Majority of patients were boys (73%), aged 4−7 years old (41%), from Bandung (55%), with moderate socioeconomic condition (73%). Most of the patients experienced blindness (64%), intraocular pressure around 20−30 mmHg (33%), cup-disc ratio above 0.4 (77%). The underlying eye disease was conjunctivitis vernalis (95%). They were treated by medicamentosa or trabeculectomy. The most common used steroid contained dexamethasone (100%) for more than 1 year of usage (64%). Patients’s compliance to follow up was mostly good (59%).Conclusions: Most of the patients with steroid-induced glaucoma is still very young and the use of topical dexamethasone to treat conjunctivitis vernalis for a long time leads to steroid-induced glaucoma. DOI: 10.15850/amj.v2n3.558
Predictive Refractive Error Post Congenital and Developmental Cataract Surgery Eva Imelda; Feti Karfiati; Maya Sari Wahyu; Irawati Irfani; Primawita Oktarima; Sesy Caesarya
Berkala Kedokteran Vol 17, No 2 (2021)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v17i2.11702

Abstract

Abstract: Cataract is one of the leading treatable causes of visual impairment in children. Visual rehabilitation is crucial for the development of good visual function after cataract surgery in children. The research aimd to describe post-operative Predictive Refractive Error (PRE) in congenital and developmental cataracts in Cicendo National Eye Hospital from January 2017 to December 2018. This is a retrospective analytic observational study from medical records. We found 107 eyes of 62 children with congenital and developmental cataracts had had cataract surgery and primary implantation of Intraocular Lens (IOL) in Pediatric Ophthalmology and Strabismus Unit, Cicendo National Eye Hospital. The patients were divided into two groups, with axial length (AXL) of ≤ 24 mm and > 24 mm. The paired t-test was used to compare Predictive Error (PE) in SRK/T, SRK II, and Showa SRK formula. Mean age at surgery was 6.7 ± 4.0 years.  Ninety-five eyes had AXL ≤ 24 mm, and 12 eyes had AXL > 24 mm. Prediction Error from patients with AXL ≤ 24 mm was 0.29 D, and from patients with AXL > 24 mm was 2.40 D in SRK/T formula (P < 0.05). There was no significant difference between PE and Absolute Predictive Error (APE) in SRK/T, SRK II, and Showa SRK in patients with AXL > 24 mm (P > 0.05). SRK/T is the most predictable formula in patients with AXL ≤ 24 mm. There is no significant difference in patients with AXL > 24 mm in all formulas. Keywords: congenital and developmental cataract, axial length, Prediction Error, intraocular lens
Management of Sturge Weber Syndrome Irawati Irfani; Sri Hardwiyani
Majalah Oftalmologi Indonesia Vol 41 No 3 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.342 KB) | DOI: 10.35749/journal.v41i3.39

Abstract

Background: Sturge-Weber syndrome (SWS) is a neurocutaneous syndrome, characterized by theassociation of facial port-wine hemangiomas in the trigeminal nerve distribution area, with vascularmalformation(s) of the brain (leptomeningeal angioma) with or without glaucoma. It reports a 3 monthold baby girl presented to Pediatric Ophthalmology Unit Cicendo Eye Hospital with Sturge Weber Syndrome.Case Illustration: A 3 month old baby girl presented to Pediatric Ophthalmology Unit Cicendo EyeHospital as a referral from Pediatric Department. Here in, the patient presented with port wine stain,cerebral lesion according to MRI. Her intraocular pressure on first examination was 29.33 mmHg on herright eye and 18.33 mmHg, then she was underwent examination under anesthesia and trabeculotomy-trabeculectomy procedure on December11th 2014. There was a complication of choroidal detachment aftersurgery,and the patient received oral corticosteroid to overcome the problem.On the last visit,this patient presented with controlled intraocular pressureand minimal abnormality in the retina.Conclusion:Treatment for Sturge Weber Syndrome usually symptomatic. Treatment of choice for glaucoma due to Sturge Weber Syndrome is surgical intervention rather than medical therapy.Keywords: Sturge-Weber syndrome, glaucoma
Comparison of Corneal Endothelial Cells Loss After Phacoemulsification between Dispersive- Cohesive Viscoelastic (Soft Shell) and Adaptive Viscoelastic in Hard Density Senile Cataract Elvita Marer; Budiman Budiman; Irawati Irfani
Majalah Oftalmologi Indonesia Vol 42 No 1 (2016): Ophthalmologica Indonesiana
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/journal.v42i1.65

Abstract

Background: Phacoemulsification cataract surgery can cause endothelial damage. Endothelial damageduring phacoemulsification is caused by ultrasound energy (power), fluid turbulence, trauma by lensfragment, and the formation of air bubbles. To protect the corneal endothelium during phacoemulsification,we can use two types of dispersive and cohesive viscoelastic simultaneously (soft shell); dispersiveviscoelastic not entirely in aspiration, but still coats the endothelium during phacoemulsification. Theaim of this study is to compare the corneal endothelial cell loss one month after phacoemulsificationcataract surgery between dispersive-cohesive viscoelastic (soft shell) and adaptive viscoelastic in hardlens nucleus.Methods: This study was randomised clinical trials. Subjects were mature senile cataract patients,aged ≥50 years old, who came to Cataract and Refractive Surgery Unit at Cicendo Eye Hospital.Selection of the sample was consecutive admission, divided into two groups: dispersive-cohesiveviscoelastic (soft shell) and adaptive viscoelastic up to 13 samples per group. Examinations of cornealendothelial cells pre-surgical and one month post surgical were performed by a nurse in the diagnosticunit at Cicendo Eye Hospital, Bandung, by using specular microscope.Results: Corneal endothelial cell loss one month post surgery in the soft shell group was 1467.55 cells/mm2(59.09%) and adaptive viscoelastic group was 1682.3 cells/mm2 (60.32%). There was no statisticallysignificant difference between the two groups (p=0.184).Conclusion: Loss of post-operative corneal endothelial cells in cataract degree 5 and 6 was not statisticallysignificant between soft shell an adaptive viscoelastic group. Keywords: phacoemulsification, dispersive-cohesive (soft shell), corneal endothelial cells, specular microscope
Characteristics and Management of Anterior Segment Dysgenesis in Pediatric Ophthalmology Irawati Irfani; Sarah Nurul Ramadanti; Astrid Feinisia Khairani
Majalah Oftalmologi Indonesia Vol 42 No 3 (2016): Ophthalmologica Indonesiana
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/journal.v42i3.101

Abstract

Background: Anterior segment dysgenesis (ASD) is congenital anomaly caused by malformation of the eyeball during early pregnancy. Intrauterine ASD leads to disorder in maturation of anterior segment of the eye and its complications could interfere the normal visual development. There are several types of ASD and variability of its management. In this report, we described characteristic of ASD including its management in Cicendo Eye Hospital, Bandung. Methods: This is a retrospective descriptive study from medical records of patients with ASD in Cicendo Eye Hospital, Bandung since January 2012 until December 2014. Data were collected based on total sampling with inclusion criteria. All data were analyzed by statistical software. Results: There were 99 patients with range of age 1-day-old until 18-years-old who met the inclusion criteria of this study. Patient of ASD was commonly brought to the hospital at infant age (55.5%), boys in 51.5% patients and mostly came from out of town (70.7%). Thirty-seven percent of their mothers had history of drug consumptions during pregnancy and 30% born prematurity. Seventy percent cases of ASD were bilateral, 80.8% without systemic disease, and congenital glaucoma was the most common type of ASD (30.7%). The most common management was observation in 45.5% cases, followed by combination of surgical and medicamentosa in 30.3% cases. Conclusion: ASD is a congenital condition which has variability in types and management. Early recognition of this condition is necessary to decide the appropriate treatment to assist visual development and rehabilitation.  Keywords: anterior segment dysgenesis, characteristics, management   
Management of Pediatric Traumatic Cataract With An Open Globe Injury Levandi Mulja; Mayasari Wahyu; Irawati Irfani; Primawita Oktarima
Majalah Oftalmologi Indonesia Vol 48 No 2 (2022): Ophthalmologica Indonesiana
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/journal.v48i2.100669

Abstract

Introduction: Traumatic cataract is one of the leading causes of monocular blindness in children. The management of pediatric traumatic cataract is challenging; the growing size of the affected eyes and the risk of amblyopia further complicate things. The timing of cataract removal and IOL implantation remain controversial until today. Case Report: A thirteen-years-old boy came with his left eye punctured by a pencil tip. He came in with a visual acuity of 1/300, a full-thickness 5 mm paracentral corneal laceration and traumatic cataract. The patient went through a two-step surgery. Cataract surgery and IOL implantation was conducted one week following corneal laceration suture. Discussion: Two-step surgery was performed on this patient with consideration being cataract removal performed when the inflammation of the eye was subside and also a more accurate IOL calculation. One study stated, even with 43.4% of patient’s anterior capsule ruptures, it would postponed cataract surgery for 2 days up to 6 months. In this case, a week after first surgery, it revealed anterior capsule rupture and the lens material was touching corneal endothelium. Therefore, lensectomy was performed because it touches the corneal endothelium causing further damage Conclusion: The two-step procedure performed was a preferable surgery for a traumatic cataract in a quiet eye, because it has better potential for visual improvement and IOL calculation. However, since the anterior lens capsule ruptured and the lens material prolapsed into the anterior chamber, it would have been even better to perform lensectomy as an early procedure to prevent inflammation.
Management of Sturge Weber Syndrome Irawati Irfani; Sri Hardwiyani
Majalah Oftalmologi Indonesia Vol 41 No 3 (2015): Ophthalmologica Indonesiana
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/journal.v41i3.39

Abstract

Background: Sturge-Weber syndrome (SWS) is a neurocutaneous syndrome, characterized by theassociation of facial port-wine hemangiomas in the trigeminal nerve distribution area, with vascularmalformation(s) of the brain (leptomeningeal angioma) with or without glaucoma. It reports a 3 monthold baby girl presented to Pediatric Ophthalmology Unit Cicendo Eye Hospital with Sturge Weber Syndrome.Case Illustration: A 3 month old baby girl presented to Pediatric Ophthalmology Unit Cicendo EyeHospital as a referral from Pediatric Department. Here in, the patient presented with port wine stain,cerebral lesion according to MRI. Her intraocular pressure on first examination was 29.33 mmHg on herright eye and 18.33 mmHg, then she was underwent examination under anesthesia and trabeculotomy-trabeculectomy procedure on December11th 2014. There was a complication of choroidal detachment aftersurgery,and the patient received oral corticosteroid to overcome the problem.On the last visit,this patient presented with controlled intraocular pressureand minimal abnormality in the retina.Conclusion:Treatment for Sturge Weber Syndrome usually symptomatic. Treatment of choice for glaucoma due to Sturge Weber Syndrome is surgical intervention rather than medical therapy.Keywords: Sturge-Weber syndrome, glaucoma
Co-Authors ANDIVAN RAHMAN ANISA VITRIANA Astrid Feinisa Khairani Astrid Feinisia Khairani Budiman Budiman Elsa Gustianty Elvita Marer Eva Imelda Feti Karfiati M Feti Karfiati M. Feti Karfiati Memed Indri Nurul Badriyah Indri Nurul Badriyah, Indri Nurul Indriyani Khairani, Astrid Feinisa Levandi Mulja Lulu Eva Rakhmilla Lulu Eva Rakhmilla, Lulu Eva Maya Sari Wahyu Mayasari Wahyu Mayasari Wahyu Kuntorini Muhammad Akbar Wicaksana Nina Ratnaningsih Pradistya Syifa Yudiasari Primawita O. Amiruddin Primawita Oktarima Primawita Oktarima Amiruddin R. Maula Rifada Raisha Pratiwi Indrawati Ramadanti, Sarah Nurul Rizki Fasa Ramdhani Sarah Nurul Ramadanti Sarah Nurul Ramadanti Sesu Caesarya Sesy Caesarya Sesy Caesarya Sonie Umbara Sri Hardwiyani Syifa Rahmani