Irawati Irfani
Department Of Ophthalmology, Faculty Of Medicine, Universitas Padjadjaran Cicendo National Eye Centre, Bandung, West Java

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Journal : Althea Medical Journal

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

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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