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Ardiella Yunard
Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology Physics Public Health

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Comparison of Rigid Gas Permeable and Toric Soft Lens for Correcting Astigmatism Ardiella Yunard; Tri Rahayu
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 | Full PDF (127.788 KB) | DOI: 10.35749/journal.v42i1.60

Abstract

Background: To compare visual acuity correction of astigmatism and comfort between toric softcontact lens and rigid gas permeable. Thus, ophthalmologists will less reluctantly propose contactlenses for the patients with astigmatism, and maximize the potential advantages of contact lenses forthe wearer.Methods: Literature review of all prospective and retrospective studies which reported managementof astigmatism with rigid gas permeable of toric soft contact lenses. The articles were divided intocharacteristics and outcomes. Outcomes reviewd were visual acuity, lens fit characteristics, cornealstaining, and subjective problems.Results: Lens corrected visual acuity by toric soft lens showed variation, which 3 studies reported afew amount of visual loss from spectacles corrected. Meanwhile other studies reported better toric softlens corrected visual acuity than spectacles. In RGP group, four studies reported better or the samevisual acuity with spectacles, and only one study showed a few amount of visual loss. Visual clarityand poor comfort were the most frequent subjective problems in toric soft lens group. Meanwhile,dryness and poor comfort were the most frequent subjective problems in RGP group.Conclusion: RGP is superior than toric soft lens in correcting astigmatism. Meanwhile, toric soft lensprovides quick adaptation and comfort. Keywords: astigmatism, rigid gas permeable, toric soft lens
Methanol Toxic Optic Neuropathy (Characteristic and Evaluation of Therapy) Ardiella Yunard; Syntia Nusanti; M. Sidik
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.v42i1.62

Abstract

Background: Methanol toxic optic neuropathy is and optic neuropathy caused by methanolintoxication. Management of methanol toxic optic neuropathy is a therapeutic challenge and theoutcome is often unsatisfying. The aim of this study is to know the characteristics and evaluate theoutcome of corticosteroid therapy in methanol toxic optic neuropathy.Methods: Medical records of patients diagnosed with methanol toxic optic neuropathy from January2013 to December 2014 were reviewed retrospectively. Demographic characteristic, clinicalcharacteristic and visual acuity were evaluated.Results: During the period of January 2013 until December 2014, 31 patients were diagnosed withmethanol toxic optic neuropathy. All of them were males. The mean age was 31.87±9.23 years. Ocularsymptoms were found in 93.5%, most of them occured in 24-96 hours after methanol consumption.There were 85.4% patients at initial presentation had visual acuity (VA) less than 3 m finger counting,and 72.6% showed optic disc edema. Among the patients, 42% got intravenous high-dosemethylprednisolone, 19% got combination of intravenous high-dose methylprednisolone andhemodyalisis, 26% got oral methylprednisolone, and 3% got neuroprotector. VA improvement aftertherapy occured in 67.7%, no changes in 26.47%, and worsening in 5.88%. All patients who gottherapy in 6 days after methanol consumption showed VA improvement.Conclusion: The administration of intravenous high-dose steroids showed an improvement of visualstatus in most of the patients. Intravenous high-dose steroids gave benefit the visual status of patientswith methanol optic neuropathy, especially in patients with short interval between the consumption ofmethanol and starting the treatment. Keywords: methanol intoxication, optic neuropathy, methylprednisolone
Comparison of Rigid Gas Permeable and Toric Soft Lens for Correcting Astigmatism Ardiella Yunard; Tri Rahayu
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.v42i1.60

Abstract

Background: To compare visual acuity correction of astigmatism and comfort between toric softcontact lens and rigid gas permeable. Thus, ophthalmologists will less reluctantly propose contactlenses for the patients with astigmatism, and maximize the potential advantages of contact lenses forthe wearer.Methods: Literature review of all prospective and retrospective studies which reported managementof astigmatism with rigid gas permeable of toric soft contact lenses. The articles were divided intocharacteristics and outcomes. Outcomes reviewd were visual acuity, lens fit characteristics, cornealstaining, and subjective problems.Results: Lens corrected visual acuity by toric soft lens showed variation, which 3 studies reported afew amount of visual loss from spectacles corrected. Meanwhile other studies reported better toric softlens corrected visual acuity than spectacles. In RGP group, four studies reported better or the samevisual acuity with spectacles, and only one study showed a few amount of visual loss. Visual clarityand poor comfort were the most frequent subjective problems in toric soft lens group. Meanwhile,dryness and poor comfort were the most frequent subjective problems in RGP group.Conclusion: RGP is superior than toric soft lens in correcting astigmatism. Meanwhile, toric soft lensprovides quick adaptation and comfort. Keywords: astigmatism, rigid gas permeable, toric soft lens
Methanol Toxic Optic Neuropathy (Characteristic and Evaluation of Therapy) Ardiella Yunard; Syntia Nusanti; M. Sidik
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.v42i1.62

Abstract

Background: Methanol toxic optic neuropathy is and optic neuropathy caused by methanolintoxication. Management of methanol toxic optic neuropathy is a therapeutic challenge and theoutcome is often unsatisfying. The aim of this study is to know the characteristics and evaluate theoutcome of corticosteroid therapy in methanol toxic optic neuropathy.Methods: Medical records of patients diagnosed with methanol toxic optic neuropathy from January2013 to December 2014 were reviewed retrospectively. Demographic characteristic, clinicalcharacteristic and visual acuity were evaluated.Results: During the period of January 2013 until December 2014, 31 patients were diagnosed withmethanol toxic optic neuropathy. All of them were males. The mean age was 31.87±9.23 years. Ocularsymptoms were found in 93.5%, most of them occured in 24-96 hours after methanol consumption.There were 85.4% patients at initial presentation had visual acuity (VA) less than 3 m finger counting,and 72.6% showed optic disc edema. Among the patients, 42% got intravenous high-dosemethylprednisolone, 19% got combination of intravenous high-dose methylprednisolone andhemodyalisis, 26% got oral methylprednisolone, and 3% got neuroprotector. VA improvement aftertherapy occured in 67.7%, no changes in 26.47%, and worsening in 5.88%. All patients who gottherapy in 6 days after methanol consumption showed VA improvement.Conclusion: The administration of intravenous high-dose steroids showed an improvement of visualstatus in most of the patients. Intravenous high-dose steroids gave benefit the visual status of patientswith methanol optic neuropathy, especially in patients with short interval between the consumption ofmethanol and starting the treatment. Keywords: methanol intoxication, optic neuropathy, methylprednisolone
Co-Authors M. Sidik Syntia Nusanti Tri Rahayu