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All Journal Ophthalmologica Indonesiana Ophthalmologica Indonesiana
Andrew Knoch
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Health Professions Medicine & Pharmacology Physics Public Health

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Lensa Intraokular Piggyback Sekunder Sebagai Tatalaksana Refractive Surprise Ludwig Tjokrovonco; Andrew Knoch; Budiman; Emmy Sugiarti
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): 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.v47i1.100144

Abstract

Pendahuluan: Refractive surprise merupakan kejadian yang tidak diharapkan pasca operasi katarak. Refractive surprise dapat ditatalaksana baik secara konservatif maupun dengan tindakan operasi berbasis lensa maupun berbasis kornea. Tujuan: Untuk melaporkan hasil akhir sebuah kasus refractive surprise yang ditatalaksana dengan implantasi lensa intraokular piggyback sekunder. Ilustrasi Kasus: Pria berusia 54 tahun datang ke unit katarak dan bedah refraktif Rumah Sakit Mata Cicendo dengan keluhan utama mata kanan buram pasca operasi katarak 4 bulan sebelumnya. Tajam penglihatan dasar mata kanan 2/60 dan mata kiri 0.5. Hasil refraktometer mata kanan didapatkan S -6.00 C-1.00 x 96 dan tajam penglihatan terbaik dengan S-6.00 adalah 0.63. Pasien kemudian didiagnosis dengan myopic surprise mata kanan, pseudofakia dengan kekeruhan kapsul posterior grade I-II mata kanan dan katarak subkapsularis posterior mata kiri. Pasien kemudian ditatalaksana dengan implantasi lensa intraokular piggyback menggunakan Sensar AR40 foldabel three-pieces hidrofobik akrilik. Tiga bulan pasca operasi didapatkan tajam penglihatan terbaik pasien adalah 0.8 tidak dapat dikoreksi. Kesimpulan: Lensa intraokular piggyback sekunder merupakan tatalaksana refractive surprise berbasis lensa yang aman, mudah diprediksi, dan bersifat reversibel.
Characteristic of Postoperative Visual Acuity and Complications of Surgical Procedure on Posterior Polar Cataract Patients at Cicendo Eye Hospital National Eye Center Rani Pitta; Andrew Knoch; Budiman; Emma Sugiarti
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): 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.v47i1.100159

Abstract

Introduction: Posterior polar cataract is a rare form of cataract with incidence from 3 to 5 in 1000. It is bilateral in 65–80% of the cases with no gender predilection. Posterior polar cataract presents a special challenge to the surgeon because of its predisposition to posterior capsular dehiscence and possible nucleus drop during surgery. Purpose: The study aims to evaluate the visual outcome and complication of cataract surgery in patients with posterior polar cataract.Material and Methods: This is an observational study. Data were collected from the medical records within period of January 2016 – December 2018 in National Eye Center Cicendo Eye Hospital and reviewed retrospectively. Subjects in this study are patients with posterior polar cataract who underwent cataract surgery. The outcomes included visual acuity on the fourth week after surgery and complications during cataract surgery. Results: There were 50 eyes of 37 patients included in the study. The mean age was 55.22±13.86 years. Best corrected visual acuity outcomes (BCVA) were 6/6-6/18 in 48 eyes (96%) after surgery. Complications during surgery were found in 7 eyes (14%), which was posterior capsular rupture with vitreous prolapse. Complications during phacoemulsification technique in 6 patients and 1 patient had SICS. Conclusion: Posterior polar cataracts are surgical challenge. In our study, cataract surgery in posterior polar cataract leads to good visual outcome. Appropriate treatment in patients with complications yielding good outcome.
Lensa Intraokular Piggyback Sekunder Sebagai Tatalaksana Refractive Surprise Ludwig Tjokrovonco; Andrew Knoch; Budiman; Emmy Sugiarti
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): 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.v47i1.100144

Abstract

Pendahuluan: Refractive surprise merupakan kejadian yang tidak diharapkan pasca operasi katarak. Refractive surprise dapat ditatalaksana baik secara konservatif maupun dengan tindakan operasi berbasis lensa maupun berbasis kornea. Tujuan: Untuk melaporkan hasil akhir sebuah kasus refractive surprise yang ditatalaksana dengan implantasi lensa intraokular piggyback sekunder. Ilustrasi Kasus: Pria berusia 54 tahun datang ke unit katarak dan bedah refraktif Rumah Sakit Mata Cicendo dengan keluhan utama mata kanan buram pasca operasi katarak 4 bulan sebelumnya. Tajam penglihatan dasar mata kanan 2/60 dan mata kiri 0.5. Hasil refraktometer mata kanan didapatkan S -6.00 C-1.00 x 96 dan tajam penglihatan terbaik dengan S-6.00 adalah 0.63. Pasien kemudian didiagnosis dengan myopic surprise mata kanan, pseudofakia dengan kekeruhan kapsul posterior grade I-II mata kanan dan katarak subkapsularis posterior mata kiri. Pasien kemudian ditatalaksana dengan implantasi lensa intraokular piggyback menggunakan Sensar AR40 foldabel three-pieces hidrofobik akrilik. Tiga bulan pasca operasi didapatkan tajam penglihatan terbaik pasien adalah 0.8 tidak dapat dikoreksi. Kesimpulan: Lensa intraokular piggyback sekunder merupakan tatalaksana refractive surprise berbasis lensa yang aman, mudah diprediksi, dan bersifat reversibel.
Characteristic of Postoperative Visual Acuity and Complications of Surgical Procedure on Posterior Polar Cataract Patients at Cicendo Eye Hospital National Eye Center Rani Pitta; Andrew Knoch; Budiman; Emma Sugiarti
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): 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.v47i1.100159

Abstract

Introduction: Posterior polar cataract is a rare form of cataract with incidence from 3 to 5 in 1000. It is bilateral in 65–80% of the cases with no gender predilection. Posterior polar cataract presents a special challenge to the surgeon because of its predisposition to posterior capsular dehiscence and possible nucleus drop during surgery. Purpose: The study aims to evaluate the visual outcome and complication of cataract surgery in patients with posterior polar cataract.Material and Methods: This is an observational study. Data were collected from the medical records within period of January 2016 – December 2018 in National Eye Center Cicendo Eye Hospital and reviewed retrospectively. Subjects in this study are patients with posterior polar cataract who underwent cataract surgery. The outcomes included visual acuity on the fourth week after surgery and complications during cataract surgery. Results: There were 50 eyes of 37 patients included in the study. The mean age was 55.22±13.86 years. Best corrected visual acuity outcomes (BCVA) were 6/6-6/18 in 48 eyes (96%) after surgery. Complications during surgery were found in 7 eyes (14%), which was posterior capsular rupture with vitreous prolapse. Complications during phacoemulsification technique in 6 patients and 1 patient had SICS. Conclusion: Posterior polar cataracts are surgical challenge. In our study, cataract surgery in posterior polar cataract leads to good visual outcome. Appropriate treatment in patients with complications yielding good outcome.
Co-Authors Budiman Emma Sugiarti Emmy Sugiarti Ludwig Tjokrovonco Rani Pitta