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Emma Rusmayani
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Health Professions Medicine & Pharmacology Public Health

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Comparison of Intraocular Pressure After Water Drinking Test in Primary Open Angle Glaucoma Patients Controlled with Latanoprost and Trabeculectomy Emma Rusmayani; Widya Artini; Wresti Indriatmi
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.v47i1.100157

Abstract

Purpose: To compare intraocular pressure (IOP) after water drinking test in primary open angle glaucoma patients controlled with latanoprost 0.005% and trabeculectomy.Methods: Observational study with cross-sectional design of 28 eyes with primary open angle glaucoma (POAG) patients. Subjects were divided into two groups, 14 patients controlled with trabeculectomy and 14 patients with latanoprost monotherapy. All subjects were under clinical therapy and had an intraocular pressure (IOP) equal or lower than 18 mm Hg, monitored during the follow up period. All subjects were submitted to the water drinking test. The results of the water drinking test, which were peak and fluctuation of IOP, were then compared between groups. Results: There were no significant difference between IOP peak between two groups (p=0.88). IOP fluctuation also showed no significant difference between groups (p=0.84). In both groups, baseline IOP strongly correlated with peak IOP in water drinking test with correlation coefficient r=0.96 (p<0.001) and r=0.71 (p=0.04), while baseline IOP in trabeculectomy group was strongly correlated with IOP fluctuation with correlation coefficient r=0.86 (p<0.001). Conclusions: Peak and fluctuation of IOP after water drinking test in primary open angle patients controlled with latanoprost and trabeculectomy showed no significant difference.
Posner-Schlossman Syndrome (Glaucomatocyclitic Crisis) A 5-Year Review Emma Rusmayani
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.v47i1.100158

Abstract

Background: Posner-Schlossman syndrome (PSS) or glaucomatocyclitic crisis is a rare condition with self-limited unilateral recurrent episodes of elevated intraocular pressure (IOP) and mild anterior chamber inflammation in which diagnosis can be challenging. We reviewed our 5-year experience with PSS to give a brief picture of the natural characteristic of the disease. Methods: We investigated 56 eyes from 52 patients (24 males and 28 females; both eyes for 2 males and 2 females) diagnosed with PSS during the years 2012-2017 in the Jakarta Eye Center Menteng and Kedoya. Data were collected on age, gender, visual acuity, episode of attacks, drugs regimen, IOP during attacks and after surgery or treatment in the latest follow up. Results: The mean age of the 52 patients was 48.13 years-old (range, 18–82 years). The mean intraocular pressure (IOP) of initial record for all 56 eyes was 37.63 mmHg (ranged from 10-65 mmHg). The mean visual acuity during attacks was 0.87 LogMAR and mean episode of attacks was 2.41 times, with 41% of the cases were their first time onset. Medical treatment was efficacious for 39 patients (69.62 %). Eight patients (14.82 %) underwent a surgical treatment and all had normal IOP afterwards. Conclusions: PSS was found more in middle-aged patients. PSS tend to be the typical self-limiting and response well to medical treatment. However, the episodic and recurrent nature of PSS should be a concern. Therefore, patients with PSS must have regular evaluation of visual acuity, visual fields and IOP.
Co-Authors Widya Artini Wresti Indriatmi B. Makes