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All Journal Ophthalmologica Indonesiana Ophthalmologica Indonesiana
Agus Supartoto
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Health Professions Medicine & Pharmacology Physics Public Health

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Trauma Kimia Okuli Roper-Hall Derajat IV Bilateral Purjanto Tepo Utomo; Amanda Nur Shinta P; Banuaji Dibyasakti; Nikolaus Erik Darmawan; Agus Supartoto
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100295

Abstract

Introduction : Ocular Chemical Trauma is an emergency case and need immediate treatment . The causes vary from work accident to abuse. Treatment is aimed to minimalize surface abbration and preserve eye normal anatomy and physiology. Case Presentation : A 31-year-old man presented with bilateral vision loss with history of unknown liquid exposure to both eyes 2 days prior. Visual acuity was light perception on the right eye and hand movement on the left eye. Ophtalmologic examination presents bilateral palpebral spasms with 3rd grade combustion, bilateral conjunctival chemosis with 360 degree limbal ischemia, lateral canthus symblepharon and bilateral corneal haze. The patient was hospitalized for 33 days. Conclusion : Ocular chemical trauma has a poor visual outcome despite an extensive treament due to damaged limbal stem cell and the following deterioration sequelae.
Trauma Kimia Okuli Roper-Hall Derajat IV Bilateral Purjanto Tepo Utomo; Amanda Nur Shinta P; Banuaji Dibyasakti; Nikolaus Erik Darmawan; Agus Supartoto
Majalah Oftalmologi Indonesia Vol 47 No 2 (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.v47i2.100295

Abstract

Introduction : Ocular Chemical Trauma is an emergency case and need immediate treatment . The causes vary from work accident to abuse. Treatment is aimed to minimalize surface abbration and preserve eye normal anatomy and physiology. Case Presentation : A 31-year-old man presented with bilateral vision loss with history of unknown liquid exposure to both eyes 2 days prior. Visual acuity was light perception on the right eye and hand movement on the left eye. Ophtalmologic examination presents bilateral palpebral spasms with 3rd grade combustion, bilateral conjunctival chemosis with 360 degree limbal ischemia, lateral canthus symblepharon and bilateral corneal haze. The patient was hospitalized for 33 days. Conclusion : Ocular chemical trauma has a poor visual outcome despite an extensive treament due to damaged limbal stem cell and the following deterioration sequelae.
Disaster of Retrobulbar Hemorrhage: Poster Presentation - Case Report - Resident AMELIA DEVY INDRIASARI; Purjanto Tepo Utomo; Agus Supartoto; Banu Aji Dibyasakti; Irene Titin Darajati; Datu Respatika
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/myqp3t94

Abstract

Introduction : Retrobulbar hemorrhage is a rare case, 3.6% of which are caused by ocular trauma. However, this case is an ophthalmic emergency and must be treated quickly and accurately. We present a case of neglected traumatic retrobulbar hemorrhage with compartment-syndrome and opportunistic bacterial infection which underwent dilemmatic exenteration and orbitectomy. Case Illustration : A 39-year-old man was referred with a history of being beaten, 11 days before admission. He felt a dark vision, pain and swelling in his left eye. The visual acuity was no light perception. Eyelid necrosis with proptosis and periorbital edema. We found severe chemosis and cloudy cornea. Negative-light reflex with increase intraocular pressure and limited eye movement in all directions. We did three surgeries due to serious complication. First, evacuation of retrobulbar bleeding. The second was total exenteration. The last was left orbitectomy, necrotomy and reconstruction performed together with plastic-surgeon and neuro-surgeon. Patient was hospitalized for 1.5 months. Discussion : Accumulation of blood in retrobulbar space leads to increased orbital pressure, which can stretch the optic nerve and impair blood flow in the eye which can lead to orbital compartment-syndrome. Unwanted complications can be prevented with prompt treatment within the first-two hours. Orbital decompression with lateral canthotomy and inferior cantholysis is considered as an emergency procedure. In this case, our patient had chronic compartment-syndrome and had no previous orbital decompression. Conclusion : Retrobulbar hemorrhage is an ophthalmic emergency. Early diagnosis and treatment are critical to ensure the best clinical outcome. Delayed treatment causes blindness and opportunistic infections can destroy the surrounding structure, a disaster.
Co-Authors Amanda Nur Shinta P AMELIA DEVY INDRIASARI Banu Aji Dibyasakti Banuaji Dibyasakti Datu Respatika Irene Titin Darajati Nikolaus Erik Darmawan Purjanto Tepo Utomo