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All Journal IJRETINA - International Journal of Retina
Mirza Metita
Universitas Brawijaya
Health Professions Medicine & Pharmacology Public Health

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Journal : IJRETINA - International Journal of Retina

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Polypoidal Choroidal Vasculopathy Mirza Metita; Yorihisa Kitagawa; Hiroyuki Shimada; Hiroyuki Nakashizuka
International Journal of Retina Vol 1 No 2 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2018.vol001.iss002.46

Abstract

Introduction: to report a case of PCV that has been successfully treated with intravitreal injection of t-PA, ranibizumab, and pneumatic displacement. Method: A 65 years old man presented with blurred vision of his right eye. No systemic abnormalities were found. Initial visual acuity RE was 6/18. Funduscopy examination showed submacular hemorrhage in posterior pole. OCTA, FA and ICG confirmed the diagnosis of PCV. We performed anterior chamber paracentesis and intravitreal injection of 0,05 ml t-PA, 0,05 ml ranibizumab, and 0,3 ml 100% C3F8 at a time in retrobulbar anesthesia. The patient was instructed to maintain face down positioning for 2 days. Results: We evaluated the visual acuity, central retinal thickness (CRT), and central pigment epithelial detachment (PED) thickness for 2 years. The visual acuity was increasing gradually from 6/18 to 6/6 in the first year. The hemorrhage was displaced completely, the CRT and central PED thickness were decreased. In the second year the patient had recurrence of PCV with serous retinal detachment and treated with intravitreal aflibercept. Conclusion: Combined treatment of intravitreal t-PA, ranibizumab, and C3F8 can be used as a beneficial therapy for PCV.
Bilateral Exudative Retinal Detachment Due to Hypertensive Retinopathy and Choroidopathy In Young Patient with Chronic Kidney Disease Indha Dwi Kartikasari; Nadia Artha Dewi; Mirza Metita; Safaruddin Refa
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2018.vol001.iss001.20

Abstract

Introduction: Severe systemic hypertension in chronic kidney disease can cause significant damage to the eye. Although hypertensive retinopathy is a well-known complication, hypertensive optic neuropathy and choroidopathy are much less common. The aim of this study is to report retinal manifestation in young patient with chronic kidney disease. Method: A 26-year-old man with underlying disease chronic kidney disease (CKD) gr-V underwent bilateral bullous exudative retinal detachments. Retinal arteriolar narrowing, vascular tortuosity, arteriovenous nicking, optic disc swelling, retinal haemorrhage, elschnig spot, siegrist streak were identified in both eyes. Blood pressure was 200/140mmHg with visual acuity 0,5/60 OU. The patient was diagnosed with bilateral hypertensive retinopathy and choroidopathy with bulous exudative retinal detachments. Results: After antihypertensive treatment, visual acuity improved, but the exudative retinal detachments and retinal hemorrhages reduced. A patient with those findings should be considered as having hypertensive retinopathy and choroidopathy and treated as soon as possible because of the poor prognostic. Conclusion: Hypertensive choroidopathy is a rare finding associated with acute increases in blood pressure. When the choroid is associated, the hypertensive event is often more acute and associated with increased morbidity. It is necessary to obtain fundus exam in any patient with elevated blood pressure and concomitant vision complaints. Therefore, screening hypertensive patients involves close collaboration between internist and ophthalmologist.
Surgical Approach In Vitreous Hemorrhage Mirza Metita; Iwan Sovani; Arief Kartasasmita; Erwin Iskandar; Rova Virgana
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2018.vol001.iss001.6

Abstract

Introduction: To report cases of retinal disorders that cause vitreous hemorrhage and the timing of pars plana vitrectomy in Cicendo Eye Hospital Methods: Retrospective observational study of all patients diagnosed with the vitreous hemorrhage who had undergone pars plana vitrectomy in 2016. Data were collected from medical record. Result: The mean age of this study is 54.65 years old from 260 vitreous hemorrhage patients. The most common retinal abnormalities are proliferative diabetic retinopathy (49.6%), wet age related macular degeneration (AMD) (13.5%), undetected retinal abnormalities (12.7%), retinal vein occlusion (8.8%), rhegmatogen retinal detachment (6.5%), trauma (3.45%), vasculitis (3.1%), idiopathic polypoidal choroidal vasculopathy (3.1%), and drop IOL (1.2%). PPV performed 1-3 months after initial assessment (31.25%), less than 1 month (13.2%), more than 3 months (14.6%) Conclusion: The most common etiology of vitreous hemorrhage is proliferative diabetic retinopathy. Pars plana vitrectomy was performed 1 – 3 months after an initial assessment of the patients.
Case Report SUCCESSFUL MANAGEMENT OF EALES DISEASE WITH TUBERCULAR ETIOLOGY Anindya Putri Kusumajati; Mirza Metita
International Journal of Retina Vol 7 No 2 (2024): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2024.vol007.iss002.265

Abstract

Introduction: Recurrent vitreous hemorrhage is a defining indication of Eales disease, an idiopathic occlusive vasculitis of the peripheral retinal veins that primarily affects young males, and 38.7% of patients had a history of tuberculosis. This case study aims to illustrate the effective treatment of Eales disease, which includes vitreous hemorrhage and associated tuberculosis. Case report: A 23-year-old male presented with the primary complaint of impaired vision in his left eye since two weeks ago. Visual acuity was 1/60, and ultrasonography revealed vitreous hemorrhage. The right eye also has a history of vitrectomy and silicon oil from a vitreous hemorrhage two months prior. A full work-up was completed, with positive interferon-gamma release assay (IGRA) results. The patient received a 6-month course of antituberculous medication and an oral steroid on a tapering dose. The vitrectomy procedure was conducted on the left eye, but vitreous hemorrhage persisted even after the surgery. Three months following surgery, the vitreous hemorrhage cleared, and the visual acuity improved to 6/6 with a negative IGRA result. Discussion:Eales disease is identified in the condition of occlusive periphlebitis and retinal neovascularization, especially in the peripheral retina, in one or both eyes, after excluding other causes. Some patients may experience floaters, impaired vision, or even decreased visual acuity due to massive vitreous hemorrhage. In the earliest days of retinal perivasculitis, most patients are asymptomatic. Anti-tuberculosis treatment is considered for Eales disease with acute retinal periphlebitis with extensive infiltration, nodule development, and venous segment disappearance. In cases with persistent vitreous hemorrhage with decreased central vision for 3 months, vitrectomy is an option. Conclusion: One of the features of Eales disease is a young adult with recurrent vitreous hemorrhage that is tuberculous in nature. Early identification and a thorough eye examination, including USG and IGRA testing, as well as appropriate medicinal and surgical care, will result in a positive outcome.
Co-Authors Anindya Putri Kusumajati Arief S. Kartasasmita Erwin Iskandar Hiroyuki Nakashizuka Hiroyuki Shimada Indha Dwi Kartikasari Iwan Sovani Nadia Artha Dewi Rova Virgana Safaruddin Refa Yorihisa Kitagawa