Liana Ekowati
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SURGICAL OUTCOMES OF STRABISMUS CORRECTION IN LARGE ANGLE EXOTROPIA Rahmah Sadida; Liana Ekowati; Arnila Novitasari Saubig
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/j47xb287

Abstract

Introduction & ObjectivesSurgery is one of the treatment options for strabismus. The success rates of surgical interventions,as reported in a number of different studies, vary widely. There is no database of surgical outcomein large angle exotropia patient undergoing surgery in Semarang, Central Java. This study aims toevaluate the surgical outcome of strabismus correction in large angle exotropia in Dr. KariadiGeneral Hospital. MethodsA retrospective study held from the medical record of patients with diagnosis large angle (>50?)exotropia undergoing strabismus correction surgery from January 2020-December 2022 in Dr.Kariadi General Hospital, Semarang. The clinical characteristics: sex, age, angle of exodeviation,amblyopia condition, sensory deprivation, and postoperative alignment were obtained. Surgicaloutcome measured with follow up of angle deviation in one month dan three months follow up aftersurgery. ResultsTotally 59 large angle exotropia patients were obtained with 31 (53%) were woman and 28 (47%)were man, range aged 1 year to 53 years old had preoperative angle of exodeviation 51->85 ?, 6(10%) had amblyopia, 11(18.6%) had sensory deprivation. By the 3 months post-operative visit,100% of all patients reported orthophoria. ConclusionThis study found the outcome of strabismus correction for large angle exotropia is satisfactory. Twoor three-muscle surgery provides an effective means for treatment of large angle exotropia.
Profile of Unilateral Cataract in Pediatric Patients: A 3 Year Retrospective Study: Oral Presentation - Observational Study - Resident Lisana Himmatul Ulya; Liana Ekowati
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: 10.35749/1mq2bb58

Abstract

Abstract Introduction & Objectives : Unilateral cataract presents from 19.6% to 55.5% of pediatric cataract in children by many previous reported studies. This condition is treatable, but delayed treatment may cause visual impairment. This study aims to understand characteristic and treatment of unilateral cataract in children. Methods : The study involved a retrospective review of medical records of patients aged 0-17 years with unilateral cataract who presented to Dr. Kariadi Hospital Semarang from 2019 to 2022. Cases of cataract secondary to causes such as trauma or uveitis were excluded. Results : Thirty-five patient was included in this study, 51% of whom were male and 49% female. The mean age at presentation is 60.49  48.23 months and mean age of onset is 36.77  45.94 months. The most common presenting complaint was whitish eye (81%) while others presented with blurred vision. All the patients had leukocoria, 28% have microcornea, 3% have persistent pupillary membrane. Half of patient (51%) have strabismus, with exotropia being the most common type (34.17%). Eight patients had congenital rubella syndrome, one patient had cytomegalovirus infection while others did not have any systemic condition related to cataract. Majority of patient (17%) treated with phacoaspiration, primary posterior capsulotomy, anterior vitrectomy and intraocular lens implantation. Intraocular lens was implanted in 71% patient and 54% patients given spectacles. Conclusion : Unilateral cataract is disease with isolated and sporadic incident. The majority of patients did not have systemic condition related to unilateral cataract. The most common treatment is phacoaspiration, primary posterior capsulotomy, anterior vitrectomy and intraocular lens implantation.