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Rachmat Hidayat
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Sriwijaya Journal of Ophthalmology
Published by Universitas Sriwijaya
ISSN : -     EISSN : 27229807     DOI : https://doi.org/10.37275/sjo.v2i2.35
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology
Sriwijaya Journal of Opthalmology (SJO) is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Sriwijaya Journal of Opthalmology (SJO) publishes original article, case report and review article related opthalmology.
Arjuna Subject : Kedokteran - Ophthalmology
Articles 5 Documents
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Search results for , issue "Vol. 2 No. 2 (2019): Sriwijaya Journal of Ophthalmology" : 5 Documents clear
Laser Pan-Retinal Photocoagulation to Treat Central Retinal Vein Occlusion Roland Iqbal; AK Ansyori; Ramzi Amin
Sriwijaya Journal of Ophthalmology Vol. 2 No. 2 (2019): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.011 KB) | DOI: 10.37275/sjo.v2i2.13

Abstract

Introduction. Retinal Vein Occlusion (RVO) is the second most common retinal blood vessel disease after diabetic retinopathy. CRVO is an acute blockage of the central retinal vein that causes abnormalities in the retina, characterized by sudden decreased vision. Based on the potential for vision loss from this retinal disease, proper diagnosis and management is needed to prevent further complications. Case Presentation. A man, age 50 years old, a civil servant, came to the eye clinic of Mohammad Hosein Hospital on February 2017. The main complaint was vision of right eye suddenly blurred since 5 months before. Based on the above examination found decreased vision in one eye, with visual acuity better than 6/60 and no RAPD. The funduscopic examination above shows the presence of dilatation and tortousity in the central retinal vein, dot / blot bleeding and flame shaped hemorrhages in all quadrants, exudates, neovascularization of the retina and optic disk, and the presence of edema in the optic disc and macula. Conclusion. Management performed on these patients is by performing a Pan-Retinal Photocoagulation (PRP) laser and Grid-Pattern Photocoagulation. The selection of this therapy is based on the consideration that the patient has been suffering from CRVO for more than 3 months.
Diagnosis and Management of Bleeding Vitreous by Trauma Closed Eyeball Rika Anggraini; AK Ansyori; Ramzi Amin
Sriwijaya Journal of Ophthalmology Vol. 2 No. 2 (2019): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (162.521 KB) | DOI: 10.37275/sjo.v2i2.14

Abstract

Introduction. Diagnosis of vitreous bleeding is generally straightforward and it can be made through history, ophthalmological examination and fundoscopy. However, the management is determined by the underlying etiology. The most common causes as factors that cause opposite vitreous bleeding include retinopathy of proliferative diabetes, posterior vitreous detachment (PVD) and trauma in 59-88.5% of cases. Reported a case of vitreous hemorrhage due to closed eyeball trauma performed by pars plana vitrectomy and endolaser with significant vision improvement. Case Presentation. A male, 21 years old, student, lived in suburban, came to the Polyclinic of RSMH on July 2019. Approximately 1 month ago the patient complained that his right eye vision suddenly felt blurry after being hit by volleyball from the front from a distance of 1 meter while playing volleyball with his friends. Patients complain of the view of the right eye as if it were covered with a red shadow accompanied by pain around the right eye. Ophthalmological examination obtained vision of this patient is a wave of the hand that is 1/300 in the right eye and 6/6 in the left eye that shows the disorder is unilateral with a fairly poor decrease in vision. During intraoperative right eye hemorrhage was found to nearly cover the retina with the source of bleeding in peripheral retinal blood vessels which when found intraoperatively were not found extravasation or active bleeding. Conclusion. The operative action of pars plana vitrectomy gives a clinically significant result that is obtained very good sharp eyesight and from the examination results obtained echofree on vitreous. Proper timing is very important in determining the management of vitreous bleeding in order to get good results and minimize the risk of complications that can occur.
Anti-Vascular Endothelial Growth Factor Injection in Wet Age-Related Macular Degeneration M. Usman Salim; AK Ansyori; Ramzi Amin
Sriwijaya Journal of Ophthalmology Vol. 2 No. 2 (2019): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.098 KB) | DOI: 10.37275/sjo.v2i2.17

Abstract

Introduction. AMD is a macular progressive degeneration that arises at the age of more than 50 years, which is characterized by the presence of drusen which is a deposit of material between the retinal pigment epithelium (RPE) and the Bruch membrane. The prevalence of AMD is 29.2% unilateral and 70.8% bilateral. In unilateral wet AMD, 50% will develop on the other eye in a period of 5 years. Case Presentation. A woman, Mrs. S, 59 years old, civil servant working, located in the city, came to the Polyclinic RSMH on January 21, 2019. Anamnesis (Auto-anamnesis) the main complaint of vision of the left eye blurred since, 2 months ago. Since about two months ago, sufferers complained of vision in the left eye blurred, blurred felt suddenly, darker vision in the middle. Since about two weeks ago, sufferers complained that his left eye vision had become blurred. The view in the middle is covered with black shadows and accompanied by waves. Working diagnosis of macular oculi sinistra ec wet age-related macular degeneration. The treatment is informed consent, Pro injection of anti-VEGF intravitreal oculi sinistra, Pro laboratory check, Pro X-ray of thorax PA, Pro consul of internal medicine. Conclusion. A clinically significant case of macular edema (CSME) has been reported that is treated with intravitreal anti-VEGF combined with focal photon photocoagulation laser. A woman aged 55 years, with complaints of vision both eyes blurred since ± 6 months ago.
Relationship Between HbA1c Level with Retinal Nerve Fiber Layer Thickness in Diabetic Retinopathy Febrina Art; AK Ansyori; Ramzi Amin
Sriwijaya Journal of Ophthalmology Vol. 2 No. 2 (2019): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.013 KB) | DOI: 10.37275/sjo.v2i2.34

Abstract

Abstract Background: Diabetes mellitus (DM) have a direct effect to retinal neural tissue. Diabetic retinopathy slowly proggress with reserved visual acuity and no symptoms in early stage. Retinal nerve fiber layer thickness significantly decrease in type 2 diabetes mellitus patients related to glycemic blood level. Purpose: To analyze the relationship between HbA1c level and retinal nerve fiber layer thickness in diabetic retinopathy patients. Methods: A cross sectional analytical study was conducted in RSUP dr. Mohammad Hoesin Palembang from October 2017 until March 2018. Sixty eight type 2 diabetes mellitus patients consist of various grade of diabetic retinopathy. Measurement of HbA1c level was performed on these samples and retinal nerve fiber layer thickness was measured by Optical Coherence Tomography (OCT). Results: There is a significant relationship between duration of DM with RNFL thickness (p = 0,002). There is a significant relationship between hypertension with RNFL thickness (p = 0,007). There is a significant relationship between HbA1c level with RNFL thickness in all quadrants (superior, nasal, inferior quadrants p = 0,000, temporal quadrant p = 0,011). The most important factor of RNFL thinning in superior, nasal and inferior quadrants is HbA1c level (superior and nasal adjusted p value 0,002, inferior adjusted p value 0,002) while in temporal quadrant is hypertension (adjusted p value 0,042). Conclusion: There is a significant relationship between HbA1c level with RNFL thickness in all quadrants in which the patients with HbA1c > 7% have a higher risk of thinner RNFL compared to patients with HbA1c ≤ 7%.
The Relationship Between Immunoglobulin E Serum Levels And Age-Related Cataract Meidina Rahmah; Alie Solahuddin
Sriwijaya Journal of Ophthalmology Vol. 2 No. 2 (2019): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.838 KB) | DOI: 10.37275/sjo.v2i2.35

Abstract

ABSTRACT Objective: To determine the relationship of serum IgE levels and age-related cataract at the Special Eye Hospital in Palembang. Methods: An observational study with cross-sectional design study was undertaken in October 2018 to May 2019 at the Special Eye Hospital in Palembang. There were 86 patients who met the inclusion and exclusion criteria. The independent variable in this study is the level of serum immunoglobulin E and the dependent variable is senile cataract. The data analysis has been done with diagnostic research by SPSS version 20.0 (SPSS, Inc Chicago, Illinois). Results: Thirty five people suffered from senile cataracts and fifty one people did not suffer from cataracts. The mean IgE level in senile cataract patients was 5.129 ± 1.588 ng /mL while in patients without cataracts it was 5.001 ± 1.564 ng/mL. There was no difference in IgE levels between senile cataract patients and patients without cataracts (p = 0.891). With statistical analysis using the ROC curve it was found that the IgE concentration cut off point was 5.046 ng/mL. There were 54.3% of senile cataract patients and 51% of patients without cataracts who had IgE levels > 5.046 ng/mL. Patients with IgE levels > 5.046 had an almost equal risk of senile cataracts compared to patients with IgE levels <5.046 (PR = 1.142 (CI95% 0.482 - 2.705; p = 0.935). Conclusion: There is no significant relationship between IgE levels and the incidence of senile cataracts.

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