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Ophthalmologica Indonesiana
Published by Perhimpunan Dokter Spesialis Mata Indonesia
ISSN : 01261193     EISSN : 2460545X     DOI : 10.35749
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Physics
Ophthalmologica Indonesiana is an open accessed online journal and comprehensive peer-reviewed ophthalmologist journal published by the Indonesian Ophthalmologist Association / Perhimpunan Dokter Spesialis Mata (PERDAMI). Our main mission is to encourage the important science in the clinical area of the ophthalmology field. We welcome authors for original articles (research), review articles, interesting case reports, special articles, clinical practices, and medical illustrations that focus on the clinical area of ophthalmology medicine.
Arjuna Subject : Kedokteran - Ophthalmology
Articles 267 Documents
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Management of Penetrating Eye Injury with Intraocular Foreign Body Andi Cleveriawan Arvi Putra; Andi Arus Victor; Elvioza Elvioza; Ari Djatikusumo; Gita Lisa Andayani; Anggun Ramayundanta
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.341 KB) | DOI: 10.35749/journal.v41i1.1

Abstract

Background: To report the importance of vitrectomy procedure in penetrating eye injury with retain intraocular foreign body (IOFB) at the proper time. Methods: An observational case report. A 17-year-old man came to hospital and was diagnosed aspenetrating eye injury with retain intraocular foreign body of the left eye. The visual acuity of the left eyewas only 2 meters finger counting. Immediate surgery of scleral buckling, vitrectomy, intraocular foreignbody removal and intravitreal vancomycin-ceftazidime injection were performed on the next day. Results: There were metallic IOFB, retinal vasculitis and focal retinitis seen when vitrectomy wasperformed. One month after vitrectomy, the visual acuity of the left eye has improved to 6/12 with correction. Conclusion: Proper and prompt management of penetrating eye injury could contribute in preserving agood anatomical and functional result. In the existence of IOFB, vitrectomy should be done promptly inthe first surgical window to gain a better resultKeywords: penetrating eye injury; intraocular foreign body
Effectiveness of Panretinal Photocoagulation in Treatment of Diabetic Retinopathy Dijah Dijah; Erwin Iskandar; Ine Renata Musa
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.47 KB) | DOI: 10.35749/journal.v41i1.2

Abstract

Background: Diabetic retinopathy is leading cause of blindness, is preventable, in whole of the world. Panretinal photocoagulation is a well-established treatment to induce regression of new blood vessels in diabetic retinopathy. This study to assess effectiveness of panretinal photocoagulation in treatment of diabetic retinopathy.Methods: We enrolled in retrospective study, using data from medical records of patients with proliferative diabetic retinopathy and severe non proliferative diabetic retinopathy between 2009 and 2011, and were assessed for visual acuity and fundus stability minimal 6 weeks after panretinal photocoagulation complete.Results: Panretinal photocoagulation was perfomed in 435 eyes (295 patients), with proliferative diabetic retinopathy was recognized in 245 eyes, and severe non proliferative diabetic retinopathy in 190 eyes. In cases of patients with proliferative diabetic retinopathy stabilization of visual acuity was observed in 137 (55,92%) of eyes and stabilization of the eye fundus in 119 (48,57%) of eyes. In patients with severe non proliferative diabetic retinopathy stabilization of visual acuity was found in 141 (74,21%) of eyes and stabilization of state of the eye fundus in 147 (77,37%) of eyes.Conclusion: Panretinal photocoagulation as gold standart therapy effectiveness to treatment proliferative diabetic retinopathy and severe non proliferative diabetic retinopathy to adhered visual acuity stability dan fundus stability.
The Challenges in Managing Proliferative Diabetic Retinopathy with Neovascular Glaucoma Putri A Idham; Elvioza Elvioza; Andi Arus Victor; Gitalisa Andayani; Ari Djatikusumo; Anggun Ramayudatha
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.12 KB) | DOI: 10.35749/journal.v41i1.3

Abstract

Background: The aim of this study is to emphasize the importance of close monitoring of the disease progression, minimize late complication, and knowing the important parameters of succesful treatment.Methods: A 52 years old woman with proliferative diabetic retinopathy was referred to Vitreoretina division. Patient came with chief complaint blurry vision of the left eye. Patien was diagnosed with diabetes melitus type 2 since 10 months ago. At ophthalmological examination, there was iris neovascularization on the left eye. Due to this finding, patient was given treatment for the proliferative diabetic retinopathy and neovascular glaucoma.Results: The patient undewent intravitreal injection of bevacizumab and Kehki Meta implant surgery after panretinal photocoagulation laser. Neovascularization of the iris was regressed and the intraocular pressure was controlled.Conclusion: This patient underwent laser panretinal photocoagulation, bevacizumab injection and Keiki Mehta implant surgery. The result was good. The neovascularization was regressed. Closed monitoring should be continued to evaluate the progression of the disease and control the intraocular pressure to prevent further visual loss. Keywords: Proliferative diabetic retinopathy, neovascular glaucoma, diabetic macular edema
Challenges in Managing Eyelid Basal Cell Carcinoma with Mohs Surgery and Close the Large Eyelid Defect after Tumor Removal Rio Rhendy; Yunia Irawati; Adhimukti Sampurna
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.194 KB) | DOI: 10.35749/journal.v41i1.4

Abstract

Background: Basal cell carcinoma (BCC) is the most common skin cancer of the eyelid. The important things management we have to emphasize are to prevent recurrence rate and to get the good cosmetic result after reconstruct the large defect. The aim of this case report is to show the management of both eyelid basal cell carcinoma and large eyelid defect after tumor removal.Methods: Case Report. A Woman 40 years old was reffered from Dermatovenereology Department of Cipto Mangunkusumo Hospital with aggressive type BCC. The location of the tumor was at inferior left eyelid with size of 18 x 19 mm. They planned to perform Mohs’ surgery and consulted to Plastic and Reconstruction division of Ophthalmology Department for eyelid reconstruction. After Mohs’ surgery the horizontal length of the eyelid defect was more than 50% and vertical defect was more than 15 mm. The Mustarde cheek advancement flap were choosen.Results: Post operation necrotic tissue was noted do to ischemic problem. Oral corticosteroid was given with tapering dose for six days. One month later, the condition was improved and Dermatovenereology department performed diode laser for the necrotic tissue and further showing good result.Conclusion: The management for eyelid BCC were still challenging including the technique to reconstruct the large eyelid defect, the risk of recurrence after the tumor removal and post operative result. The dicision to choose the proper technique to reconstruct the eyelid defect and tight follow-up after surgery will give optimal functional and cosmetic result. Keywords: basal cell carcinoma; Mohs surgery; Mustarde cheek advancement flap; necrotizing flap; corticosteroid; diode laser
Penggunaan Lensa Kontak untuk Astigmatisma Paska Keratoplasti Tri Rahayu
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.23 KB) | DOI: 10.35749/journal.v41i1.5

Abstract

Background: Fitting Contact Lenses for post penetrating keratoplasty patiens can be a great challenges to contact lens practitioner. Despite advances in surgical techniques for penetrating keratoplasty, post- operative ametropia and high irregular astigmatism still remain common. Patients who have such those problems may need contact lenses to achieve optimal vision.Case Illustration: Case 1. A 12 years old boy have a high myop and astigmatism after undergone penetrating keratoplasty combined with traumatic cataract extraction and IOL implantation. His right eye vision was 6/24 with corrections of S – 8.00 C – 6.50 x 150. His right eye was fitted with RGP contact lens with Base curve of 7.20 mm, Power of – 10.25 D, and diameter of 8.80 mm. His RE vision with RGP contact lens was 6/12; Case 2. Female, 18 years old, was diagnosed with compound high myopia astigmatism of right eye due to disfigured cornea post keratoplasty and high astigmatism of the left eye due to corneal scar. Piggyback contact lens system is then used to treat her right eye.The patient’s uncorrected visual acuity on the right eye was half meter counting finger, became 6/40 with spectacle and 2 meters counting finger became 3/60 with spectacle on the left eye. With piggyback contact lens consisting of soft contact lens 8.60/-10.00/14.20 and RGP lens 7.20/-4.00/8.8 on the right eye, and RGP lens 7.90/-5.00/9.2 on left eye, her visual acuity became 6/12 on her right eye became 6/9 on the left eye.Conclusion: Rigid gas-permeable and combination of rigid gas permeable and soft contact lenses can be fitted with piggy-back system successfully in patients unable to achieve optimal vision with spectacle correction after penetrating keratoplasty
Phacoemulsification in High Myopia with Silicon Filled Eye Bondan Harmani; Andi Arus Victor
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.851 KB) | DOI: 10.35749/journal.v41i1.6

Abstract

High myopia is a pathologic condition which has different anatomy from emmetropic eyes. The elongated vitreous chamber were increasing the shear stress of vitreous and retina, giving risk to several vitreoretinal disorders especially retinal detachment (RD). The extensive and complicated RD that happened in high myopic eyes make pars plana vitrectomy with silicon oil (SO) tamponade more preferable. Unfortunately, treatment of RD in high myopic eyes, especially with SO increase the incidence of cataract. The incidence of cataract in SO filled eyes is nearly 100% if the SO remains for several times. This paper reviews these issue, presenting the way to treat cataract in high myopic SO filled eye effectively with combination of phacoemulsification and SO removal with IOL implantation, helped with the usage of IOL Master.  Keywords: phacoemulsification, high myopia, silicon filled eye
Cultivated Limbal and Oral Mucosal Epithelial Transplantation in Severe Ocular Surface Disease Astriviani Widyakusuma; Made Susiyanti
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.21 KB) | DOI: 10.35749/journal.v41i1.7

Abstract

Background: To evaluate and compare the clinical outcome and safety of Cultivated Limbal Epithelial Transplantation (CLET) and Cultivated Oral Mucosal Epithelial Transplantation (COMET) in severe ocular surface disease.Methods: Retrospective literature review. Studies reporting CLET or COMET as treatment of ocular surface disorder were included in this review. All studies were level IV or higher published between 2002 and 2012. The outcomes evaluated in each study include transplantation success rate, improvement of visual acuity, and the safety covered post operative complications. No publication data restriction was used.Results: Eight articles were reviewed. Steven-Johnson Syndrome (SJS) was found to be the most common cause of ocular surface disease in all studies. None of these studies compared CLET and COMET directly. All studies achieved success rate and 3-years survival rate of more than 50%. Visual acuity improvement ranged between 43.5-67.8%, while the mean duration unitl epithelization ranged between 13.7 days to 3 months. The most common complication was persistent epithelial defect (PED).Conclusion: Both CLET and COMET offer a viable and safe alternative in ocular surface reconstruction, and thus may be considered as the management of the ocular surface disorder following SJS or chemical injury. Keywords: Cultivated limbal epithelium transplantation, cultivated oral mucosal epithelium transplantation, ocular surface disorder, ocular surface disease
Medium Duration Threshold Patterned Laser Photo­ coagulation for Panretinal Photocoagulation Habsyiyah Habsyiyah; Elvioza Elvioza; Andi Arus Victor; Ari Djatikusumo; Gitalisa Andayani; Anggun Rama Yudantha
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.689 KB) | DOI: 10.35749/journal.v41i1.8

Abstract

Background: Laser photocoagulation is a crucial therapy for numerous retinal diseases. Laser can be delivered with different machines and modalities (slit lamp, endolaser, indirect laser) at different wavelengths (532 to 812 nm) with varying parameters (power, spot size, duration, number of spots). New developments using semi automatic pattern delivery of retinal laser burns which use smaller amounts of energy and shorter duration have been reported. This literature review is conducted to review various published article that reported efficacy, safety, and duration of medium duration threshold patterned (MDTP) laser photocoagulation.Methods: This literature review was conducted from the Pubmed (NLM) database and Ophsource using the keyword panretinal photocoagulation, and Pascal or medium threshold or short exposure. The inculsion criteria of this review were all of studies which reported the use of medium duration threshold patterned which was applied as panretinal photocoagulation (PRP).Results: Parameter used in MDTP laser were as follow, spot size was between 200 to 400 μm, duration was 20-30 ms, and average laser power was more than 200 to 630 mV. Compare to standard laser treatment, power used in MDTP laser were higher.Conclusion: Medium duration threshold patterned laser photo-coagulation is as effective as conventional laser. MDTP laser can preserve the retinal sensitivity/visual field, also offers less pain and discomfort and safe to perform full scatter PRP in single sitting Keywords: medium duration threshold patterned laser; panretinal photocoagulation
The Influence of Childbirth Procedures to the Axial Length and Sclera Rigidity Hayati Hayati; Fifin LR; Norma DH
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.527 KB) | DOI: 10.35749/journal.v41i1.9

Abstract

Background: Various clinical and experimental studies attest that biochemistry and biomechanical of sclera are factors of influence shape and sclera size which is influence refraction status of the eye. Sclera streatching influenced by intraocular pressure (Valsava maneuver when bearing down effort), extracellular matrix (influenced by estrogene, progesterone and relaxin when pregnant), myopia and age.Objectives: To investigate the influence of delivery procedures of to the axial length and sclera rigidity.Methods: Samples of 60 eyes in two groups; vaginal deliveries (bearing down effort group) and operative deliveries (Caesar group) were tested in the pre and post test control design. Both groups underwent two examinations at prepartum and postpartum including visual acuity, anterior segment, posterior segment, measurement of axial length and sclera rigidity.Results: There were significant differences in the axial length mean in the bearing down effort group; the prepartum axial length is 22.81 ± 0.94 mm and the post-partum is 23.20 ± 0.80 mm. Pre-partum axial length mean is 23.05 ± 1.24 mm and increased to 23.40 ± 1.37 mm in the post-partum samples of Caesar group. This study also found that there were significant differences in the sclera rigidity mean in bearing down effort group which is 0.0144 ± 0.0006 in the prepartum and increase to 0.0163 ± 0.0060 in the postpartum. For the Caesar group, the sclerea rigidity mean was 0.0142 ± 0.0480 in the prepartum and increased to 0.0150 ± 0.0050 in the postpartum. Although no significant effects of bearing down effort to axial length and sclera rigidity was observed, the clinical results indicated that 53,85% of myopia in the bearing down effort groups experienced the increase postpartum corrected-lens approximately between -0,25 D to -0,75D and – 0, 25 D to – 1,00 D in 47,61% of myopia (Caesar groups).Conclusion: There is a significant difference in axial length and sclera rigidity prepartum and postpartum in both groups.
Evaluation of Laser in Situ Keratomileusis Outcomes in Cipto Mangunkusumo Hospital Habsyiyah Habsyiyah; Amir Shidik; Tri Rahayu
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.462 KB) | DOI: 10.35749/journal.v41i1.10

Abstract

Background: The aim of this study is to evaluate the efficacy, predictability and safety of the first experience in laser in situ keratomileusis (LASIK) surgery using Wavelight Refractive Suite in Kirana Cipto Mangunkusumo HospitalMethods: Design of this study was descriptive retrospective. Data of patients who underwent LASIK surgery from April 2012 to January 2013 were collected. The data consist of pre and post operative refractions, uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA).Results: Fifty eight eyes of 31 patients, 13 males and 18 females, mean age of 28 year-old were analyzed. The mean spherical error corrected was -6,42 ± 3,37 D with range of -1.25 D to -16,87D. Median UCVA post surgery 1 day, 1 week, and last follow up time were 6/7,5, 6/6, and 6/6 respectively. Postoperatively, 91,67% eyes achieved UCVA of 6/12 or better with 77,78% achieving 6/7,5 or better. One patient lost 1 Snellen line of BCVA became 6/6,6. The mean postoperative manifest refraction spherical equivalent was -0,24 (±0,42) D. The general refractive predictability was 88,2% within ±0.5D from the target refraction, while 94,1% within ±1D ofthetarget.Conclusion: LASIK surgery performed in Kirana Cipto Mangunkusumo Hospital is safe and effective with good refractive predictability.

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