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Vision Science and Eye Health Journal

VSEHJ
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Published by Universitas Airlangga

ISSN : - EISSN : 2809218X DOI : https://doi.org/10.20473/vsehj.v1i2.2022.28-34

Core Subject : Health,

Medicine & Pharmacology

Vision Science and Eye Health Journal (VSEHJ) is a peer-reviewed open access scientific journal published by the Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga that welcomes original research, case reports, and scoping or systematic review manuscripts directed to ophthalmologists. VSEHJ focuses mostly on the case report and also welcomes original research and scoping or systematic review related to vision science and eye health that is relevant for the development of the theory and practice of ophthalmology fields. The scope for VSEHJ includes ophthalmology and visual sciences, including corneal or external disease, cataract or anterior segment, glaucoma, neuro-ophthalmology, orbit ocular pathology, pathology or oncology of oculoplastic or orbit, pediatric ophthalmology or strabismus, refractive management and intervention, retina or vitreous, uveitis, community ophthalmology. Each volume of VSEHJ consists of three numbers published every November, March, and July. The first number of volume one was published in November 2021. Articles published in VSEHJ include case reports, original research, and scoping or systematic review articles. Contributors for VSEHJ are researchers, lecturers, students, ophthalmology experts, and other practitioners that focus on ophthalmology worldwide, especially from Southeast Asia Region. Submissions are open year-round.

Arjuna Subject : Kedokteran - Ophthalmology

Articles 32 Documents

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Good Visual Acuity Outcome from an Ocular Blast Injury with Proper Management in Dr. Soetomo General Hospital Surabaya, Indonesia Rifat Nurfahri; Delfitri Lutfi; Ismi Zuhria
Vision Science and Eye Health Journal Vol. 1 No. 1 (2021): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Ocular blast injury related to fireworks most often causing corneal erosion (29%), conjunctival erosion (11%), and conjunctival foreign body (10%) with children are more often than adults (65.9%:34.1%), and males far more often than female (71.9%:28.1%). Knowing proper management is very important to achieve the best result. Case presentation: We describe an ocular blast injury that experienced broad erosion and multiple foreign bodies on the corneal and pericorneal surface in the left eye and visual acuity decreased. The foreign body was scattered, and the fluorescein test was positive. We did proper foreign body extraction, irrigation, and ocular bandage. It was treated with chloramphenicol 0.5% eye ointment and homatropine eye drop. In two months, the patient’s left eye had clear cornea with a small scar formation near the visual axis. The visual acuity was 6/7 and BCVA was 6/6 with S-0.5 C-0.5 A 50° correction. Conclusions: Patients with ocular blast injury limited to superficial cornea erosion and and conjunctival erosion have a reasonable probability of achieving the best visual acuity. Foreign body extraction, proper irrigation, and topical medication show promising results. Scar formation near the visual axis can disrupt visual acuity however can be corrected in this case it can be corrected with glasses. Furthermore, public promotion and regulation to control firework using are very important.

A Rare Case of Chronic Primary Angle-Closure Glaucoma in a Young Woman with Coexisting Pathologic Myopia Ni Putu Ayu Reza Dhiyantari; Nurwasis Nurwasis; Evelyn Komaratih; Yulia Primitasari
Vision Science and Eye Health Journal Vol. 1 No. 1 (2021): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Primary Angle-Closure Glaucoma (PACG) is usually present in adults older than forty and is more common in hyperopic eyes. Angle-closure is usually related to structural or developmental ocular abnormalities in young individuals. Case presentation: We presented a rare case of PACG in a 32 years old woman with pathologic myopia of -23.0 RLE. The chief complaint was blurring of the right eye three months before the visit. Right eye Intraocular Pressure (IOP) was 30mmHg-38mmHg despite treatment with three intra-ocular pressure-lowering agents. Axial length was 32.36 mm and 31.19 mm RLE. Anterior chamber depth was 2.36 mm and 2.60 mm RLE. Lens thickness was 5.07 mm and 5.40 mm RLE. Signs of GON and pathologic myopia were found in both eyes. GON was present asymmetrically (0.9 and 0.6 RLE), with the myopic crescent as well as baring and peripapillary atrophy. The optic disc was slightly tilted with the myopic crescent. There was also a marked sign of retinal pigment epithelium thinning and attenuation along with myopic chorioretinal atrophy. Conclusions: PACG in a young myopic individual is challenging to diagnose because myopia and glaucoma share similar optic nerve head pathology. Comprehensive examinations including gonioscopy, biometry, and OCT may confirm the diagnosis. In the presented case, angle-closure was caused by thick lenses and a shallow anterior chamber, along with excessively long axial length. Primary angle-closure at a young individual with myopic eyes is highly uncommon. Nonetheless, clinicians should always consider glaucoma even in the presence of high axial length and myopic fundus.

Difficulty in Management of Advanced Pediatric Orbital Tumor Nandang Sudrajat; Delfitri Lutfi
Vision Science and Eye Health Journal Vol. 1 No. 1 (2021): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Tertiary care centers often manage pediatric orbital tumors, especially in advanced lesions and complex management. We report a case of a young boy with a malignant orbital tumor involving intracranial infiltration. Case presentation: A four-year-old boy had proptosis on the left eye for two months accompanied with blurred vision, pain, and oftenly bleeds with ipsilateral nasal congestion. There was no history of trauma, eye disorders, systemic diseases, or growth disorders. The physical examination showed stable vital signs, however a weak general condition and no enlarged regional lymph nodes. Visual acuity of the left eye was no light perception. There was a mass with protrusion of the left eye, swelling of the eyelid with an irregular surface, and a tendency to bleeds. The cornea was hazy with partly scarring, so we could not evaluate the posterior segment. MRI of the head presented a malignant soft tissue mass of the left orbital region with intracranial infiltration. The patient was given adjuvant chemotherapy; however, he could not survive due to systemic complications. Conclusions: The definitive diagnosis for the orbital tumor is obtained by histopathological examination. The investigation with CT scan or MRI imaging could be considered if not possible. However, since the definitive diagnosis still not assessed, the management can be affected. It is essential to have a definitive diagnosis to provide adequate treatment for the patients. Delayed and inadequate management can make malignant orbital tumors potentially life-threatening.

Blast Eye Injury After Mobile Phone Battery Explosion: How to Manage it? Ratih Justitia Kartika; Ismi Zuhria
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Injuries from mobile phone blasts have been on the rise in recent years. Lithium-ion batteries are the most common type found in cellphones and devices. In 2016 around 100 of the 2.5 million phone cell units have been recorded to have exploded. Mobile battery burst is a significantly underappreciated cause of serious ocular morbidity and could be a combination of mechanical, thermal, and chemical effects. Knowing proper management is very important to achieve the best result. Case presentation: We describe an ocular blast injury due to mobile phone battery explosion when plugged in to charge that experienced spasm and burned cilia, limbal ischemia, broad corneal haziness on both eyes, and visual acuity decreased. The fluorescein test was positive. We did proper irrigation and debris extraction around the ocular surface and periorbital tissue. It was treated with quinolone antibiotics eyedrop, atropine sulfate eyedrop, prednisolone eyedrop, and NSAID orally. In four days, the patient’s eye showed good clinical improvement with decreased corneal haziness with minimal epithelial defect. The visual acuity was improved on both eyes. Conclusions: Lithium-ion batteries are used in almost all smartphones and electronics. Lithium explosions can result in chemical and thermal burns on the ocular surface. Ocular alkali chemical injury combined with thermal and mechanical is an emergency case. The vision can be saved if the ocular surface burns are treated promptly and properly. These cases are required to raise public awareness about the potential risks of smartphone use, adopt safe practices as recommendations from the manufacturers, and avoid counterfeit products and such accidents.

Comprehensive Management of Congenital Cataract in Dizygotic Twin Babies Windya Tri Hapsari; Indri Wahyuni; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 1 (2021): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: One of the leading causes of infant blindness is cataract. The prevalence of congenital cataract has been estimated in the range between 1 and 15 per 10.000 children globally. Congenital cataract in twin babies is a rare case. This case will report the outcome of comprehensive management of congenital cataract in dizygotic twin babies. Case presentation: Eight months old dizygotic twin babies came to our clinic with the primary complaint of whitish appearance in the pupil of both eyes since birth. They were born aterm with cesarean delivery. The birth weight was 2.700 g and 3.100 g respectively. They were the fourth and fifth children in the family. There was no family history of congenital cataract. The visual acuity of both eyes was positive response to light stimuli. The cataract was bilateral and dense on both babies. Fundus reflex and TORCH examinations were negative. Ultrasonography (USG) of the retina was normal on both babies. Conclusions: Isolated congenital cataract in twin babies is an unusual condition that should be treated comprehensively. Congenital cataract may cause deprivation amblyopia, refractive amblyopia, and permanent vision impairment. Early diagnosis and quick treatment, such as surgical timing and visual rehabilitation, are critical to perform successful management. Comprehensive care is required to monitor the visual result of cataract surgery.

The Difficulties of Trabeculectomy in a Primary Angle-Closure Glaucoma Patient Herdina Ramadhani; Nurwasis Nurwasis; Yulia Primitasari; Evelyn Komaratih
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Trabeculectomy is an incisional surgery for glaucoma patient. Performing trabeculectomy in primary angle-closure glaucoma (PACG) is quite difficult. Caution is needed for the occurrence of flat anterior chamber (FAC) and malignant glaucoma. We present a case management of trabeculectomy in a PACG patient. Case presentation: A 52-year-old male had blurred vision in his left eye since one year ago. The patient felt left visual field narrowing since eight months ago. Patient had type 2 diabetes mellitus. Visual acuity on the left eye was 5/7.5. Intraocular pressure (IOP) increased (29 mmHg). Gonioscopy showed closed angle and peripheral anterior synechiae. Glaucomatous optic neuropathy was found with C/D ratio value of 0.9 and superior-inferior RNFL thinning on optical coherence tomography (OCT). Anterior segment OCT revealed shallow anterior chamber depth (ACD) 2.54 mm. The right eye visual acuity was 5/5, normal IOP, and shallow ACD (2.66 mm). Patient was underwent left eye trabeculectomy. Postoperatively, left eye anterior chamber and bleb were formed. He had normal IOP without glaucoma medications. Conclusions: Trabeculectomy is a surgical procedure for glaucoma. Close monitoring is required to avoid the risk of postoperative FAC and malignant glaucoma in PACG.

A Challenging Management of Pseudomonas Perforated Corneal Ulcer with Multilayer Amniotic Membrane Transplantation and Pericardial Patch Graft in Pediatric Patient Nabilah Afifah; Herwindo Dicky Putranto; Lely Retno Wulandari
Vision Science and Eye Health Journal Vol. 1 No. 1 (2021): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Pseudomonas aeruginosa (P. aeruginosa) is the leading cause of corneal ulcers in children 0 to 3 years of age compared to children in general. Case presentation: A two-months-old infant presented with whitish patches on the right eye two days before admission. A central corneal ulcer with a size of 7-mm x 7-mm accompanied by corneal thinning and melting was shown on the right cornea. It is was surrounded by greyish white creamy infiltrates. Corneal scraping showed Pseudomonas aeruginosa specimens. The cornea became perforate and crystalline lens extrusion was found at the day after intravenous ceftriaxone, levofloxacin eye drop, and cefazoline fortified eye drop administering. It might be caused by bacterial elastase and toxin which contributed to corneal damage. The patient was underwent a multilayer Amniotic Membrane Transplantation (AMT) combined with a pericardial patch graft due to corneal perforation. Two months post-AMT and pericardial patch graft the corneal perforation became entirely heal due to multilayer AMT, despite lysis of the pericardial patch graft. Corneal scar formation and reduction of vitreous opacity in ultrasound examination were shown. The patient was planned to undergo keratoplasty. Conclusions: Corneal ulcers due to Pseudomonas aeruginosa are highly destructive. The levels of infection, diagnostic, and therapeutic are still problems in pediatric patients. Lens extrusion and lysis of the pericardial patch graft are examples in this case. Keratoplasty is the definitive treatment for corneal ulcers with perforation; however, multilayer AMT combined with pericardial patch graft can be used as an alternative therapy to accelerate wound healing, reduce inflammation, and maintain the integrity of the eyeball.

Posterior Capsule Opacification (PCO) Cases at Lamongan Eye Clinic: Two Years of Retrospective Data Irma Suryani; Uyik Unari
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Posterior capsular opacity (PCO) is the most common complication of cataract surgery. PCO is caused by the lens epithelial cells (LEC), which then proliferate in the capsular bag after surgery. Several complications can occur, such as increased intraocular pressure (IOP), cystoid macular edema (CME), retinal hemorrhage, retinal detachment, and implanted lens (IOL) damage. Capsule Nd:YAG laser is currently the standard procedure for treating PCO, with a success rate of 95%. Purpose: This study aimed to provide an overview of PCO incidence and the success rate of PCO handling in the eye clinic. Methods: This study was a retrospective observational study. Data was taken from medical records of patients diagnosed with PCO who came to the Lamongan Eye Clinic for two years (May 2018 to April 2020). Data regarding the profile of the subject was analyzed descriptively. The data distribution was tested using the Kolmogorov-Smirnov test. Results: From May 2018 to April 2020, 134 patients with PCO came to the Lamongan Eye Clinic. Mean pre-laser best-corrected visual acuity (BCVA) was 0.76 ± 0.44 (logMAR), post-laser was 0.40 ± 0.40 (logMAR). There was a significant difference in the mean refraction correction of the PCO patients before and after Nd:YAG laser capsulotomy, whereas the mean BCVA after undergoing YAG laser was higher than before. Mean pre-laser IOP was 15.00 ± 3.55 mmHg and post-laser was 14.20 ± 3.27 mmHg. The mean post-laser IOP was lower than the pre-laser IOP. The Nd:YAG laser capsulotomy significantly affected IOP. Conclusions: There is a statistically significant improvement in BCVA before and after capsulotomy. Capsulotomy had a significant effect on improving BCVA up to 7%; however, had no effect on IOP.

Management of Posterior Capsule Rupture Complication in Cataract Patient with High Myopia and Partial Thickness Macular Hole Bimanda Rizki Nurhidayat; Dicky Hermawan
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: To report clinical outcome after posterior capsule rupture complication in a cataract patient with partial-thickness macular hole. Case presentation: A 49-year-old woman was presented with blurred vision of the left eye two years before admission. The blurred vision increased, accompanied by eye dazzled on light exposure. There was a history of myopia on both eyes and partial-thickness macular hole in the left eye. The left eye visual acuity was 3/60 with S-7.00 correction became 5/12 no improvement with pinhole. There was a partial-thickness macular hole on the left eye in the optical coherence tomography macula. Cataract surgery was performed with intraoperative posterior capsule rupture (PCR) complication. Follow-up had been monitored from day-1 until day-60 postoperatively. Conclusions: The decision of performing cataract surgery prior to macular hole surgery is a good decision. Any intraoperative complication such as posterior capsule rupture should be followed up closely to avoid macular hole worsening. Long-term follow-up should be done to prevent the late complication after surgery.

A Neglected Congenital Rubella Syndrome in 10-Year-Old Boy Kafin Rifqi; Dicky Hermawan
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Cataract, congenital heart defect, and hearing impairment are the three most common manifestations of congenital rubella syndrome (CRS) that lead to developmental delay in the children. CRS usually present during the infant period of three months old as the median age number. Ironically, we found a 10-year-old boy who was diagnosed with CRS and there was no significant plan to improve his condition anymore because of his neglected by family. The purpose of this case report is to alert primary health workers and also ophthalmologists to do our best to prevent blindness due to cataracts in Indonesia with early detection. Case presentation: A 10-year-old boy was brought to the outpatient clinic with a chief complaint of difficulties in focusing the target in the classroom. The grandmother said that her grandson has already had a white plaque in his both eyes since he was born. The boy has also suffered from deaf-mutism. His visual acuity was hand movement and there was lens opacity in his both eyes. He also had posterior uveitis in both eyes followed by the presence of nystagmus. There was retinal detachment in ultrasonography (USG) examination. The patient has no cardiac abnormalities. Rubella infection was confirmed by the high number of IgG rubella serology. His grandmother had just brought the boy to the outpatient clinic because she never thought that the eyes needed therapy until the boy could not do his daily activities as the cataract worsen. Conclusions: The parent’s role is highly crucial for the visual outcome of patient with congenital ophthalmologic problems. Primary health worker also play a significant role in early detection that may prevent such incident. Delayed detection and management of congenital cataracts may cause permanent visual impairment and lead to patient’s poor quality of life.

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Reni Prastyani

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Department of Opthalmology, Faculty of Medicine, Universitas Airlangga Jalan Mayjen Prof. Dr. Moestopo No. 47, Surabaya, East Java, Indonesia 60131.

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Kota surabaya,

Jawa timur

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Reni Prastyani

Contact Email reni-p@fk.unair.ac.id

Phone +6282139399974

Journal Mail Official vsehj@journal.unair.ac.id

Editorial Address Department of Opthalmology, Faculty of Medicine, Universitas Airlangga Jalan Mayjen Prof. Dr. Moestopo No. 47, Surabaya, East Java, Indonesia 60131.

Location Kota surabaya, Jawa timur INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Reni Prastyani

Contact Email
reni-p@fk.unair.ac.id

Phone
+6282139399974

Journal Mail Official
vsehj@journal.unair.ac.id

Editorial Address
Department of Opthalmology, Faculty of Medicine, Universitas Airlangga Jalan Mayjen Prof. Dr. Moestopo No. 47, Surabaya, East Java, Indonesia 60131.

Location
Kota surabaya,

Jawa timur

INDONESIA