Oftalmologi: Jurnal Kesehatan Mata Indonesia
Oftalmologi: Jurnal Kesehatan Mata Indonesia (P-ISSN: 2723-6935, E-ISSN: 2541-4283) is a scientific journal published by Cicendo Eye Hospital and accepts articles written in both English and Indonesian expected to become a media conveying scientific inventions and innovations in medical or health allied fields toward practitioners and academicians. Normally published every four months (April, August, December) using a peer review system for article selection. Papers dealing with results of case reports, systematic reviews, and clinical research related to visual science for ophthalmologists, eye nurses, and medical support in other fields of Ophthalmology.
Articles
64 Documents
<![CDATA[Karakteristik Pasien Corneal Cross-Linking Di Pusat Mata Nasional Rumah Sakit Mata Cicendo ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 3 No 3 (2021): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v3i3.23
<![CDATA[Introduction: Corneal cross-linking (CXL) is a minimally invasive procedure aiming to haltering corneal ectasia progressivity. Corneal cross-linking are part of a management of keratoconus, infectious keratitis, and bullous keratopathy cases. Purpose: To describe characteristics of patients that underwent corneal cross-linking procedure in National Eye Center - Cicendo Eye Hospital, Bandung. Method: This is a retrospective descriptive study. The data were collected from medical records within the period of October 2019 ? August 2020 in Cicendo Eye Hospital. Subjects of the study were patients who underwent corneal cross-linking procedure, divided in three main group CXL keratoconus, PACKCXL, and CXL bullous keratopathy. Results: Forty-six corneal cross-linking procedure was done during the period of this study. Corneal cross-linking was done on 16 eyes of 13 patients with keratoconus, 28 patients with infectious keratitis and on one patient with pseudophakic bullous keratopathy (PBK). The mean age of keratoconus patients was 21.77 ? 4.66, the majority of the patients was mild keratoconus 9 patients (56.25%), 7 patients (43.75%) visual acuity with correction ? 6/18. In infectious keratitis the mean age of the patients was 48.07 ? 17.40, the main risk factor was trauma in 19 patients (67.85%), the most common pathogen was fungus in 15 patients (53.57%) and had blindness visual acuity in 26 patients (92.86%). Patients with PBK experienced a reduction in symptoms. Conclusion: The keratoconus patients are young adults with mild keratoconus requiring correction for visual acuity and the infectious keratitis patients with majority of the pathogens are fungus with blindness visual acuity..]]>
<![CDATA[Orbital Apex Syndrome With Encephalitis: A Rare and Serious Complication of Herpes Zoster Ophthalmicus ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 3 No 3 (2021): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v3i3.24
<![CDATA[Introduction: Herpes zoster reactivation is more common in the elderly population. Although ocular complications are seen in 20-70% of patients with herpes zoster ophthalmicus, orbital apex syndrome is a rare case. Encephalitis is also a rare neurologic complication of HZO. Purpose: To report a Herpes Zoster Ophthalmicus (HZO)case with rare neurologic complication that ophthalmologist should be aware of. Case Presentation: A 68-year-old man had a chief complaint of a sudden blurred vision in right eye two days before admission, followed by rash and pain on the right upper eyelid and forehead. Visual acuity was hand movement on the right eye and 0.5 on the left eye. The patient had total ophthalmoplegia and total ptosis on his right eye, reverse relative afferent pupillary defect on his left eye and right peripheral facial nerve palsy. Optic discs were found to be normal on both eyes. The patient was diagnosed as orbital apex syndrome on his right eye associated HZO and right peripheral facial nerve palsy. The patient received oral acyclovir 800 mg five times/day and intravenous methylprednisolone 250 mg four times/day for three days. After four days of admission, the patient had a seizure and loss of his consciousness. The patient was consulted to neurology department and was given anticonvulsant therapy. The spinal tap revealed pleocytosis and increased protein. The patient was diagnosed as herpes zoster encephalitis. After one week, the patient regained full consciousness and his visual acuity was improved to 0.16 on the right eye. Color vision, visual field, and contrast sensitivity were also improved, ophthalmoplegia were partially resolved and peripheral facial nerve palsy was fully resolved. Conclusion: Herpes Zoster Ophthalmicus affect the central and peripheral nervous system at the same time and can be life-threatening with delayed diagnosis and treatment. It may be necessary to collaborate with the neurology department for every HZO case to minimize the life-threatening complications of HZO.]]>
<![CDATA[Visual Disturbances as an Early Important Sign of Brain Tumor: A Case Report ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 1 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v4i1.25
<![CDATA[Purpose: to raise attention for careful evaluation of ocular signs and symptoms, especially mild visual disturbances, for early detection of brain tumors. Case Presentation: A 45-year-old woman presented with a one-month history of gradual vision loss in both eyes. There was also a history of headache for over a year before the vision loss symptom appeared. There was no history of trauma, ocular pain, eye redness, or lacrimation. The visual acuity (VA) of both the right and left eyes with the best-corrected visual acuity (BCVA) was 6/30. Confrontation visual field test of both eyes revealed unremarkable results upon examination. The intraocular pressures (IOP) of both eyes were 11 mm Hg. Anterior segment examination of both eyes was within normal limit except for the direct light reflexes were decreased. Relative afferent pupillary defect (RAPD) of both eyes was difficult to assess. Fundoscopy examination of both eyes revealed papilledema. The retinal fields and macula were normal bilaterally. Computerized tomography (CT) scan demonstrated a hyperdense and calcified lesion in the right frontal lobe. The dimensions of the lesion were measured as 69.9 x 52.1 mm. After contrast, the CT scan showed a strongly enhanced lesion with thickening of the right frontal bone. Both of the anterior horns of the lateral ventricle were pressed by the lesion. There was a midline shift to the left by approximately 14 mm. Both of the eyes were within normal limits. Conclusion: Blurred vision and other visual disturbances are common early symptoms in brain tumors, but diagnosis is not made till very late due to late presentation. Early detection of a brain tumor through ocular signs and symptoms and complete neuro-ophthalmic evaluation can help in early diagnosis and appropriate management of brain tumors..]]>
<![CDATA[Corneal Ulcer, What Should We Do as a General Practitioner? ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 1 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v4i1.27
<![CDATA[Introduction : Corneal ulcer with hypopyon is a serious corneal infection and a common potential cause of vision loss. It is profoundly predominant and also the common cause of visual impairment and preventable ocular morbidity around the world. Management of corneal ulcers with hypopyon requires a referral and multimodal treatment including pharmacological intervention. Case Report : A case of a 56-year-old male patient who presented with a chief complaint of blurry vision, red, and pain in the right eye since 3 weeks prior. There was a history of the right eye scratched by coconut husk. He complains of a whitish plaque 2 weeks earlier. Previous medical treatment history was denied. Visual acuity of the right eye was 1/300 and the left eye was 20/20. Eye examination revealed a corneal ulcer with a 2mm hypopyon, conjunctival and ciliary injection. This patient was diagnosed with a corneal ulcer with hypopyon. Treatment begins with oral antifungal, eyedrop, and oral antibiotics. The patient was planned to be referred to the ophthalmologist, but the patient refused. Conclusion: Corneal ulcer with a hypopyon could lead to sight-threatening complications such as perforation and endophthalmitis. General practitioners should be aware to early diagnose and give initial treatment to the patient. Appropriate referral and education given to the patients are necessary to avoid complications or prevent severe cases..]]>
<![CDATA[The Role of Diabetic Retinopathy Pathogenesis in Diabetic Retinopathy Therapy ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 1 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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<![CDATA[Introduction: The estimation of diabetes mellitus (DM) patients nowadays are 486 million people. Diabetic retinopathy (DR) serves as one of the most common microvascular disease complications. About 2,6 million people with DM are suffered from visual disturbance. The pathogenesis of DR consists of several mechanisms. These mechanisms are the basics of the DR standard therapies. This review is conducted to observe the pathogenesis of diabetic retinopathy related to the treatment that existed through current literature Methods: An online literature search was conducted in PubMed for relevant publications between 2011 and 2021 by combining the following search terms: retina, diabetic retinopathy, pathogenesis, hyperglycemia, oxidative stress, and management. Results: Retinal neurodegeneration consists of several steps that cause ROS elevation. Retinal microvasculopathy causes increase microvasculature. Chronic inflammation cause progressive damage to the retina. Based on diabetic retinopathy pathogenesis, the therapy includes pharmacological and nonpharmacological treatment. Pharmacological treatment aims to reduce blood glucose and progress through anti-VEGF and anti-inflammatory drugs. Non-pharmacological treatment is the option to treat severe DR and acts as conjunctive therapy towards pharmacological therapy. Conclusions: Based on the current literature, it can be concluded that the pathogenesis of diabetic retinopathy plays an important role in the DR therapy that already existed, especially in the micovasculopathy and inflammation stage..]]>
<![CDATA[A CASE SERIES OF ACUTE POSTOPERATIVE ENDOPHTHALMITIS: MANAGEMENT AND OUTCOMES ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 1 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v4i1.28
<![CDATA[Background: Endophthalmitis is one of the rare and most devastating complications of intraocular surgery. Although the prevalence of post-cataract surgery endophthalmitis is very small, it has become an important eye health problem. Case Presentation: Six patients, 5 male and 1 female, were diagnosed with post-phacoemulsification endophthalmitis on the same day. Four patients had a visual acuity of 1/300, and two patients had 6/60. All patients underwent intravitreal injection of vancomycin-ceftazidime, and culture samples were taken from the vitreous tap and AC tap. Five patients were planned to undergo pars plana vitrectomy. Intravitreal injection of triamcinolone acetonite was performed on 1 patient, due to macular oedem. Brevundimonas diminuta was found from 1 patient and Stenotrophomonas maltophilia from 1 patient. Final visual acuity in 4 patients was bigger than 6/30, and 3/60 in 1 patient. Discussion: Management must be carried out immediately, once there is a suspicion of acute postoperative endophthalmitis. All patients had intravitreous injection of vancomycin-ceftazidime. Pars plana vitrectomy was performed on 5 patients with 80% having final visual acuity bigger than 6/30. Intravitreal injection of antibiotics followed by pars plana vitrectomy can provide a good prognosis for final visual acuity, although various factors predispose to poorer prognosis. Conclusion: Intravitreal injection of antibiotics and pars plana vitrectomy is a treatment for acute postoperative endophthalmitis, where this action will provide a good prognosis for the patient's final visual acuity if done immediately..]]>
<![CDATA[LAPORAN KASUS: SELULITIS PRESEPTAL DENGAN ABSES FRONTAL ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 1 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v4i1.29
<![CDATA[The objective of study is to report a case and management of preseptal cellulitis caused by dental infection. A case report, a 45 years old man presented at outpatient clinic with painful and swollen eyelids on the both eyes in 3 days, fever, and headache. The bumps in both eyes burst by themselves 1 day before hospital admission. The complaint begins with a toothache, then swelling in the cheek, then the swelling spreads to the eyes and head. Computed Tomograph (CT) scan examination revealed Soft tissue swelling in the right frontotemporoparietal region, left frontotemporoparietooccipital to periorbital bilateral and right maxilla with massive air density and air fluid level on the left frontotemproparietooccipital according to the picture of Abscess. The patient consulted to neurosurgeon doctor and perform an abscess drainage incision. Adequate treatment and multidisciplinary management are needed to prevent more severe complications. .]]>
<![CDATA[Visual Field Improvement After Pituitary Tumor Resection ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 1 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v4i1.30
<![CDATA[Background: Optic neuropathy due to chiasmal compressive lesion can affect the visual acuity, color vision, and visual field in both eyes. The most common visual field defect of chiasmal compression is a bitemporal hemianopia. Restoration of visual function is possible following surgical decompression. Purpose: To report a case of visual field improvement after pituitary tumor resection. Case Presentation: A 53 years old woman came with a chief complaint of blurred vision on her left eye since 3 months. Patient visual acuity was 0.25F1 on the right eye and counting fingers at 1 meter on the left eye. Ophthalmologic examination revealed optic disc pallor on both eyes. HVF 30-2 results showed bitemporal hemianopia. Head MRI with contrast showed an pituitary macroadema, size 2.3 x 2.2 x 2.7 cm and pushing the optic chiasm superiorly. Patient diagnosed with bilateral papil atrophy and bitemporal hemianopia caused by pituitary macroadenoma. She underwent endoscopic transsphenoidal tumor resection by a neurosurgeon. Visual function showed an improvement after 6 months follow up. Colour vision and contrast sensitivity were increased in left eye. HVF 30-2 showed visual field improvement in both eyes, especially in right eye. Conclusion: Pituitary adenoma can lead to visual impairment. Preoperative factors such as retinal nerve fiber layer thickness, severity of the preoperative deficit, duration of visual symptoms, tumor size, extent of resection, and patient age may also serve as predictors of postoperative visual outcomes..]]>
<![CDATA[Lower Lid Entropion in a 78-year-old Female: A Case Repor ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 2 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v4i2.31
<![CDATA[Introduction: Entropion is a malposition of the eyelids in which the eyelid margin folds inward and causes irritation to the eye. It can be caused by congenital, spastic, cicatricial and involutional entropion. Involutional entropion affects 10.6% in group over the age of 60, especially in Asian races as compared to Caucasian races.1 It can have adverse effect on the eye such as trichiasis in which the eyelashes protrudes inwards towards the eyeball, leading to persistent erosions of punctate epithelium, pannus formation or ulcers. Definitive treatment for entropion is surgical intervention when feasible, such as the Jones procedure. The prognosis of corrective surgical intervention is highly correlated to the successfulness of the surgery and wound healing process of the patient, thus needing highly accurate and cautious procedure.2 Methods: This case report was taken from the Eye Clinic of Rumah Sakit Umum Siloam, in February 2022. Results: A 78 years-old female presented with complaints of discomfort, foreign body sensation, irritation, itching, and glare in both eyes since 1 year ago. She had a history of cataract surgery 3 years ago. Conclusions: Anamnesis and ophthalmological examinations results lead to suspected glaucoma, involution entropion ODS and pseudophakia ODS. Blepharoplasty was performed on the patient with appropriate surgical and therapeutic techniques. The post-operative examination showed results indicating a good prognosis in this patient.]]>
<![CDATA[Karakteristik Klinis Pasien Laserasi Kelopak Mata Akibat Trauma di Pusat Mata Nasional Rumah Sakit Mata Cicendo ]]>
<![CDATA[ Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 2 (2022): Jurnal Oftalmologi ]]>
Publisher : <![CDATA[Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung ]]>
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DOI: 10.11594/ojkmi.v4i2.32
<![CDATA[Introduction : Trauma of eyelids due to sharp object, blunt object, road traffic accidents etc. are the major causes resulting in injuries to eyelids. A good identification and prompt treatment can improve the outcome of palpebral laceration. Purpose : To describe clinical characteristics of eyelids laceration due to trauma without involvement of lacrimal system and other orbital Methods : A retrospective descriptive cross sectional study was conducted. Data is taken from medical records of patients diagnosed as eyelid laceration from January 2016 to November 2020. Age, gender, laterality, first reference, place, onset, cause, site of trauma, depth, outcome, complication and System for Peri-Ocular Trauma (SPOT) classification was reviewed. Results : This study comprised of total 157 patients. Most of them were males 119 (75.80%) with median of age 24. The main mechanism of injury was direct trauma 88 (56.05%). The location where the injury occured was road side accidents 81 (51.59%). Superior eyelid was the most affected 96 (61.15%). Subcutaneus tissue as wound base 68 (43.31%) and affected to margin of eyelid 36 (22.92%). Hypertropic scar was the most complication found in 40 (25.47%). The most common SPOT type injury were Type IA. Conclusion : Eyelids laceration due to trauma is common in male productive age, mainly affecting superior palpebra, mostly because of road side accidents. Hypertropic scar was most complication beside traumatic ptosis, lagophthalmos and lid margin notching. The SPOT classification can simplify a recording of palpebral injuries.]]>
