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Oftalmologi: Jurnal Kesehatan Mata Indonesia
Published by Rumah Sakit Mata Cicendo Bandung
ISSN : 27236935     EISSN : 25414283     DOI : https://doi.org/10.11594/ojkmi
Core Subject : Health, Science, Education,
Education Health Professions Library & Information Science Medicine & Pharmacology Nursing
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.
Arjuna Subject : Kedokteran - Ophthalmology
Articles 64 Documents
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KOLOBOMA IRIS DAN KORIORETINA UNILATERAL: A RARE CASE Dr.Budi Santoso Nong Ulir; Fadillah Hana Hafifah; Nur Khoma Fatmawati
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.48

Abstract

Pendahuluan: Koloboma iris dan korioretina adalah penyakit kongenital yang ditandai dengan adanya defek pada struktur mata. Koloboma iris dan korioretina merupakan penyakit genetik dominan . autosom, yang tidak bergantung pada jenis kelamin. Penyakit ini terjadi akibat kegagalan dari penutupan fisura koroidea selama perkembangan janin. Laporan Kasus: Pasien wanita 12 tahun, suku Jawa, datang ke Klinik Spesialis Mata SMEC Samarinda pada tanggal 8 Februari 2023 dengan keluhan penglihatan mata kanan terasa silau saat berada diluar ruangan. Pasien memiliki riwayat lahir normal. Pada pemeriksaan oftamologi didapatkan tajam penglihatan mata kanan 20/200 dan mata kiri 20/30. Tekanan intraokular pasien normal, palpebra, kornea, bilik mata depan, dan lensa pada kedua mata normal. Hasil pemeriksaan funduskopi pada 8 Februari 2023 didapatkan gambaran koloboma korioretina pada mata kanan.Diskusi: Pasien diberikan terapi dengan pemberian lensa mata kanan silindris -2,50 menjadi 20/40 dan mata kiri spheris ? 0,50 menjadi 20/20 dan Laser Barrage dilakukan sebagai prosedur profilaksis untuk pencegahan lepasnya retina sehat di luar coloboma. Tujuan prosedur ini adalah untuk memperkuat kontak antara retina dan lapisan pigmen retina sehingga ablasi retina dapat dicegah.Kesimpulan : Pada pasien tidak ditemukan penyakit dan anomali penyerta.Keyword :Oftamologi, iris, korioretina, koloboma
EMPTY SELLA SYNDROME: THE GREAT IMITATOR OF VISUAL COMPLAINTS Josiah Irma; Serena Onasis; Dr.Saraswati Rizki; Dr.Retno Ketaren; Patricia Budimulia
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.47

Abstract

Introduction : Empty Sella Syndrome is a rare condition of sella turcica malformation, resulting in pituitary gland shrinkage. It may manifest as neurological symptoms, endocrine disorders, visual disturbances or even incidental findings during imaging. However, patients rarely come with typical complaints thus an extended course and review of this case is needed to prompt suspicion and aid in the diagnosis of ESS. Case Presentation: We report a 45-year-old woman who presented with cephalgia and bitemporal hemianopia and previous transient bilateral visual loss and foggy vision. A history of ovarian cancer was noted. Physical examination showed myopic astigmatism ocular dextra sinistra (ODS) with increased intraocular pressure and bitemporal hemianopia ODS. Posterior chamber examinations were within normal limits. Optical coherence tomography showed nasal retinal nerve fiber layer ODS being the thinnest among the rest, although still within normal limits. Neurological examinations also suggested presence of central vertigo. This subsequently resulted in a suspicion towards space occupying lesion chiasmal compression through metastasis. Discussion: MRI revealed an empty sella turcica. A laboratory examination was then ordered and showed normal endocrinology results. The diagnosis of Primary Empty Sella Syndrome with ocular hypertension was established. The patient was prescribed with timolol, codeine and dexamethasone. A month later during her follow-up, the patient did not show improvement and was suggested to do an MRI with contrast, however this patient was lost to follow up. Conclusion: This case report highlighted the manifestation to raise suspicion and aid in the diagnosis of ESS for an optimal and improved diagnosis and treatment of ESS.
REVIEW 5 TAHUN KARAKTERISTIK KLINIS PASIEN BENDA ASING INTRAOKULAR DI PMN RS MATA CICENDO Erwin Iskandar; Rova Virgana; Grimaldi Ihsan; Arief S. Kartasasmita; Made Indra Widyanatha
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.46

Abstract

Introduction : Intraocular foreign bodies (IOFBs) are defined as intraocularly retained, unintentional projectiles that require urgent diagnosis and treatment to prevent blindness or globe loss. IOFBs account for 18?41% of open globe injuries, and frequently cause severe visual loss in patients with ocular trauma.The purpose of this study are is to describe the characteristics of open-globe injuries with posterior segment intraocular foreign bodies (IOFB). Subject and Methods: Retrospective data of all patients with posterior segment IOFBs from 2017 to 2022 was conducted. Data including demographics, mechanism of injury, type of IOFB, method of diagnosis, presenting examination, medical and surgical treatment, visual outcomes, and complications were recorded. Result: There were 39 patients (eyes) with IOFB, 38 (97,4%) were male, 10 (25,6%) were 46-55 years old. The most common IOFB occurred at workplace 30 patient (85,7%), 29 (74,3%) were insuranced, surgery were performed 1- 4 days in 15 (38,5%. The most Ocular trauma score were 3 (38,5%) and 2 (35,9%) initial VA were light perception ? hand movement (25 or 64,1%), final VA with BCVA were lebih besar 20/40 (30,8%) patients and 6/60-6/15 (25,6%). The posterior segment IOFB (51,3%, metallic IOFB 25 (61,5%). Cataract 74,3% and Endophthalmitis (20,5%) were found in initial examination patient with IOFB (13 or 37,1%). Late complication in post surgery IOFB patient was glaucoma 14,4%. Conclusions: The IOFB occurred most commonly in adults, men, at the workplace. The IOFB mostly was metallic, found in the posterior segment. Cataract and endoftalmitis were common in initial finding IOFB patients
MANIFESTASI KLINIS DAN TATALAKSANA OPERATIF DEGENERASI KORNEA NODULAR SALZMANN Viendri Firhand Nisa; Arif Mustaram
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.45

Abstract

Introduction : Salzmann nodular degeneration (SND) is an idiopathic and degenerative noninflammatory condition of the cornea. SND is characterized by a grayish-white or blue-white subepithelial nodule. Mild symptoms may improve with lubrication and topical anti-inflammatory therapy. Visual disturbances may occur and surgery may be required. Purpose: To explain clinical manifestations and operative management of corneal Salzmann nodular degeneration. Case Report: A 63-year-old woman came with the chief complaint of a nodule in her left eye since 4 months ago. Complaints accompanied by blurry vision, watery eyes and glare. Ophthalmological examination revealed a regression of visual, a nodule in the corneal stroma was grayish white. After examination, the patient was diagnosed with Salzmann OS nodular degeneration and ODS immature senile cataract. Debridement keratectomy and amniotic membrane transplantation (AMT) were performed as the management of this patient. Anatomical pathology results clinically support Salzmann's nodular degeneration. Discussion: Slow-progressive, yellowish-white nodules are characteristic of SND. SND can be asymptomatic, mild symptoms, or until there is a decrease in visual function. It depends on the location and depth of the nodule. Several treatment options can be done ranging from conservative with topical drugs to surgery. Surgical treatment options have the goal of reducing the worsening symptoms of nodule recurrence. Conclusions: A complete history, comprehensive ophthalmological examination can help establish the diagnosis of SND. The appearance of nodules causes complaints of foreign body sensation, decreased visual function and other accompanying symptoms. Treatment needs to be given according to the patient's condition and indications, especially the selection of surgical therapy.
SIMBLEFARON PADA PASIEN SJS PASCA VAKSINASI COVID-19: A NURSING CASE STUDY Dewanti Widya Astari; Rikeu Silviani
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.44

Abstract

Pendahuluan : Kasus simblefaron yang jarang terjadi pada pasien Stevens-Johnson Syndrome (SJS), dengan riwayat pasca vaksinasi Covid-19 satu tahun yang lalu. Presentasi Kasus: Seorang wanita berusia 50 tahun, berasal dari Jawa Barat. Pasien menderita SJS satu tahun yang lalu dan kini mengalami simblefaron. Visus Oftalmicus Dextra Sinistra (ODS) Light Perception (LP) dengan palpebra ODS menyebutkan bahwa terdapat eritema, konjungtiva ODS, terdapat simblefaron, kornea sulit dinilai. Palpebra superior dan inferior menyatu. Pasien mengeluh perih dan sulit membuka mata. Hasil: Asuhan keperawatan yang diberikan pada pasien dengan simblefaron diantaranya berfokus pada resiko jatuh dan mengatasi perburukan kerusakan integritas jaringan. Kesimpulan: Intervensi keperawatan yang tepat dapat mengatasi perburukan kondisi kerusakan organ internal mata akibat simblefaron yang dapat mengakibatkan kebutaan. Pendidikan kesehatan merupakan bagian intervensi terpenting bagi pasien dalam upaya menghadapi kondisi penyakitnya.
PENGGUNAAN BANDAGE CONTACT LENSES SEBAGAI TERAPI SIMPTOMATIS PADA PASIEN PSEUDOPHAKIC BULLOUS KERATOPATHY: SEBUAH LAPORAN KASUS Dr.I Dewa Ayu Rayna Nareswari Wikananda; Dr.Ni Nyoman Triharpini
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.43

Abstract

Pendahuluan : Pseudophakic Bullous Keratopathy (PBK) merupakan suatu komplikasi dari operasi ekstraksi katarak disertai implantasi lensa intraokular yang menyebabkan rasa nyeri pada mata, penurunan tajam penglihatan, edema dan erosi kornea serta bula pada lapisan epitel dan subepitel kornea. Terapi yang diberikan meliputi terapi medikamentosa, non medikamentosa, dan tindakan pembedahan. Tulisan ini dibuat untuk mengetahui efektivitas penggunaan bandage contact lenses (BCL) sebagai terapi pada kasus PBK. Laporan Kasus: Metode yang digunakan adalah dengan studi kasus. Pasien laki-laki berusia 60 tahun datang dengan keluhan nyeri pada mata kanan disertai penurunan tajam penglihatan. Diperoleh tajam penglihatan OD 0.5/60 dan OS 6/9. Pemeriksaan oftalmologi mata kanan ditemukan Conjunctival Vascular Injection (CVI) dan Pericorneal Vascular Injection (PCVI), edema, erosi, dan bula pada kornea, bilik mata depan (BMD) dalam, pupil ireguler, iris atropi, reflek pupil negatif, dan lensa intraokular terpasang di belakang iris. Tes fluorescein mata kanan diperoleh positif. Pembahasan: Mata kanan pasien diberi terapi tetes mata Levofloksasin 6x1 tetes, tetes mata Eyefresh sebanyak 1 tetes setiap jam, tetes mata Noncort 3x1 tetes, Parasetamol tablet 3x500mg, dan Vitamin C 2x500mg, serta penggunaan BCL. Setelah menggunakan BCL selama 3 bulan, pasien dapat beraktivitas tanpa terganggu rasa nyeri dan keluhan penglihatan buram dirasakan membaik. Kesimpulan: Dapat disimpulkan bahwa penggunaan BCL efektif sebagai terapi pada kasus PBK.
MANAGEMENT OF IRREGULAR ASTIGMATISM AFTER CORNEAL ULCER WITH RGP CONTACT LENS IN PATIENTS WITH HIGH MYOPIA
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 2 (2023): Jurnal Oftalmologi Vol 5 No 2 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.49

Abstract

MANAGEMENT OF IRREGULAR ASTIGMATISM AFTER CORNEAL ULCER WITH RGP CONTACT LENS IN PATIENTS WITH HIGH MYOPIA
KEBERHASILAN OPERASI TRABEKULEKTOMI PADA GLAUKOMA SUDUT TERBUKA PRIMER PERIODE 2019-2021
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 2 (2023): Jurnal Oftalmologi Vol 5 No 2 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.50

Abstract

Introduction: Glaucoma represents a group of diseases defined by a characteristic optic neuropathy that is consistent with remodeling of the connective tissue elements of the optic nerve head and with loss of neural tissue associated with the eventual development of distinctive patterns of visual dysfunction. The most common surgery for glaucoma treatment is trabeculectomy, which in principle is done by creating a new channel that drains the aqueous humor, and return the intraocular pressure to normal levels. Objective: This study aimed to know the success rate of trabeculectomy in primary open-angle glaucoma. Methods: This study used a retrospective descriptive research method and was conducted in the Medical Records Center of the Cicendo National Eye Hospital, Bandung City with a data collection period of 21 July 2022 ? 6 September 2022. The data collection process was carried out by looking at secondary data from medical records of patients with primary open-angle glaucoma for the period January 2019 ? December 2021. Results: Mean IOP decreased from 32.6?12.9 before surgery, to 19.8?10 one week after surgery, and 18.8?7.3 one month after surgery. The overall success rate reaches 82.1%. Conclusions: The success rate for open-angle glaucoma treated with trabeculectomy at Cicendo National Eye hospital is considered good with a total success rate of 82.1% with or without antiglaucoma medication to control IOP after surgery.
PSEUDOMONAS AERUGINOSA-INDUCED ACUTE EXOGENOUS ENDOPHTHALMITIS POST-CATARACT SURGERY
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 2 (2023): Jurnal Oftalmologi Vol 5 No 2 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.51

Abstract

Introduction: The Endophthalmitis Vitrectomy Study revealed that only a small percentage of endophthalmitis cases, specifically 4.1%, were caused by Gram-negative organisms, and the most frequent of these was Pseudomonas aeruginosa. Moreover, poor visual outcomes were consistently linked to this bacterium. Objective: To provide knowledge regarding Pseudomonas aeruginosa as a cause of exogenous endophthalmitis and its management. Case Illustration: A 65-year-old male was admitted to the Emergency Department due to pain and blurred vision in his left eye. These symptoms had been present for four days and occurred three days following cataract surgery. The patient's visual acuity in the affected eye was extremely poor, with no light perception, conjunctival redness, corneal edema, and posterior synechia of the iris. A Bmode ocular ultrasound detected an abnormal echo in the left eyeball and moderate vitreous opacity, which suggested that the patient had endophthalmitis. The patient underwent emergency surgery immediately, including Pars plana vitrectomy (PPV), Silicon oil, IOL extraction, and intravitreal antibiotics injection. The vitreous was also tested with a smear test and culture, which revealed the presence of Pseudomonas aeruginosa. On the first day after the surgery, the patient's vision improved to light perception but with incorrect projection. A Fundus exam showed an attached retina with silicon oil and no macular edema. After one month, the patient's visual acuity improved to 2/60. Conclusions: Identifying the causative organisms in infectious endophthalmitis is critical in determining treatment and visual results. Pars Plana Vitrectomy (PPV) followed by intravitreal injection of antibiotics as the "gold standard" treatment for acute postoperative endophthalmitis.
PENGETAHUAN, SIKAP, DAN PERILAKU PASIEN GLAUKOMA DI PMN RS MATA CICENDO TERHADAP PENYAKIT GLAUKOMA
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 2 (2023): Jurnal Oftalmologi Vol 5 No 2 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.52

Abstract

Pendahuluan: Glaukoma merupakan penyebab kedua kebutaan terbanyak secara global. Sebagian besar kasus glaukoma bersifat asimptomatik, sehingga pasien tidak sadar dengan penyakitnya sampai munculnya gangguan penglihatan hingga kebutaan. Melalui pengetahuan, sikap, dan perilaku (PSP) pasien yang baik dapat mendukung pengendalian keparahan penyakit glaukoma. Akan tetapi, di Indonesia penelitian yang menunjukkan tingkat PSP pasien glaukoma terhadap penyakit glaukoma masih tergolong sedikit. Oleh karena itu, penelitian ini bertujuan untuk menilai tingkat PSP pasien glaukoma di PMN RS Mata Cicendo terhadap penyakit glaukoma. Metode: Studi ini menggunakan metode kuantitatif dengan desain penelitian deskriptif cross-sectional melalui pengisian kuesioner pada 59 pasien glaukoma di PMN RS Mata Cicendo pada bulan Februari 2023. Pada penelitian ini terdapat tiga variabel yang dinilai, yaitu pengetahuan, sikap, dan perilaku. Hasil: Pasien glaukoma menunjukkan pengetahuan baik (35,6%), cukup (59,5%), dan kurang (5,1%) dengan hanya 42,4% pasien yang bersikap positif dan 49,2% pasien berperilaku baik. Secara keseluruhan tingkat PSP pasien adalah 47%. PSP yang baik banyak ditemukan pada pasien dengan durasi pengobatan ?6 bulan. Simpulan: Tingkat PSP pasien glaukoma terhadap penyakit glaukoma yang sudah cukup baik tetap harus ditingkatkan dengan strategi edukasi agar tingkat sikap dan perilaku pasien jauh lebih baik.

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