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Ophthalmologica Indonesiana
Published by Perhimpunan Dokter Spesialis Mata Indonesia
ISSN : 01261193     EISSN : 2460545X     DOI : 10.35749
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
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 17 Documents
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Search results for , issue "Vol 41 No 2 (2015): Ophthalmologica Indonesiana" : 17 Documents clear
Overview Results of Optic Neuritis After Steroid Therapy Ricky O Sembiring; Bambang Setiohadji; Ine Renata Musa; Feti Karfiati
Majalah Oftalmologi Indonesia Vol 41 No 2 (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 | DOI: 10.35749/journal.v41i2.30

Abstract

Background: Optic neuritis is an inflammatory condition of the optic nerve characterized by a sudden onset of unilateral visual loss, usually affecting young females. Recent studies have shown that treatment with intravenous methylprednisolone results in more rapid recovery of vision. The aim is to describe early visual outcome after methylprednisolone treatment according to Optic Neuritis Treatment Trial (ONTT) in optic neuritis. The outcome will be visual acuity and color vision. Method: This is a retrospective observational study. The data were collected from medical records of patients diagnosed as optic neuritis who had steroid treatment, from January 2009 to December 2012. Result: There were increased visual acuity in 92.4% eyes within 7-11 days after administration of parenteral methylprednison, as well as color vision in 83.0% eyes. Conclusion: Methylprednisolone treatment will improve visual acuity and color vision in early follow up. Keywords: Optic neuritis, visual acuity, color vision
Effect of Pterygium Size on Astgmatism and Corneal Topography Before and After Surgery Mochammad Sjarifudhin; Gatut Suhendro
Majalah Oftalmologi Indonesia Vol 41 No 2 (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 | DOI: 10.35749/journal.v41i2.31

Abstract

Background: Objective: To analyze the association between pterygium size with astigmatism and corneal topography changes before and after surgery. Methods: This study was conducted at Dr. Soetomo General Hospital and Surabaya Eye Clinic on February-June 2013. In 31 eyes of 20 patients with primary pterygium, size of pterygium was measured in millimeters from the limbus (horizontal length) by caliper and the beam of slit lamp microscope. Twenty four eyes with pterygium type 2 and 3 were excised with bare sclera technique and intraoperative MMC application. Astigmat and corneal topography was investigated with the help of Orbscan preoperatively and 4-6 weeks postoperatively. Result: The size of pterygia had a significant correlation on the elevation of the preoperative corneal astigmatism and irregularities (p<0.001). The mean Sim K astigmatism (p=0.005) and irregularity index (<0.001) significantly decreased after pterygium surgery. The mean refractive power significantly increased after the operation (p<0.001). Conclusion: Pterygium leads to significant changes in corneal refractive status, which increase with the increase in the size of pterygia and improve following pterygium surgery. Keywords: Pterygium, astigmatism, corneal topography
Exploration of OSCE Results to Evaluate Medical Students’ Progress on Learning Eye Examination in Clinical Skills Laboratory Widyandana Widyandana; Angela Nurini Agni; Agus Supartoto; Suhardjo Suhardjo
Majalah Oftalmologi Indonesia Vol 41 No 2 (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 | DOI: 10.35749/journal.v41i2.32

Abstract

Background: Medical student learn how to perform eye examinations since beginning in clinical skills laboratory. Objective Structured Clinical Examination (OSCE) was used to assess students’ clinical skills performance every year and to indicate students’ progress. To evaluate medical students’ clinical skills progress, and to evaluate OSCE of eye examination skills. Methods: A cohort study, involving first and third year OSCE results in Clinical Skills Laboratory, Faculty of Medicine Gadjah Mada University from medical students batch 2010 (n:185). The scores of OSCE Year 1 compared to Year 3 using Mann whitney test to explore the progress of students clinical skills performance. To correlate between OSCE scores with clinical cases used in OSCE (such as: visual aquity, visual field, segment anterior and posterior examination) using Pearsoncorrelation to evaluate the assessment process. Result: OSCE results show that medical studens give significant progress on their eye examination performance (median OSCE year 1=66, year 3=80; p=0.00). There is strong correlation between clinical cases during OSCE with students score (p=0.005) that show inequality of difficulty level of cases, particularly for first year OSCE that used more detail check list instrument. Conclusion: Medical students show significant progress on their eye examination skills performance. OSCE process need to be improved, especially on developing clinical cases and check list as a scoring instrument. Keywords: medical students, eye examination, OSCE score
Pupil Cycle Time in Household Contacts with Leprosy Patients Waode Ridhayani; Siti Rukiah Syawal; Batari Todja Umar
Majalah Oftalmologi Indonesia Vol 41 No 2 (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 | DOI: 10.35749/journal.v41i2.33

Abstract

Background: Household contacts of leprosy patients have a higher risk for infection of leprosy. This study is to determine the change in Pupil Cycle Time (PCT) in household contact with leprosy patients and compare them with normal people who are not in household contact with leprosy patients in Makassar. Methods: It was carried out in Tadjuddin Chalid hospital in Makassar and uses cross-sectional study to 61 subjects for each group. The study subjects are divided into two groups: normal people with household contact with leprosy patients, and normal people without household contact as a control group. PCT examinations were performed to the subjects in both groups using biomicroscope slit lamp and digital stopwatch to determine the value of PCT. Result: The study indicates that the average PCT OD and OS of the group with household contact with leprosy patients are 1119.80 (±169.51) milliseconds and 1123.67 (±189.92) milliseconds respectively. Meanwhile, the PCT OD and OS average of the normal people who are not household contact with leprosy patients are 772.67 (±87.75) milliseconds and 776.85 (±82.87) milliseconds respectively. There is a significant difference of PCT between people with household contact with leprosy and those who are not (p=0.000). The length of household contact with leprosy patients has a significant influence with the PCT (p=0.000). Conclusion: The result proves that the PCT of those in household contact with leprosy patient is longer than that of those without contact. The longer the household contact with leprosy patients, the longer the pupil cycle time. Keywords: Pupil Cycle Time, household contact with leprosy patients, leprosy
Visual Improvement in Retinal Vein Occlusion Patient Who Had Intravitreal Bevacizumab with and without Laser Photocoagulation Marita Febiana; Iwan Sovani; M Rinaldi Dahlan; Feti Karfiati
Majalah Oftalmologi Indonesia Vol 41 No 2 (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 | DOI: 10.35749/journal.v41i2.34

Abstract

Background: Intravitreal bevacizumab (IVB) appears to be an effective and safe drug for reducing macular edema and improving visual acuity secondary to RVO. Grid photocoagulation to macular edema caused by BRVO significantly improved long-term visual prognosis. In CRVO, reduced the angiographic evidence of macular edema, but did not lead to improvement in the vision of treated eyes. Methods: an observational, retrospective study from medical record of patients RVO underwent IVB and combined treatment at Cicendo National Eye Center conducted between January and December 2012. A total of 49 eyes from 49 patients met the inclusion criteria. Data was compiled on demographic characteristics, pre and postoperative visual acuities. The main outcome was proportion of visual gain in 1 month after therapy. Result: All patients (49 eyes) completed the 1 months follow-up with 17 patients BRVO who had treatment IVB and 11 patients with combined treatment. And 14 patients CRVO who had treatment IVB and 7 patients had combined treatment. The proportion of BRVO and CRVO eyes have the same visual improvement in IVB and combined treatment groups (BRVO 58.8% vs 72.7%, p=0.120 and CRVO 57.1% vs 57.1%, p=1.000). Conclusion: There was no significant difference in the proportion of visual improvement between IVB and combined treatment groups in BRVO and CRVO at one months follow up. Keywords: branch retinal vein occlusion, central retinal vein occlusion, intravitreal bevacizumab, laser photocoagulation
Identification of A1286C Methylenetetrahydrofolate Reductase Gene Polymorphism in Orbital Region Basal Cell Carcinoma Patients Anisah Khairunnisa; Ibrahim Ibrahim
Majalah Oftalmologi Indonesia Vol 41 No 2 (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 | DOI: 10.35749/journal.v41i2.35

Abstract

Background: The development of basal cell carcinoma (BCC) shows variations among individuals. The risk factor for development of BCC related to environtmental factor especially exposure to ultraviolet radiation and individual factor. The one of internal risk factor contribute to basal cell carcinoma developmental is genetic instability include defects in folic acid synthesis or DNA synthesis. The critical enzim that participate in the process is regulated by Methylenetetrahydrofolate Reductase (MTHFR) gene. Method: This study was descriptive observational with case study involved 10 orbital region basal cell carcinoma. The diagnosis was based on histopathologic examination of the tumor. Genotype frequencies of A1286C polymorphism were studied by Polymerase Chain Reaction (PCR), amplification and restriction fragment length polymorphism analyses using MboII enzyme. Result: In the present study, from 10 subjects we found male was 7 people (70%) and female was 3 people (30%). Majority of subjects have history of having a job in the sunlight. The most commont of the BCC is nodular (80%). There is one subject with recurrent case. Analysis result of A1286C MTHFR gene show wild type in all cases. Conclusion: There’s no A1286C substitution methylenetetrahydrofolate reductase gene were identified. The whole subjects are wild type.Keywords: basal cell carcinoma, orbital region, folic acid, polymorphism, A1286C MTHFR gene, polymerase chain reaction (PCR), wild type
The Differences Between Tumor Necrosis Factor-α (TNF-α) Expression in Fleshy and Atrophy Pterygium Reza Satrio; Winarto Winarto; Siti Sundari
Majalah Oftalmologi Indonesia Vol 41 No 2 (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 | DOI: 10.35749/journal.v41i2.36

Abstract

Background: Pterygium is a conjungtival fibrovascular degenerative process which fleshy type was different to atrophy type, in which post operative recurrencies was high especially fleshy type. The exact pathogenesis were not clearly understood, it was reported that many inflammation mediators had a play role, including Tumor Necrosis Factor-α (TNF-α). Objective of the study was to revealed a different expression of TNF-α in fleshy and atrophy type. Method: Cross-sectional study design have been done with independent variable was TNF-α and dependant vaiable was pterygium type. Samples consist of 20 patients fleshy type and 20 patients atrophy type, both groups were given fluorometholone eye drop for 1 week prior surgery to suppress the degree of inflammation. The baseline data was recorded e.g. demography, the size of pterygium, Tear Break Up Time (TBUT), Schirmer test and Ferning test. Pterygium excission followed by limbal stem cell graft, and examination of TNF-α expression by immunohistochemistry. TNF-α expression was analyzed using 2 x 2 table. Result: Baseline data of both groups were not significantly different, except TBUT (p=0.000) and the clinical characteristic of pterygium (p=0.000). TNF-α expression in fleshy type tend to be higher (total Allred score mean 4.70) but not significantly different than atrophic type (total Allred score mean 4.54 and p=0.61). Previous fluorometholone treatment prior to surgery might be suppressed the inflammatory cytokine. Conclusion: No significant difference of the TNF-α expressions between fleshy and atrophy type of pterygium. Keywords: pterygium, fleshy type, atrophy type, TNF-α, immunohistochemistry

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