Ophthalmologica Indonesiana
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.
Articles
16 Documents
Search results for
, issue
"Vol 42 No 2 (2016): Ophthalmologica Indonesiana"
:
16 Documents
clear
<![CDATA[Opening the New Chapter in Our Organization ]]>
<![CDATA[Tjahjono D. Gondhowiardjo]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.74
<![CDATA[Visual Recovery after Penetrating Injury Through the Orbit ]]>
<![CDATA[Kukuh Prasetyo]]>;
<![CDATA[Angga Kartiwa]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.75
<![CDATA[Background: Penetrating trauma through the orbit cavity by blunt edged instrument could bring destructionto many organs located in it. This article is aimed to report a case of severe penetrating injury throughthe orbit cavity with a good visual recovery after surgical treatment.Case Illustration: A 29-year-old male came to Cicendo National Eye Hospital with a complaint ofbloody eye. His head was hit by fallen wall from behind while he was working using crowbar thatcaused the tip of crowbar penetrated into intracranial cavity through the right orbit cavity. Vital signswere within normal limit, with the crowbar fixated on 2 mm below the margin of inferior orbital edge.Visual acuity was 2/60 (bed side examination) without any RAPD. CT-scan showed the tip of crowbarentered cranial cavity. Patient was diagnosed with penetrating injury through the orbit and referred toNeurosurgery Department. Operation was done under general anesthesia and it was found that the tipripped of duramater on frontal region and both inferior rectus and inferior oblique muscle were rippedoff. We decided to leave the eye and give methyl prednisolone iv 1 g a day. Post operative examinationshowed that the visual acuity was 20/60 and patient was unable to move the right eye downward.Patient did not complain of double vision on primary position.Conclusion: Penetrating injury could be devastating for many organs inside the orbit. With a carefulexamination and correct management, vision can be saved.Keywords: penetrating injury, orbital cavityBackground: Penetrating trauma through the orbit cavity by blunt edged instrument could bring destructionto many organs located in it. This article is aimed to report a case of severe penetrating injury throughthe orbit cavity with a good visual recovery after surgical treatment.Case Illustration: A 29-year-old male came to Cicendo National Eye Hospital with a complaint ofbloody eye. His head was hit by fallen wall from behind while he was working using crowbar thatcaused the tip of crowbar penetrated into intracranial cavity through the right orbit cavity. Vital signswere within normal limit, with the crowbar fixated on 2 mm below the margin of inferior orbital edge.Visual acuity was 2/60 (bed side examination) without any RAPD. CT-scan showed the tip of crowbarentered cranial cavity. Patient was diagnosed with penetrating injury through the orbit and referred toNeurosurgery Department. Operation was done under general anesthesia and it was found that the tipripped of duramater on frontal region and both inferior rectus and inferior oblique muscle were rippedoff. We decided to leave the eye and give methyl prednisolone iv 1 g a day. Post operative examinationshowed that the visual acuity was 20/60 and patient was unable to move the right eye downward.Patient did not complain of double vision on primary position.Conclusion: Penetrating injury could be devastating for many organs inside the orbit. With a carefulexamination and correct management, vision can be saved.Keywords: penetrating injury, orbital cavityrauma pada wajah merupakan masalahsosial serta masalah kesehatanmasyarakat disebabkan karena frekuensiserta besaran masalah yang ditimbulkan, sertaketerkaitan dengan kecelakaan lalu lintas,tindak kejahatan, serta kaitannya denganrasa tidak aman. Bola mata meski hanyameliputi 0,27% dari seluruh permukaan tubuh,dan merupakan 4% dari seluruh permukaanwajah, mata merupakan bagian tubuh ketigayang paling terekspose oleh trauma.1,2 Kehilanganpenglihatan pada satu atau keduamata merupakan]]>
<![CDATA[Transcranial Supraorbital Approach for Tumor Removal of Spheno-Orbital Meningioma with Favorable Clinical Outcomes ]]>
<![CDATA[Nina Asrini Noor]]>;
<![CDATA[Neni Anggraini]]>;
<![CDATA[Mutmainah Mutmainah]]>;
<![CDATA[Renindra Ananda Aman]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.76
<![CDATA[Background: To describe and evaluate the surgery results regarding resectability and clinical outcomes oftranscranial supraorbital approach for tumor removal of spheno-orbital meningiomaCase Illustration: A 58-year-old woman presented with proptosis of the right eye since 9 years prior.At initial examination, visual acuity was 6/15 with significant nasal visual field defect. There wereprominent proptosis and inferior globe displacement of the right eye with no palpable mass. A frontoparietalbone deformity was also observed. CT scan examination revealed hyperostosis of sphenoid,frontal, and temporal bone with extensive intraorbital mass with contrast enhancement suggestive ofmeningioma. Incisional biopsy was the performed and confirmed the histopathological diagnosis ofmeningothelial meningioma (WHO grade 1). Transcranial supraorbital in conjunction with lateralorbitotomy was performed in this patient as the definitive treatment for tumor removal of sphenoorbitalmeningioma. Craniotomy and opening of orbital roof were carried out by neurosurgeon toexpose intraorbital region. Total tumor removal was than completed.Conclusion: Transcranial supraorbital approach is an effective surgery for spheno-orbital meningiomaremoval as it offers excellent exposure. A radical resection through transcranial approach can be achievedwith low morbidity, providing a significantly improved clinical outcome in long term period. In thiscase, the spheno-orbital meningioma was grossly resected totally with excellent visual outcome andacceptable cosmetic appearance.Keywords: spheno-orbital meningioma, transcranial approach, tumor resection]]>
<![CDATA[Treatment of Central Serous Chorioretinopathy with Carbonic Anhydrase Inhibitor ]]>
<![CDATA[Riani Witjaksana]]>;
<![CDATA[Vera Sumual]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.77
<![CDATA[Background: To report a case of central serous chorioretinopathy at Ophthalmology Department ofRD Kandou Hospital, Manado.Case Illustration: A 51-year-old male patient came to hospital with complaint of sudden blurredvision in his right eye since 1 week before admission. He felt there was a black shadow in the center ofhis right eye. He had history of uncontrolled hypertension and smoking for the last 30 years.Examination result showed that visual acuity of his right was 1/60. On confrontation test, there wascentral scotoma in the right eye with normal extra-ocular motility and he had a relative afferentpupillary defect. On fundus examination, there was an area of pigment near the fovea and elevatedcentral macula and consisted with subretinal fluid. Patient was treated with carbonic anhydraseinhibitor (CAI) as long as one week. During the follow-up, there was an improvement in his visual acuity.Conclusion: After treatment of acetazolamide as long as one week, CSCR looked improved in visualacuity and decreased subretinal fluid. Generally, CSCR have a good prognosis.Keywords: central serous chorioretinopathy, acetazolamide, subretinal fluid]]>
<![CDATA[Pituitary Macroadenoma Treated with Cabergoline: the Role of Neuro-Ophthalmic Examination in Diagnosis and Follow Up Management ]]>
<![CDATA[Yunita Latif Lote]]>;
<![CDATA[Batari T Umar]]>;
<![CDATA[Yunita Mansyur]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.79
<![CDATA[Background: To describe the importance of neuro-ophthalmic examination on pituitary macroadenomapatient with bitemporal hemianopia and treated with cabergoline.Case Illustration: A 50-year-old female came with blurry vision on both eyes. She had 20/40 and 20/30vision right eye and left eye respectively, no RAPD, no limitation of gaze, anterior and posterior segmentswere unremarkable. She had superior bitemporal defect expanding to inferior quadrant of visual fieldby Humphrey. MRI scan showed suggestive pituitary macroadenoma with bleeding and supression tosuperior chiasm. The prolactin level was elevated and she was then referred to endocrinologist andgiven dopamine agonist (cabergoline) treatment. Six months after cabergoline therapy, patient’s visualacuity had improved to 20/25 on both eyes, no progression on Humphrey visual field defect and alterationin size of the macroadenoma from MRI.Conclusion: A characteristic visual field defect can be a first sign for pituitary macroadenoma. Surgicalare not always necessary. Medicine therapy can be beneficial for secreting pituitary macroadenoma.Ophthalmology examination can help assessing the prognosis of the disease.Keywords: bitemporal hemianopia, pituitary macroadenoma, prolacin, cabergoline]]>
<![CDATA[Efficacy and Safety of Imiquimod 5% as Primary Therapy in Management of Nodular Basal Cell Carcinoma of the Eyelid ]]>
<![CDATA[Cut Putri Samira]]>;
<![CDATA[Rossalyn Sandra Andrisa]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.80
<![CDATA[Background: To evaluate the efficacy (complete resolution, tolerability, and recurrance of BCC) andsafety (adverse effect during and after treatment) of imiquimod 5% cream as primary therapy inmanagement of nodular basal cell carcinoma.Methods: Journal articles published that were published between 2007 and 2011 related to themanagement of eyelid nodular basal cell carcinoma with imiquimod 5% cream were reviewed.Results: Of all 6 articles: 1 article was randomized trial study; 1 article was case series study; whilethe others were prospective studies. The rate of complete resolution with imiquimod 5% therapy wasoverall high with range 80-100% between all studies. Four studies reported tolerability of imiquimodtherapy assessed by ophthalmologist also range from 80-100%. No occurance of relapse were reportedin all studies. Skin reaction is the most common adverse effect seen with the rate widely variedbetween 53.5% to 100%. Skin reaction could be seen as erythema, crusting, or scabbing in the site ofimiquimod application during and after treatment of the therapy. The other side effects were skinulceration (40-55.5%), keratitis (15%), conjunctivitis (13.3-40%), and ocular discomfort (60%). Nosystemic side effect were reported in all studies.Conclusion: Imiquimod 5% cream gains good evidence of efficacy and safety in treating nodular eyelidand periocular BCC. Imiquimod may be used as first-line treatment in patients with small eyelidnodular BCC located in patients who refuse surgery or have existing pathologies that contraindicatesurgery.Keywords: imiquimod 5% cream, basal cell carcinoma of the eyelid or periocular]]>
<![CDATA[Comparison of Clinical Outcomes between Phacoemulsification and Laser Peripheral Iridotomy in the Spectrum of Primary Angle Closure Diseases of the Eye ]]>
<![CDATA[Manoa Panjaitan]]>;
<![CDATA[Widya Artini]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.81
<![CDATA[Background: To compare clinical outcome between phacoemulsification and laser peripheral iridotomyin the spectrum of primary angle closure eyes.Methods: A literature review of databases were retrieved online through Pub-med, Clinical Key, andScience Direct, using keywords of ‘primary angle closure’, ‘primary angle closure glaucoma’, and‘acute primary angle closure’. In addition, all literatures involving the use of laser peripheral iridotomy(LPI) or phacoemulsification as a treatment in PAC diseases were included. Publications and journalsbefore the year 2000 were excluded.Results: There were 18 articles that fulfilled our inclusion criteria. All of the studies showed a decreasein IOP following cataract extraction or LPI, compared to baseline. This study also showed that thephacoemulsification group gave a significantly larger angle width increment when compare to LPI.When directly compared between phaco to LPI, the number of topical glaucoma medication was moredecreased in the phaco group, meanwhile the need for additional glaucoma surgery was higher in theLPI group.Conclusion: Phacoemulsification with posterior chamber lens implantation is more effective procedurethan LPI in lowering IOP and preventing IOP rise in long term follow up in PAC diseases. That surgerywill reduce the number of additional glaucoma medication and further glaucoma filtering surgery.Despite of superiority in phacoemulsification treatment, LPI is still the mainstay of initial treatment,especially in PAC eye diseases without cataract.Keywords: spectrum of primary angle closure eye disease, phacoemulsification, laser peripheral iridotomy, angle width]]>
<![CDATA[Clinical Outcome of Intravenous Glucocorticoid and Rituximab in Moderate to Severe Thyroid Eye Disease ]]>
<![CDATA[Salmarezka Dewiputri]]>;
<![CDATA[M Sidik]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.82
<![CDATA[Background: Thyroid eye disease (TED) is the most common extrathyroidal manifestation of Graves’disease, also a serious and potentially sight-threatening. Current treatment method by using glucocorticoidis still unclear. Rituximab is a biological agent that has been used successfully. In the literatures, thepotential drug use for TED has been discussed but there is no guidelines published outliningrecommendations. The objective of this literature review is to evaluate the efficacy and safety ofglucocorticoid and rituximab for the treat-ment of TED in terms of clinical outcome, side effect, andrelapse rate.Methods: The literature search was conducted from Google Scholar, MEDLINE database using Pubmedfor journal articles that were published and related to the use of intravenous glucocorticoid andimmunobiologic therapy in Graves’ ophthalmopathy.Results: A total of 10 articles were reviewed in this paper. Six studies evaluated IVGC treatment, 3studies evaluated rituximab treatment, 1 study evaluated and compared IVGC and rituximab treatment.Most of the reviewed studies reported improvement on proptosis, while some studies reportedimprovement in proptosis by using rituximab.Conclusion: Rituximab is as effective as IVGC in decreasing proptosis. Rituximab was significantlybetter and earlier that IVGC in reducing CAS.Keywords: intravenous glucocorticoid, rituximab, thyroid eye disease]]>
<![CDATA[Efficacy and Safety Comparison among Rigid Gas Permeable Contact Lens Correction for Keratoconus ]]>
<![CDATA[Valenchia Valenchia]]>;
<![CDATA[Tri Rahayu]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.83
<![CDATA[Background: Rigid gas-permeable contact lenses (RGP CL) are commonly used to manage moderate tosevere keratoconus. The range of RGP CL type currently available for the successful optical correctionof keratoconus has greatly expanded. We compared the efficacy and safety of available RGP CL basedon visual acuity (VA), keratometry, comfort score, and adverse event.Methods: Literature search on RGP CL and keratoconus retrieved 37 citations from 2010-2015. Ninearticles were selected as relevant to our purpose.Results: All studies showed improvement of VA following RGP CL wearing. Greatest improvementwas seen in Rose K CL (.5 - .36) in naïve CL patient and Twinbel bevel toric in refitting CL patient(.22). All studies reported lower mean ΔK post fitting RGP CL than pre-fitting. Greatest difference ofmean ΔK pre and post-fitting was observed in YK lens (.72). The most comfortable lens was Rose K(91.5%) followed by Soper CL (87.9%) and Twinbel bevel toric (64.4%). Punctuate corneal stainingfound in a considerable amount with YK lens patient.Conclusion: Among 5 types of RGP CL available now for keratoconus, Rose K provided greatestBCVA improvement in naïve CL patient whereas Twinbel bevel toric in refitting patient. YK lensgave greater changes in keratometry post-fitting RGP CL. The most comfortable lens for patient isRose K lens. The most common adverse event of CL wear is punctuate corneal staining in YK lenspatient.Keywords: rigid gas permeable contact lens, keratoconus]]>
<![CDATA[Inter-observer Agreement in Fundus Photography for Diabetic Retinopathy Screening in Primary Health Care ]]>
<![CDATA[Alia Arianti]]>;
<![CDATA[Gitalisa A Andayani]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[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.v42i2.84
<![CDATA[Background: To assess the agreement between a group of trained non-physician ophthalmic careproviders as primary grader, and vitreoretina specialist as secondary grader, in the interpretation ofsingle-field 45o, non-mydriatic digital fundus image for diabetic retinopathy (DR) screening in primaryhealth care.Methods: This is an analytic, retrospective study. A total of 117 fundus images of diabetic patientswere graded by primary grader, followed by secondary grader using the modified National ScreeningCommittee (NSC) as a guideline. Kappa statistics and Intraclass Correlation (ICC) were used for thereliability assessment of photograph quality, DR presence and classification, presence of maculopathyand photocoagulation, severity level, and presence of vision-threatening diabetic retinopathy (VTDR).Diagnostic values of fundus image interpretation by primary grader in detecting DR using secondarygrader as the reference standard were also assessed.Results: Agreement for DR classification and its severity level was good (ICC 0.654; 0.642). Fairagreement was found for presence of maculopathy and VTDR (κ 0.368; ICC 0.595). Slight agreementwas found for photograph quality (κ 0.170). The percentage agreement in identifying DR was 29.9%.Sensitivity and specificity of fundus image interpretation by primary grader in DR and VTDR detectionwere 52.24% and 71.43%, 54.55% and 95.12%, consecutively.Conclusion: The reliability of primary grader for interpreting single-field fundus photography in DRscreening has not reached the ideal result in this study (κ more than 0.6 in all variables). Acomprehensive training with continuing education is essential for non-physician personnel, to ensurethe reliability of DR screening program using single-field fundus photography.Keywords: diabetic retinopathy screening, interobserver agreement, kappa value, intraclass correlation.]]>
