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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 16 Documents
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Search results for , issue "Vol 42 No 2 (2016): Ophthalmologica Indonesiana" : 16 Documents clear
Intraocular Pressure Changes After Selective Laser Trabeculoplasty (SLT) in Open-Angle Glaucoma Amalia Mayasari; Maharani Cahyono
Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): 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.v42i2.85

Abstract

Background: Selective laser trabeculoplasty (SLT) use laser to selectively target pigmented trabecularmeshwork without producing collateral damage to adjacent non-pigmented cells or structures. A previousdata suggests that SLT is effective at every stage of open-angle glaucoma (OAG). SLT can be used asa first-line therapy, alternative to medical therapy, or as an adjunctive therapy to topical glaucomadrops. The aim of this study was to determine the changes in intraocular pressure (IOP) after SLT inpatients with OAG.Methods: Design of this research was cohort-prospective study. Twenty-six eyes of 18 patients withOAG were participated in this study. All the patients were treated with 180o SLT to the temporaltrabecular meshwork and followed by 180o SLT to the nasal trabecular meshwork 1 week after the firsttreatment. A frequency-doubled (532 nm) Q-switched Nd:YAG laser with a 400 μm spot size wasused to deliver 0.4-1.0 mJ of energy for 0.3 ns to perform the procedure. Additionally, IOP in thetreated eye was assessed and measured with Goldman applanation before SLT, and 1 hour, 1 week,and 2 weeks following complete SLT. All patientes were given corticosteroid (prednisolone acetat 1%eyedrop) 4 times a day for 7 days after SLT to prevent elevation of IOP caused by inflammation.Results: The average pre-SLT IOP were 19.94 mmHg. The mean IOP 1 hour post-SLT was slightlyincrease. IOP 2 weeks after complete SLT showed a significant decrease compared to before SLT(Wilcoxon-test, before: p=0.033; 1 hour: p=0.915; 1 week: p=0.098; 2 weeks: p=0.009)Conclusion: Intraocular pressure lowering effect was significant at 2 weeks after SLT treatment. SLTeffectively reduces IOP in open-angle glaucoma. It can be used as a primary or adjunctive therapy inpatient with open-angle glaucoma.Keywords: obstructive MGD, quality of meibum, ocular surface damage
Correlation between Meibum Quality and Ocular Surface Staining in Obstructive Meibomian Gland Dysfunction Ike Hikmawati; M Rinaldi Dahlan; Susi Heryati
Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): 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.v42i2.86

Abstract

Background: Obstructive Meibomian gland dysfunction (MGD) leads to a decreased availability ofmeibomian lipid at the ocular surface that could result in ocular surface damage due to increasedevaporation of the aqueos layer of the tear film. Alteration of meibomian oil (meibum) is one of thecausative factors of the obstructive process and the sign of the obstruction as well.Methods: This was a cross-sectional study using Spearman’s Rank Correlation Coeeficient (rs) to findcorrelation between meibum quality and the ocular surface damage. Subjects were patients withobstructive MGD selected consecutively in Infection and Immunology Unit of Indonesia National EyeCenter, Cicendo Eye Hospital. There were 48 eyes from 29 subjects comprised 28 inflamed MGD and20 non-inflamed MGD. Meibum quality was assessed by performing digital expression on eightmeibomian glands located on the lower lid. Ocular surface damage was done by performing cornealstaining using fluorescein eye drop and conjunctival staining using Lissamine Green strip. The stainingresults were then documented using camera of slit lamp biomicroscopy and based on the documentation,scoring of the ocular surface staining was done using National Eye Institute/Industry (NEI)scheme/diagram.Results: This study showed no correlation (rs: -0.067) between meibum quality and ocular surfacedamage (p=0.652). Statistical analysis was also done on subjects categorized based on inflammationon the eyelid and there was found correlation (rs: 0.238) between meibum quality and ocular surfacedamage in inflamed MGD (p=0.312).Conclusion: There is no correlation between the quality of meibum and ocular surface staining.Keywords: obstructive MGD, quality of meibum, ocular surface damage
Age-Related Macular Degeneration Cases in Prof. RD Kandou General Hospital, Manado Inga Santoso; Vera Sumual
Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): 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.v42i2.87

Abstract

Background: To report the data of patients with age-related macular degeneration (AMD) at Vitreo-Retina Division of Ophthalmology Department of Prof. RD Kandou General Hospital, Manado.Methods: This study was descriptive retrospective using medical records at the OphthalmologyDepartment of Prof. RD Kandou General Hospital, Manado period of January 2014 until June 2016.The subjects of research were the medical records of patients diagnosed with age-related maculardegeneration.Results: Of 27 patients, 14 (51.9%) were male and 13 (48.1%) were female with age ranging from 41to 81 years old. By type of AMD, the distribution was 85.2% dry and 14.8% wet AMD. Among therisk factors of AMD were hypertension in 12 patients (44.4%), diabetes mellitus in 2 patients (7.4%),and both hypertension and diabetes mellitus in 3 patients (11.1%).Conclusion: The number of patients diagnosed with AMD was 27 patients, with insignificant genderdifference. Most of the patients fell on the 61 to 71 years old group (48.2%), with majority type weredry AMD. Hypertension was the most influential risk factor.
Clinical Characteristic and Management of Central Serous Chorioretinopathy Rio Rhendy; Andi Arus Victor
Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): 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.v42i2.88

Abstract

Background: Central serous chorioretinopathy (CSCR) is an abnormality in posterior segment of theeye, characterized by detachment of retinal neurosensory caused by localized accumulation of serousfluid. CSCR is commonly found in male (90%) with age ranging of 25 to 55 years old and oftenoccurs in white, Asia, and Hispanic. Subretinal fluid will be absorb spontaneously within 3-4 months,thus observation and risk factors modification are the initial management for CSCR for couple ofmonths. However, drugs use on CSCR can be considered to accelerate fluid resorption.Methods: This study is a descriptive-retrospective study, done in Vitreoretina Division of OphthalmologyDepartment, Cipto Mangunkusumo Hospital, Jakarta, from December 2015 to January 2016. Thesubjects were all CSCR patients, using medical records for data selection.Results: There were 90 patients with CSCR, but only 20 eyes from 19 patients could be included tothe study. Most of CSCR patients were male (84%), with age ranging from 25 to 55 years old, meanage of 40.31 years.Conclusion: Management of CSCR in Cipto Mangunkusumo Hospital gave significant improvementin UCVA and CMT.
Anti-Inflammation and Anti-Fibrotic Effects of Amniotic Membrane on Post-Trabeculectomy Conjunctiva (Experimental Research on Oryctolagus cuniculus) Listya Dyah Rihardini; Suparman Suparman; Evelyn Komaratih
Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): 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.v42i2.89

Abstract

Background: To evaluate the effects of amniotic membrane transplantation on the modulation ofwound healing after trabeculectomy.Methods: Eighteen eyes of nine New Zealand rabbits: nine left eyes underwent glaucoma filteringsurgery, nine right eyes underwent trabeculectomy and amniotic membrane transplantation. Freshfrozen human amniotic membranes were transplanted above scleral flap, below the conjunctiva withthe stromal side-up. Daily examination of anterior segment were performed using hand held slit lamp.After 7 days, all eyes were enucleated and sent for histopathology examination to evaluate theinflammatory and fibroblast cells. The rabbits were terminated. Blebs were well formed until 7 days.Results: There were statistically no significant difference between two groups in quantity ofinflammatory cells (p=0.258) and fibroblast cells (p=0.436). The tendency in the treatment group,however, the Masson’s Trichrome obtained less fibrosis (88.9%) compared to the control group(44.4%). Hematoxilin eosin staining revealed inflammatory reaction tends to be more severe than thecontrol group, suggesting a xenograft rejection.Conclusion: AMT is still potential as an alternative option to reduce fibrosis in glaucoma filteringblebs but need further research. In rabbits, human amniotic membrane elicited a xenograft reaction.Keywords: amniotic membrane, trabeculectomy, inflammation, fibrosis
Case Series of Two Patients with Primary Malignant Melanoma of the Lacrimal Sac Tessa H Anindya; Neni Anggraini; Evelina Kodrat
Majalah Oftalmologi Indonesia Vol 42 No 2 (2016): 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.v42i2.194

Abstract

Background: To demonstrate two rare case of primary malignant melanoma of lacrimal sac. Case Illustration: Patients were both female, 38-year-old and 46-year-old, with lacrimal sac mass,bloody discharge and epiphora. The first patient was previously diagnosed with chronic dacryocystitisand treated with antibiotics and anti-inflammation for two months which resulted in worsen conditionand enlarged swelling. Computed tomography scan revealed solid mass at lacrimal sac 13 x 12 x 7.4millimeters in size with no bone destruction. Patient underwent total mass removal surgery, whichrevealed solid highly pigmented mass. The second patient also had enlarged mass within two months.Other complaints include obstructed left nose and epistaxis. Computed tomography scan revealed solidmass at left medial canthal region involving inferior orbit, nasolacrimal duct, left nose cavity, andmaxillary sinus. Incisional biopsy revealed a malignant melanoma. Patient underwent eye exenteration,maxilectomy, and radical neck dissection. Conclusion: Primary malignant melanoma of the lacrimal sac is a rare case and often mimics chronicdacryocystitis. It’s imporant to understand this disease entity to make accurate diagnosis and managementwith the help of imaging modality.

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