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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 7 Documents
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Search results for , issue "Vol 44 No 2 (2018): Ophthalmologica Indonesiana" : 7 Documents clear
Orbital Cellulitis with Unilateral Rhinosinusitis in Adult Febriani Endiyarti; Umar Said Dharmabakti; Yulia Aziza
Majalah Oftalmologi Indonesia Vol 44 No 2 (2018): 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.v44i2.162

Abstract

Background : Orbital cellulitis is one of complication from rhinosinusitis. Although the prevalence in adult is less common than in children, the morbidity is higher. An appropriate treatment for this case should be given to avoid morbidity. Method : Serial cases of orbital cellulitis with unilateral sinusitis in Adult were reported in Dr.CiptoMangunkusumo Hospital. All cases occurred from December 2017-May 2018. Result : There were 4 cases reported. Range 26-57 years old. All cases had eyelid swelling, two cases had limitation eye movement, and two cases had visual deterioration. Ethmoid sinus was the most common sinus affected. All cases were treated with broad-spectrum antibiotic and metronidazole. Orbital decompression was performed in two cases. Conclusion: Appropriate treatments such as the use of systemic antibiotic and surgical is needed to decrease the morbidity.
Penatalaksanaan Keratokonus Progresif menggunakan Corneal Cross-linking : Tinjauan Kepustakaan Elfa Ali Idrus
Majalah Oftalmologi Indonesia Vol 44 No 2 (2018): 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.v44i2.163

Abstract

Latar belakang : Keratokonus adalah suatu keadaan pada kornea yang ditandai dengan adanya ektasia pada sisi posterior kornea, ketebalan kornea yang tidak normal serta disebabkan faktor non inflamasi. Kondisi ini terjadi secara bilateral, walaupun tingkatan keparahannya sering kali tidak sama. Apakah tujuan tindakan untuk mengurangi iregularitas astigmatisma, memperbaiki kelengkungan kornea, memperkuat kornea, untuk menghentikan progresivitas keratokonus ataukan untuk meningkatkan tajam penglihatan. Tinjauan kepustakaan ini akan membahas pilihan penatalaksanaan keratokonus terutama dalam upaya menghentikan progresifitas keratokonus. Indikasi dan penatalaksanaan keratokonus progresif menggunakan Corneal cross-linking, protokol Dresden, protokol akselerasi, manajemen komplikasi dan studi terbaru terkait efikasi dan keamanan tindakan termasuk dalam pembahasan ini. Metode : Penelusuran literatur dilakukan dari Wiley online Library serta MEDLINE menggunakan Pubmed, hanya artikel berbahasa Inggris yang disertakan. Daftar pustaka termasuk di dalamnya buku teks yang relevan terhadap artikel. Hasil : Terdapat sembilan belas artikel terkait pembahasan penatalaksanaan terkait keratokonus sesuai dengan kriteria pembahasan. Kesimpulan : Pilihan penatalaksanaan keratokonus pada pasien secara umum bergantung kepada hal yang ingin dicapai. Mengurangi iregularitas astigmatisma, memperbaiki kelengkungan kornea, memperkuat kornea ataupun untuk menghentikan progresifitas keratokonus. Pilihan tindakan dapat berupa pemberian kacamata, intracorneal ring segment, Corneal cross-linking, lensa fakik intraokular, tindakan laser dan keratoplasti. Corenal cross-linking adalah pilihan utama tindakan untuk menghentikan progesifitas keratokonus.
Efficacy of High-dose Steroids for Visual Acuity Improvement in Methanol-induced Toxic Optic Neuropathy Theresia Yinski; Syntia Nusanti
Majalah Oftalmologi Indonesia Vol 44 No 2 (2018): 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.v44i2.164

Abstract

Introduction : Methanol-induced toxic optic neuropathy (TON) is defined as a visual impairment due to optic nerve damage by methanol poisoning. Not only is this disease entity underdiagnosed at times, this sudden blindness is also often diagnosed at a stage where recovery of vision is no longer possible. Materials and Methods : A literature search was conducted using PubMed, ClinicalKey, Google Scholar and ScienceDirect by combining the keywords ‘methanol’ or ‘methyl alcohol’, ‘intoxication’ or ‘poisoning’, ‘toxic optic neuropathy’, and ‘visual acuity’ with ‘high-dose steroid’. Results : The total amount of subjects in each article varied from 2 to 37, with mean age distribution of 26.34 to 55 years old, where most patients were male. The follow up duration varied from 1 week to 1 year. Four articles do not mention high-dose steroids treatment as therapy while the other four mention use of 1000 mg of intravenous methylprednisolone per day with divided doses of either 2x500 mg or 4x250 mg. Improvement percentages show 100% improvement in all studies that used high-dose steroids, while in the non-high-dose steroids studies the improvement percentages range from 33.33% to 90%. Summary : High-dose steroids are showing efficacy in improving visual acuity and reducing the inflammation in methanol-induced TON. The period of how fast the therapy takes effect is inconclusive, as the mean follow-up time differs widely per study. However, because most of the reviewed studies here are retrospective case series, a larger, more comprehensive study is required to acknowledge more of the efficacy profile.
Patient's Perspective of Eye Service Quality in Yogyakarta's Teaching Hospital Dhimas Hari Sakti; Indra Tri Mahayana; Firman Setya Wardhana; Dwima Faiqa Nafisha; Dhimas Ali Firman; Novika Handayani; Tiara Putri Utami
Majalah Oftalmologi Indonesia Vol 44 No 2 (2018): 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.v44i2.165

Abstract

Introduction : The eye care service in The Dr. Sardjito Hospital has one of the highest number of patients amongst other health care services provided. Thus evaluation of the patients' satisfaction upon the service provision is needed to improve the quality of the eye care service. Methods : A cross-sectional study was performed in the ophthalmology outpatient clinic at the teaching hospital in Daerah Istimewa Yogyakarta, Indonesia. Interviews were conducted on 77 patients using Patient Satisfaction Questionnaire Short Form (PSQ-18) in 2017. Results : Overall, patients were mostly satisfied with the interpersonal manner of the doctors (mean : 4.12  0.42) and least satisfied with the time spent with doctors (mean : 3.310.95). There was a statistically significant difference among each subscale (p=0.000). Gender, income, occupation, and education had no significant statistical difference to the aspects of quality. However, significant differences were found in the financial aspects of marital status, education level, and co-diagnoses group with p-value of 0.009, 0.043, and 0.048 respectively. Conclusions : Patient satisfaction could be improved by increasing the time spent at each visit with the doctor. Meanwhile, financial aspect is mostly affected by the patients’ background. This study needs to be continued to get wider perspectives on the larger population sample of eye patients. Therefore, the quality of eye care services may be improved.
Autologous Blood Versus Suture Conjunctival Limbal Graft as Pterygium Surgery Treatment Putu Budhiastra
Majalah Oftalmologi Indonesia Vol 44 No 2 (2018): 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.v44i2.166

Abstract

Introduction and Objective: A Pterygium is an elevated, superficial, external ocular mass that usually forms over the perilimbal conjungtiva and extends onto the corneal surface. A Pterygium can cause a significant alteration in visual function in advanced cases. It become inflamed, resulting in redness and ocular irritation. Pterygium excision surgery has been using many methods. There are three choices of method to attach the graft: by suturing, fibrin glue or autologous blood. The purpose of this study is to learn about the efficacy of autologous blood versus suturing conjungtival limbal graft (CLG) on pterygium excision surgery Methods: Retrospective study of 18 patients underwent Pterygium excision surgery with autologous blood gluing compared to suturing the graft. Six patients underwent CLG surgery with suturing and 12 patients were treated with autologous blood gluing. Suturing process was done with nylon 10-0 and the suture was released 7 days after surgery, whereas the graft on the patient with autologous blood CLG was placed and left there for about 10 minutes. Both groups were evaluated after day 1, 1st week, 2nd week and 1st month. Any report of irritating sensation, graft loss, and healing process were recorded thoroughly. Result: Patients with sutured CLG were complaining of uncomfortable sensation on their cornea until one week before suture was released, all grafts were attached until a month. Out of 12 patients with autologous blood CLG method, there were no complain of irritability on cornea until a week, 4 patients lost the graft on the first day, two patients grew granuloma on the second week, 10 patients start healing on the second week. Conclusion: There are still limitations to pterygium excision with autologous blood CLG compared to pterygium excision with CLG suture technique.
Comparison of Ocular Surface Cytological Appearance in Glaucoma Patient Treated with Timolol Maleat 0,5% Latanoprost 0,005% and Timolol-Latanoprost Fixed Combination Preservative Free Eye Drop Maretha Amrayni; Elsa Gustianty; Susi Heryati; Andika Prahasta; Maula Rifada; Hasrayati Agustina
Majalah Oftalmologi Indonesia Vol 44 No 2 (2018): 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.v44i2.167

Abstract

Introduction : The longterm use of topical antiglaucoma might cause ocular surface instability due to active substance or preservative used. Impression cytology examination may reveal superficial epithelial cells on conjunctiva and cornea, including goblet cells. Goblet cell density decrease is the most important parameter on evaluation of ocular surface disorder. Objective : This study was to understand ocular surface remodeling due to active substance of topical antiglaucoma with impression cytology examination among the patient prior and 3 months after therapy. Methods : This was a randomized controlled trial study with single blind masking. A total of 45 eyes from 31 patients were used as subject and distributed onto three groups treatment, which were timolol maleat 0.5%, latanoprost 0.005%, and latanoprost-timolol maleat fixed combination. All topical antiglaucoma in this study were preservative free. Result : There were differences between 3 groups in goblet cells density after 3 months therapy (p=0,030). Goblet cell density in timolol group was lower than latanoprost (p=0,041) and fixed combination (p=0,045). There was no significantly difference between 3 groups in conjunctival epithelial metaplasia degree (p=0,706) and cell to cell contact degree in corneal epithelial cells (p=0.66) after 3 months therapy. Conjunctival epithelial metaplasia degree were increased among group of timolol (p=0,008) and fixed combination (p=0,046). Conclusion : Timolol maleat 0,5% caused lower goblet cell density after 3 months therapy compare with latanoprost and fixed combination. There was no significantly difference in conjunctival epithelial metaplasia and cell to cell contact degree in corneal epithelial cells among these glaucoma treatment groups.
Pola Fikir dan Perilaku Pembelajaran Tjahjono D Gondhowiardjo
Majalah Oftalmologi Indonesia Vol 44 No 2 (2018): 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.v44i2.168

Abstract

Terdapat beberapa hal positif dalam edisi kali ini, yang terkait dengan perkembangan majalah kita bersama ini; yaitu adanya dua sumber makalah yang berbeda dari rutinitas selama ini. Makalah pertama, berasal institusi pelayanan nun jauh di ujung timur negeri kita yang tercinta ini, yang walaupun hanya berupa telaah kepustakaan, namun menampilkan bahasan perkembangan teknologi yang relatif mutahir sebagai penatalaksanaan suatu keadaan klinis yang berpotensi mempunyai prevalensi yang cukup tinggi. Namun, ironi-nya belum banyak dilaporkan oleh sejawat yang berada di kota besar atau institusi pendidikan sekalipun; hal itu mungkin disebabkan karena keterbatasan kemampuan klinis untuk mengenali gejala dan petanda, ataupun karena ketiadaan alat diagnostik. Makalah kedua, adalah laporan penanganan kasus Orbital Cellulitis, berasal dari disiplin THT, namun terkait erat dengan profesi kita dengan topik yang dapat dikatagorikan sebagai kegawatan mata, yang apabila tidak dikenali dan ditangani dengan tepat dapat menyebabkan kebutaan, atau bahkan kematian. Sejalan dengan itu, telaah kepustakaan mengenai Methanol-induced Toxic Optic Neuropathy dapat di- katagori-kan juga sebagai kegawat daruratan mata. Kedua keadaan ini, tidak jarang kita jumpai, secara tidak langsung menunjukkan rendahnya tingkat pengetahuan dan kondisi sosial masyarakat kita; dan tentunya merupakan bagian dari tugas kita dalam memberikan penyuluhan kesehatan mata. Kedua makalah ini, perlu kita pahami dan dalami dengan sebaik-baik nya, sehingga kita mampu melakukan penanganan dan tindakan dengan tepat dan cepat untuk menghindari terjadi nya kebutaan pada pasien kita. Prinsip dasar dan tujuan suatu teknologi baru adalah “lebih baik (better), lebih cepat (faster), dan lebih murah (cheaper)” dari teknologi baku yang telah digunakan selama ini. Di bidang kedokteran maka penerapan teknologi tentunya harus di dasari dengan prinsip “saver (aman, tidak merugikan pasien)”. Oleh karena itu, semakin canggih suatu teknologi, maka akan tampak semakin sederhana; namun sebagai pengguna (user) seharusnya sebelum diterapkan, kita harus terlebih dahulu memper-luas dan mendalami pengetahuan dasar dan terapan yang terkait dengan teknologi baru tsb. Sedikitnya terdapat beberapa prinsip yang harus kita sadari; suatu teknologi akan berhasil guna secara optimal bila diterapkan pada suatu sistem (techno-system) dan infra-struktur (techno-structure) yang sesuai, karena teknologi dikembangkan oleh seorang pemikir (techno-logist) sesuai dengan filosofi yang di anut-nya (techno- sophy). Pada suatu kebaharuan yang bersifat keterampilan, diperlukan pelatihan tindakan (wetlab); asistensi tindakan dan supervisi untuk memastikan keamanan tindakan dan optimalisasi hasil tindakan. Sesuai dengan tingkat kesulitan dan keamanan tindakan, maka diperlukan pengakuan keterampilan tsb (sertifikat kompetensi). Secara ilmiah, suatu evaluasi/publikasi hasil teknologi baru harus di-dasar-kan pada metodologi yang benar sehingga didapatkan kesimpulan yang sahih, dan dapat dipertanggung jawabkan....

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