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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 15 Documents
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Search results for , issue "Vol 46 No 2 (2020): Ophthalmologica Indonesiana" : 15 Documents clear
Accuracy of Immersion Biometry for Cataract Surgery in Refraction Division Cipto Mangunkusumo Hospital 2013-2014 Damara Andalia; Yudisianil E. Kamal
Majalah Oftalmologi Indonesia Vol 46 No 2 (2020): 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.v46i2.100094

Abstract

Introduction and Objective : With the improvement in surgical techniques, accurate preoperative intraocular lens (IOL) power calculations in cataract surgery are fundamental to achieving the desired refractive outcomes. To determine IOL power, biometry data are necessary in estimating of the postoperative effective lens position. Currently there are 3 techniques in biometry examination; optical, applanation, and immersion. In Cipto Mangunkusumo Hospital immersion technique was most often used. The aim of this study is to determine the accuracy of IOL calculations in eyes undergoing phacoemulsification cataract surgery with IOL implantation using immersion A-scan ultrasound biometry and evaluating the most influencing factors in biometry. Methods : Review retrospectively medical records of patients having phacoemulsification with in-the- bag IOL implantation measured in ultrasound immersion biometry, determining AL, average K, ACD, lens thickness IOL power calculations with the SRK/T formulas, and postoperative predictability of the device. Demographic characteristic, refractive outcomes, and correlation between variable were evaluated. Results : Five hundred and six patients were evaluated. The accuracy of immersion ultrasound biometry in this study was 82% in range of <0.25D. The estimation refractive outcome had positive correlation with sphrerical equivalent post operatively. ACD was shown to be the most significant variable in predicting the accuracy of biometry. Conclusion : The realibility of physician for doing and interpreting immersion ultrasound biometry has reached the ideal result in this study. A comprehensive learning with continuing education and training is essential for biometry’s operator, to ensure the accuracy of post-operative result in cataract surgery.
Efficacy and Safety Outcome Comparison of Endoresection and Proton Beam Therapy as Primary Treatment for Choroidal Melanoma Denisa Anggi Kurnia; Neni Anggraini
Majalah Oftalmologi Indonesia Vol 46 No 2 (2020): 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.v46i2.100095

Abstract

Objective: To evaluate and compare the efficacy and safety between endoresection and proton beam radiotherapy, as primary treatment in choroidal melanoma.Methods: Articles that were published from 2008 to 2018 were collected from multiple sources including Pubmed, Clinical Key, and Ophthalmology Advance. All study that comply with the inclusion and exclusion criteria were categorized based on level of evidence Oxford Center for Evidence-based Medicine Levels of Evidence. Primary outcome is secondary enucleation. Secondary outcomes are metastasis, recurrence, death, visual outcomes, and complication. Result: Twelve articles were eligible to be reviewed. Mean secondary enucleation, metastasis, and death rate is lower in endoresection group (6.29% vs 12.94%; 8.00% vs 20.85%; 6.86% vs 20.43) while recurrence rate is lower in proton beam group (4.78% vs 6.86%). The most common complication that observed is retinal detachment. Other complications that were reported includes cataract formation, radiation retinopathy, neovascular glaucoma, vitreous hemorrhage, elevated intraocular pressure (IOP), iris neovascularization, and optic neuropathy. Conclusion: Endoresection as primary treatment for choroidal melanoma shows better efficacy compared to proton beam therapy, regarding the ability to preserve the eyeball. The safety between endoresection and proton beam therapy, both therapy shows similar result.
Prediction Errors and Accuracy of Intraocular Lens (IOL) Calculation Formulas in Pediatric Eyes Fitri Muslim; Julie Dewi Barliana
Majalah Oftalmologi Indonesia Vol 46 No 2 (2020): 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.v46i2.100096

Abstract

Background: Acquiring an accurate intraocular (IOL) power in children undergoing cataract surgery is challenging. Different IOL calculation formulas in children have been previously studied to achieve a precise prediction of the IOL power. Larger errors in IOL formula predictions have shown in several studies on children as future growth of the eye affects the keratometry readings and axial length. Prediction error (PE) and absolute prediction error (APE) can be effective indicators in assessing the accuracy of IOL power calculation formulas. Therefore, this review aims to investigate the accuracy of IOL power calculation formulas in pediatric eyes by measuring PE and/or APE value. Methods: A comprehensive search was conducted from various electronic databases (Pubmed, Clinical Key, and Ophthalmology Advance) using relevant search terms. Included studies were screened using predefined inclusion and exclusion criteria to identify comparative studies comparing the accuracy of IOL calculation formulas in pediatric patients. Result: Ten studies including 964 eyes were identified to compare different IOL formulas: Hoffer Q, SRK/T, SRK II, Holladay 1, and Holladay 2. Smaller prediction error is related to better postoperative refraction. Among included studies, Holladay 2 had the smallest mean prediction errors (PE), while SRK/T formula was the best formula of all included studies in pediatric patients as it had the smallest mean absolute prediction errors (APE). Hoffer Q also had the smallest mean APEs in shorter eyes (axial length <22 mm). Conclusion: This study demonstrates that none of the established formulas found to be more superior than any other formulas in predicting IOL power in children. Biometry examination in patients with less than one year of age tends to show a lower accuracy.
Aspek Klinis Pasien Endoftalmitis Akut Post Operatif Katarak di RSUD Dr. Saiful Anwar Malang Ferriya Sri Agustin; Ovi Sofia; Mirza Metita
Majalah Oftalmologi Indonesia Vol 46 No 2 (2020): 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.v46i2.100097

Abstract

Tujuan : Untuk melaporkan aspek klinis, terapi, hasil terapi dan insiden dari endoftalmitis akut pasca operatif katarak di RSUD Dr. Saiful Anwar, Malang.Metode : Penelitian deskriptif analitik retrospektif yang menggunakan rekam medik dengan diagnosis endoftalmitis akut pasca operatif dari Januari 2015 - Desember 2018 di RSUD Dr. Saiful Anwar. Kami mencatat kasus endoftalmitis pasca operasi katarak yang terjadi dalam 6 minggu setelah operasi. Data yang dikumpulkan meliputi demografi, temuan klinis, hasil mikrobiologi, terapi dan komplikasi. Hasil : Didapatkan 31 kasus endoftalmitis akut pasca operatif, dimana 29 kasus merupakan rujukan. Dua puluh dua kasus pasca fakoemulsifikasi, 5 kasus pasca extra capsular cataract extraction dan 4 kasus pasca small incision cataract surgery. Lebih dari 50 % pasien adalah laki-laki (58,06 % ), berusia 61-70 tahun (38,7%) dan terjadi pada minggu pertama pasca operasi (45,2%). Penyakit penyerta meliputi diabetes mellitus (41,9%) dan hipertensi (32,3%).Terapi diberikan sesuai protokol Endophthalmitis Vitrectomy Study, diantaranya injeksi antibiotik intravitreal, vitrektomi, antibiotik sistemik dan topikal, kortikosteroid sistemik dan topikal. Didapatkan perbedaan signifikan antara visus sebelum dan setelah terapi (p=0.038), namun tidak didapatkan perbedaan antar kelompok terapi. Pada 9 kasus terjadi komplikasi, 2 diantaranya dilakukan eviserasi oleh karena perforasi kornea. Kesimpulan : Sebagian besar kasus endoftalmitis akut pasca operatif terjadi setelah fakoemulsifikasi, pada laki-laki, usia 61-70 tahun dan terjadi pada minggu pertama pasca operasi. Organisme terbanyak yang teridentifikasi adalah bakteri gram positif. Didapatkan perbaikan visus yang signifikan dengan pemberian terapi.
Resolusi Neuroretinitis dengan Terapi Ciprofloxacin Muhammad Syauqie
Majalah Oftalmologi Indonesia Vol 46 No 2 (2020): 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.v46i2.100098

Abstract

Pendahuluan : Neuroretinitis merupakan suatu sindrom klinis yang ditandai dengan penurunan visus unilateral akut dengan makulopati eksudatif berupa hard exudates yang tersusun dalam pola bintang di sekitar fovea. Pada artikel ini, penulis mempresentasikan suatu kasus neuroretinitis yang memperlihatkan outcome yang baik setelah pemberian terapi ciprofloxacin. Presentasi kasus : Seorang pasien perempuan, umur 18 tahun, datang dengan keluhan utama berupa penglihatan mata kiri kabur. Visus mata kiri saat presentasi awal yaitu 1/300 dan pada funduskopi hanya didapatkan edema papil nervus optik disertai perdarahan peripapil. Pasien diberikan metilprednisolon intravena secara intravena selama 3 hari namun tidak didapatkan perbaikan gejala klinis. Pada follow up hari keempat, muncul gambaran macular star pada funduskopi yang khas untuk neuroretinitis dan diberikan terapi ciprofloxacin. Setelah pemberian ciprofloxacin selama 2 minggu didapatkan perbaikan visus menjadi 5/60 dengan visus akhir pada follow up bulan ketiga menjadi 6/12. Kesimpulan : Meskipun neuroretinitis bersifat self-limited tapi pada kasus ini pemberian ciprofloxacin mempercepat perbaikan visus dan resolusi dari edema papil nervus optik dan makula. Tiga bulan pasca presentasi awal juga tidak menunjukkan adanya sekuele berupa gangguan penglihatan warna atau penurunan sensitivitas kontras.

Page 2 of 2 | Total Record : 15

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