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.
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<![CDATA[Posner-Schlossman Syndrome (Glaucomatocyclitic Crisis) A 5-Year Review ]]>
<![CDATA[Emma Rusmayani]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100158
<![CDATA[Background: Posner-Schlossman syndrome (PSS) or glaucomatocyclitic crisis is a rare condition with self-limited unilateral recurrent episodes of elevated intraocular pressure (IOP) and mild anterior chamber inflammation in which diagnosis can be challenging. We reviewed our 5-year experience with PSS to give a brief picture of the natural characteristic of the disease. Methods: We investigated 56 eyes from 52 patients (24 males and 28 females; both eyes for 2 males and 2 females) diagnosed with PSS during the years 2012-2017 in the Jakarta Eye Center Menteng and Kedoya. Data were collected on age, gender, visual acuity, episode of attacks, drugs regimen, IOP during attacks and after surgery or treatment in the latest follow up. Results: The mean age of the 52 patients was 48.13 years-old (range, 18–82 years). The mean intraocular pressure (IOP) of initial record for all 56 eyes was 37.63 mmHg (ranged from 10-65 mmHg). The mean visual acuity during attacks was 0.87 LogMAR and mean episode of attacks was 2.41 times, with 41% of the cases were their first time onset. Medical treatment was efficacious for 39 patients (69.62 %). Eight patients (14.82 %) underwent a surgical treatment and all had normal IOP afterwards. Conclusions: PSS was found more in middle-aged patients. PSS tend to be the typical self-limiting and response well to medical treatment. However, the episodic and recurrent nature of PSS should be a concern. Therefore, patients with PSS must have regular evaluation of visual acuity, visual fields and IOP.]]>
<![CDATA[Characteristic of Postoperative Visual Acuity and Complications of Surgical Procedure on Posterior Polar Cataract Patients at Cicendo Eye Hospital National Eye Center ]]>
<![CDATA[Rani Pitta]]>;
<![CDATA[Andrew Knoch]]>;
<![CDATA[Budiman]]>;
<![CDATA[Emma Sugiarti]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100159
<![CDATA[Introduction: Posterior polar cataract is a rare form of cataract with incidence from 3 to 5 in 1000. It is bilateral in 65–80% of the cases with no gender predilection. Posterior polar cataract presents a special challenge to the surgeon because of its predisposition to posterior capsular dehiscence and possible nucleus drop during surgery. Purpose: The study aims to evaluate the visual outcome and complication of cataract surgery in patients with posterior polar cataract.Material and Methods: This is an observational study. Data were collected from the medical records within period of January 2016 – December 2018 in National Eye Center Cicendo Eye Hospital and reviewed retrospectively. Subjects in this study are patients with posterior polar cataract who underwent cataract surgery. The outcomes included visual acuity on the fourth week after surgery and complications during cataract surgery. Results: There were 50 eyes of 37 patients included in the study. The mean age was 55.22±13.86 years. Best corrected visual acuity outcomes (BCVA) were 6/6-6/18 in 48 eyes (96%) after surgery. Complications during surgery were found in 7 eyes (14%), which was posterior capsular rupture with vitreous prolapse. Complications during phacoemulsification technique in 6 patients and 1 patient had SICS. Conclusion: Posterior polar cataracts are surgical challenge. In our study, cataract surgery in posterior polar cataract leads to good visual outcome. Appropriate treatment in patients with complications yielding good outcome.]]>
<![CDATA[Karakteristik dan Penatalaksanaan Katarak Anak di Pusat Mata Nasional Rumah Sakit Mata Cicendo Januari 2017 – Desember 2019 ]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100160
<![CDATA[Pendahuluan: Katarak anak merupakan penyebab utama kebutaan yang dapat dicegah pada seluruh anak didunia. Pengetahuan yang komprehensif mengenai karakteristik klinis dan penatalaksanaannya sangat penting dalam menentukan penanganan yang optimal dari katarak anak tersebut untuk mencegah kerusakan gangguan penglihatan yang lebih lanjut. Tujuan: Untuk mempelajari karakteristik klinis dan pentalaksanaan katarak anak di Pusat Mata Nasional RS. Cicendo periode Januari 2017 – Desember 2019.Metode: Pengambilan data dilakukan secara retrospektif dari rekam medis pasien dengan katarak anak yang dilakukan operasi di Pusat Mata Nasional RS. Cicendo periode Januari 2017 – Desember 2019. Hasil: Total terdapat 224 kasus katarak anak dalam penelitian ini, yang dibagi menjadi katarak kongenital (94,64%) dan katarak developmental (5,36%). Usia terbanyak yaitu kurang dari 2 tahun (59,38%). Jenis kelamin terbanyak yaitu laki-laki (54,02%) dengan katarak bilateral (72,77%). Nistagmus didapatkan pada (67.86%) dan mikrofthalmia (14.21%). Kondisi sistemik penyerta dapat ditemukan pada 68,30% pasien, terbanyak yaitu sindrom kongenital rubella (94,13%). Jenis katarak terbanyak yaitu katarak membranosa (35.14%). Tindakan operasi katarak yang paling sering dilakukan yaitu kombinasi antara aspirasi - irigasi, kapsulotomi posterior primer dan vitrektomi anterior (45,48%). Kesimpulan: Katarak anak paling sering ditemukan pada anak laki-laki usia kurang dari 2 tahun. Mayoritas katarak tersebut adalah bilateral dan jenis terbanyak adalah membranosa. Teknik operasi katarak yang paling sering dilakukan yaitu kombinasi antara aspirasi - irigasi, kapsulotomi posterior primer dan vitrektomi anterior.]]>
<![CDATA[A Five-Year Study of Cicatricial Entropion at Kirana Eye Hospital: Clinical Characteristics and Surgical Outcomes ]]>
<![CDATA[Yunia Irawati]]>;
<![CDATA[Bachtiar Wicaksono]]>;
<![CDATA[Carennia Paramita]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100161
<![CDATA[Purpose: Cicatricial entropion is an inward turning of eyelid margin caused by scarring tissue of the posterior lamella. The chronic damage of cicatricial entropion can irritate the ocular surface and harm the cornea. Proper reconstructive surgery techniques are needed to prevent further damage and visual impairment. This retrospective study was done to evaluate the clinical characteristics of cicatricial entropion and surgical outcomes to repair entropion at Kirana Eye Hospital, dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Methods: Records of all patients with cicatricial entropion who underwent surgical repair between January 2012 and December 2017 were reviewed retrospectively. Variables include basic and clinical characteristics, and surgical outcomes were recorded and analysed. Results: A hundred and twenty-two eyelids from 79 patients were included. Of those patients, 57% were female with mean age 51.4 years old. The laterality tendency is bilateral in 43 patients (54.4%). The most common initial complaints were foreign body sensation (35.4%). Cicatricial entropion is most commonly found on the upper eyelid (97.5%) with moderate severity. The majority of etiology is unknown but referred to chronic ocular surface inflammation in 51 eyelids (64.6%). Combined procedures were performed in most of the eyelids (79.5%). Conclusion: It is imperative that combined procedures be carried out in a moderate-severe degree cicatricial entropion. In our current study, recurrence mostly happen in patients suffering from Stevens-Johnson syndrome.]]>
<![CDATA[A Five-Year Data in Descriptive Study of Systemic and Ocular Risk Factors of Non-arteritic Anterior Ischemic Optic Neuropathy (NAION) and The Correlation to The Clinical Condition ]]>
<![CDATA[Syntia Nusanti]]>;
<![CDATA[M. Sidik]]>;
<![CDATA[Andhika Rachman]]>;
<![CDATA[Miratasya Zulkarnaen]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100162
<![CDATA[Purpose: To acknowledge the demographic, clinical characteristic and the systemic and ocular risk factors in patients with Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) in 2012-2017 in Cipto Mangunkusumo Hospital. Methods: Retrospective descriptive study using the medical record data of 272 patients with NAION in the past 5 years (2012-2017). Results: In the past 5 years, most of the patient’s initial visit visual acuity was <3/60, most patient had 2-3 systemic risk factors, the most frequent risk factors were hypertension (73.9%), obesity(63.5.%), diabetes mellitus (54.6%), smoking habit (54.5%), dyslipidaemia (46%), hypercoagulable state (19%), history of cardiovascular disease (10.3%) and stroke (7.2%). The risk factors were similar in age range ? 50 or bellow. Based on the initial visit time, most of the patient came to CM hospital in average 15.16 (SD±38.3) weeks. Conclusion: This descriptive study showed classic demographic characteristic of NAION cases. Obesity as the second highest probable risk factor is rarely mention in the other studies. Should future detailed studies be done]]>
<![CDATA[Surgical Outcomes of Correction of Upper Eyelid Retraction in Thyroid Eye Disease ]]>
<![CDATA[Veda Charissa]]>;
<![CDATA[Hernawita Suharko]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100163
<![CDATA[Purpose: to evaluate the outcome of anterior blepharotomy in correcting eyelid retraction in patients with Thyroid Eye Disease (TED). Methods: Literature search was conducted from MEDLINE database through PubMed, Google scholar and ClinicalKey. Outcomes included margin-reflex distance, palpebral fissure height, and upper eyelid margin-superior limbus distance. Results: Sixteen articles were reviewed with a mean follow-up time in the studies varied, ranging from 6 to 61 months. The preoperative and postoperative mean MRDs varied. Although there were different success criteria, success rate for full thickness blepharotomy ranged from 59-93%, comparable with levator recession. The complication rates in 14 studies were less than 20%. Conclusion: Full thickness anterior blepharotomy and Müller muscle and levator recession, are safe and effective in correcting upper eyelid retraction in patients with TED. The anterior blepharotomy is a relatively quick and simple procedure.]]>
<![CDATA[Optical Iridectomy as An Alternative Clear Visual Axis for Peters Anomaly ]]>
<![CDATA[Laura Agnestasia]]>;
<![CDATA[Julie Dewi i Barliana]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100164
<![CDATA[Introduction and objective: Peters anomaly is a rare congenital disease presented with central leukoma, iridocorneal adhesion, and with or without a cataractous lens. The presence of central leukoma will block the visual axis and lead to a disruption in normal visual development. Therefore, optical iridectomy, which can overcome the high incidence of graft failure in penetrating keratoplasty (PK), has been proposed as the alternative treatment to clear the visual axis. This study aims to show the outcome of optical iridectomy in patients with Peters’ anomaly. Method: Systematic literature searched in Pubmed, Google Scholar, and Cochrane from their inception to August 2020 was conducted using keywords “iridectomy” and “Peters’ anomaly”. Full- text articles in English that report the outcome of iridectomy in Peters’ anomaly were included, and a manual review of article bibliographies was done. Outcome measures were analyzed using the following clinical questions: indication, age, visual acuity (VA), and intraocular pressure (IOP). Result: One case series and two case reports demonstrating the use of optical iridectomy in Peters anomaly were identified. In total, 26 patients aged one week to 7.7 years received optical iridectomy to establish a clear visual axis. All studies showed an improvement in visual acuity through clinical findings, and one of the studies showed a better postoperative VA in bilateral cases. Studies showed good control of IOP. Conclusion: Optical iridectomy can be used as a safe procedure to improve visual acuity in Peters anomaly patient.]]>
<![CDATA[Pemeriksaan SD-OCT Pada Bidang Neuro-oftalmologi ]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100165
<![CDATA[Neuro-oftalmologi merupakan subdivisi luas yang befokus pada hubungan kelainan neurologis dengan kelainan mata. Modalitas diagnostik pada bidang ini mencakup anamnesa yang mendalam, pemeriksaan klinis, dan pemeriksaan penunjang yang lengkap. Optical coherence tomography (OCT) merupakan salah satu modalitas penunjang yang berkembang pesat dan banyak membantu diagnosis dan terapi dalam bidang oftalmologi. Teknologi terbaru dari OCT adalah Spectral Domain OCT (SD-OCT) yang mempunyai resolusi 2-3 kali lebih jelas dan kecepatan scanning 60-110 kali lebih cepat dibanding pendahulunya berupa Time Domain OCT (TD-OCT), menghadirkan scanning yang lebih menyeluruh dan menghasilkan gambaran 3 dimensi yang hampir mendekati gambaran histologis dari tiap lapisan. SD-OCT merupakan modalitas esensial untuk mengevaluasi keutuhan neuron, mengevaluasi progresifitas penyakit dan memprediksi perbaikan visus pasca operasi pada compressive optic neuropathy, menjadikan SD-OCT mempunyai potensi besar untuk membantu penegakan diagnosis dan terapi dari berbagai macam penyakit di bidang neuro-oftalmologi.]]>
<![CDATA[Satisfied Result of Modified Knapp Procedure for A Rare Case of Isolated Superior Rectus Muscle Rupture ]]>
<![CDATA[Gusti Guardana]]>;
<![CDATA[Lasmida Ruth Simatupang]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v47i1.100166
<![CDATA[Purpose: To report a successful management of strabismus after isolated superior rectus muscle rupture with modified Knapp procedure. Case Description: A 23-year-old patient with chief complain of having double vision since 6 days. He had history of falling and his right eye hit the floor. After that, he had double vision and his right eye could not move normally to the right and up gaze. Ophthalmology examination of right eye, uncorrected visual acuity was 6/12 and not improved with pinhole. He had 15 PD esotropia and right hypotropia on Hirschberg test. Right eye movement was restricted to to lateral, superotemporal and superonasal (-3 on abduction and elevation). The superior rectus muscle was barely visible at superior part of orbit. However, Computed Tomography scan showed there was not any enlargement of the extra ocular muscles. He had exploration surgery and intraoperatively the superior rectus muscle could not be identified. Surgeon decided to do modified Knapp procedure. On the third week and second month of follow up, patient did not have any complain of diplopia and no vertical and horizontal deviation. Conclusion: Isolated superior rectus muscle rupture is a rare case. A thorough patient’s history, ophthalmology and imaging technique are needed to establish the etiology. Modified Knapp procedure gave a satisfied result in this case to treat the esotropia and hypotropia.]]>
