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
20 Documents
Search results for
, issue
"Vol 48 No 1 (2022): Ophthalmologica Indonesiana"
:
20 Documents
clear
<![CDATA[Surgical Treatment of Bilateral Bullous Exudative Retinal Detachment Following Systemic Corticosteroid Therapy: A Case Report from Aceh ]]>
<![CDATA[Lia Meuthia Zaini]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100068
<![CDATA[Introduction: Exudative retinal detachment refers to elevation of the neural retina caused by subretinal fluid accumulation in the absence of a retinal break or significant preretinal traction. Management of exudative retinal detachment should include management of the underlying disease. When the fluid is not resolved, surgical intervention is planned after failure of conventional treatment. We demonstrated the successful surgical management of exudative bullous retinal detachment using the internal drainage technique. Case Presentation: A 45 years old man presented with complaint of blurred vision since 5 months before admission. Worsening occurred mainly after administration of high dose methylprednisolone infusion therapy. Visual acuity of the right eye was hand motion, and left eye was 1 meter finger counting. Fundus examination revealed exudative bullous retinal detachment in both eyes. Discussion: Surgery can be considered as a treatment of choice for exudative retinal detachment if medical management is unsuccessful. A complete examination to determine the cause of the disease is needed before carrying out surgery. External and internal drainage techniques have been reported to be successful in managing subretinal fluid in chronic exudative retinal detachment. We chose vitrectomy with internal drainage because large amount of dense subretinal fluid can make transscleral drainage very difficult. Conclusions: Surgical management (vitrectomy with internal drainage) can provide good results in chronic exudative retinal detachment, but should not be used as first-line therapy.]]>
<![CDATA[Usher Syndrome with Posterior Subcapsular Cataract ]]>
<![CDATA[Bramantya Surya Pratama]]>;
<![CDATA[Nadia Artha Dewi]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100122
<![CDATA[Introduction: Usher Syndrome (USH) is an autosomal recessive disorder characterized by congenital sensorineural deafness and progressive loss of vision due to retinitis pigmentosa. The aim of this report is to report rare cases of USH by perform diagnostic steps based on clinical examination and family history with expectations that if a similar case is found, an earlier diagnosis and rehabilitation can be done. Methods: Diagnosis is based on history, ophthalmology examination and ear, nose, and ear (ENT) examination. Results: A 23-year-old man came to the Ophthalmology Outpatient Department with complaints of bilateral blurred vision especially at night and visual field constriction starting 12 years ago. The patient experienced gradual vision deterioration followed by appearance of white spot in his left eye. Patient is deaf and mute since birth. Three family members of the paternal line exhibit the same symptoms. The best corrected visual acuity was right eye 6/15 and left eye hand movement. Bilateral cataract was found during eye examination. Posterior segment examination revealed peripheral bone spiculae appearance and waxy pallor optic disc in both eyes. Loss of neurosensory layer, worse in the left eye, was discovered through Optical Coherence Tomography (OCT). Humphrey perimetry of the right eye indicated tunnel vision. Examination by otorhinolaryngologist revealed a sensorineural hearing loss. In this patient, there is no management for the disorders due to the poor prognosis of visual acuity. What can be done to improve the patient's quality of life is supportive therapy. It is important to screen and educate families suffering from the same disorder for early diagnosis & rehabilitation. Conclusion: Clinical examination and family history confirm the diagnosis of USH. Early diagnosis and early rehabilitation are essential to improve patient's quality of life. In this case, no management was carried out for the cataracts because the visual acuity of both eyes did not match the cloudiness of the lens so there are possibility the visual acuity could not improve. Rehabilitations that can be done for the patients are visual and social rehabilitation to improve quality of life.]]>
<![CDATA[Management of Uveitic Glaucoma in Children with Blau syndrome ]]>
<![CDATA[Ivone Caroline]]>;
<![CDATA[Elsa Gustianty]]>;
<![CDATA[Andika Prahasta]]>;
<![CDATA[R. Maula Rifada]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100196
<![CDATA[Introduction: Glaucoma in children is a condition that potentially cause blindness. Management of uveitic glaucoma is challenging because of the many mechanisms involved in its pathogenesis Purpose: To report clinical characteristic and management of uveitic glaucoma in children with Blau Syndrome. Methods: A 13 years old boy came to the hospital with chief complain blurred vision in both eyes. The patient was diagnosed as Blau Syndrome one year ago. He had history of trabeculectomy on his left eye. Scalling skin and swollen joints was found on physical examination. Visual acuity was hand movement in both eyes, intraocular pressure was 34 (right) and 40 (left). Gonioscopy of the right eye was schwabe line in superior and peripheral anterior synechia in three quadrants. At the left eye, there was scleral spur in all quadrant. At the anterior segment of right eye, there was band keratopathy, posterior synechia 360 o , peripheral anterior synechia, and cataract. While at the left eye, there was bleb, band keratopathy, posterior synechia, peripheral iridotomy, and cataract. Trabeculectomy, 5 fluorouracil, synechiolysis, iris retractor, and membranectomy was performed for the right eye. Conclusion: Uveitic glaucoma in children poses a significant risk of blindness and needs an aggressive treatment to control intraocular pressure and amblyopia therapy to preserve vision.]]>
<![CDATA[The Comparison of Transepithelial versus Conventional Photorefractive Keratectomy: Trans vs conventional PRK ]]>
<![CDATA[Puspita Salfasari]]>;
<![CDATA[Suhardjo]]>;
<![CDATA[Indra Tri Mahayana]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100230
<![CDATA[Introduction : Photorefractive keratectomy (PRK) is the first choice in treating myopia for eyes with mildly irregular and/or thin corneas because it preserves corneal integrity. A laser-assisted method for epithelial removal, termed Transepithelial PRK (T-PRK), was introduced as an alternative to conventional PRK, which gives a smoother corneal surface than that achieved with mechanical ablation of the epithelium in conventional PRK. Objective: To compare emmetropization between patients treated with T-PRK and conventional PRK. Methods: This study was an observative comparative analytic study with case-control study design. Myopic eyes treated by T-PRK (study group) were compared with variable-adjusted eyes treated by conventional PRK (control group), from year 2015-2018 at Dr.YAP Eye Hospital Yogyakarta. Patients were divided into 3 groups based on the degree on myopia; mild (spherical minus 0-3D), moderate (4-6D), and severe (>7D). Emmetropization within 1 month follow-up and treatment time were analyzed. Results: In all of the cases reviewed, the total percentage of patients treated with T-PRK who reached emmetropization within 1 month follow-up was 21.51% (17/79 eyes), with 33.34% (9/27 eyes) in mild, 28.57% (6/21 eyes) in moderate, and 6.45% (2/31 eyes) in severe myopia group; compared to the control group which was 22.78% (18/79 eyes) (p=0.848), with 48.14% (13/27 eyes) in mild, 15% (3/20 eyes) in moderate, and 6.25% (2/32 eyes) in severe myopia group. Treatment time in the study group was relatively faster compared to the control group. Conclusions: The study group showed slightly better result in treating moderate myopia within 1 month follow-up. Treatment time was relatively faster compared to the control group.]]>
<![CDATA[Comparison of Surgically Induced Astigmatism L-Shaped vs Straight Incisions in Manual Small Incision Cataract Surgery ]]>
<![CDATA[Rohini Choudhary]]>;
<![CDATA[Uzma Choudhary]]>;
<![CDATA[Ashish Sawhney Sawhney]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100254
<![CDATA[Aims and objective: To compare surgically induced astigmatism(SIA) in L-shaped vs straight incision in manual small incision cataract surgery(SICS). Material method: 60 patients aged 35 years and above with uncomplicated cataract with nuclear sclerosis of any grade were included in the study who were divided into 2 groups randomly. 30 patients underwent SICS with straight scleral incision and 30 with L-shaped incision. Data was analyzed using SPSS version 15.0 statistical analysis and calculations were performed using SIA calculator version 2.1. Results: The SIA (surgically induced astigmatism) was 1.14 ± 0.44D, 0.81 ± 0.40D, 0.61 ± 0.33 D on 1st post-operative day, 4 weeks and 6 weeks respectively in straight incision group and the SIA was 0.79 ± 0.36D, 0.33 ± 0.31D, 0.15 ± 0.18D on 1st post-operative day, 4 weeks and 6 weeks respectively in L-shaped incision group. Conclusion: L-shaped incision technique induces less amount of SIA as compared to straight incision and the difference is statistically significant. Also, L-shaped incision maintains better anterior chamber stability and leads to early visual rehabilitation. In poor and developing countries where still majority of cases are being operated by manual SICS, achieving emmetropia or minimal refractive errors should be the goal. ]]>
<![CDATA[CLINICAL FINDINGS AND MANAGEMENT OF ANGLE RECESSION GLAUCOMA: A CASE REPORT ]]>
<![CDATA[Madona Debora]]>;
<![CDATA[Maulida Rifada]]>;
<![CDATA[Andika Prahasta]]>;
<![CDATA[Elsa Gustianty]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100255
<![CDATA[Introduction: Angle recession is a common finding after blunt trauma and involves a tear between the longitudinal and circular fibers of ciliary body. The incidence of angle recession was 24.3%. It may occur months to years after ocular trauma. Purpose: To report clinical findings and management of a patient with angle recession glaucoma. Case report: A 51 years old female came with chief complaint of blurry vision of left eye since five months earlier. There was a history of trauma in left eye 26 years ago. She had been treated with antiglaucoma medication by an ophthalmologist. Visual acuity of right eye was 1.0 and left eye was light perception. Applanation Tonometer Goldmann of left eye was 42 mmHg. Slit lamp examination revealed traumatic iritis and lens opacity. Gonioscopy revealed widening of ciliary body band in three quadrants. Funduscopy showed cup/disc ratio enlargement and RNFL thinning. This patient was diagnosed as angle recession glaucoma with traumatic iritis and traumatic cataract. Combined phacoemulsification-trabeculectomy with intraocular lens implantation was performed. One month after surgery, intraocular pressure decreased with improvement of visual acuity. Conclusion: Classically clinical findings of angle recession glaucoma were unilateral glaucoma with history of trauma and widening of ciliary body band. Surgery is needed in uncontrolled intraocular pressure with medication. Combined phacoemulsification-trabeculectomy decreases intraocular pressure as well as improves visual acuity.]]>
<![CDATA[Importance of Early Detection of Acute Angle Closure Glaucoma: A Case Report ]]>
<![CDATA[Lazuardiah Anandi]]>;
<![CDATA[Sarah Yasmin Ramadhanti]]>;
<![CDATA[Muhammad Yoserizal]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100263
<![CDATA[Background: Acute Angle Closure Glaucoma is an ocular emergency that caused by a rapid increase in intraocular pressure due to outflow obstruction of aqueous humor. This condition can result visual losses that is irreversible so that early detection with the right diagnosis by general practitioner or ophthalmologist is vital to minimize the risk of permanent damage. We report the case of a patient who gained significant improvement after glaucoma surgery immediately after diagnosed with acute angle closure glaucoma in the ER. Case Presentation; A 53-year old female was presented with a chief complaint of throbbing pain and redness on both eyes (left eye (LE) at first, followed by right eye (RE)) for 3 days. She also had blurred vision, headache, and was unable to sleep due to the pain. Her presenting visual acuity (VA) was 20/80 in the RE and hand movements in the LE, with measured intraocular pressure (IOP) was 65 mmHg in the RE and 63 mmHg in the LE. After diagnosed with acute angle closure glaucoma and senile nuclear cataract on both eyes, a series of peripheral iridotomy laser followed with trabeculectomy was performed. Four weeks after the surgery, her VA is improved to 6/6 with corrected refraction and IOP is successfully lowered to 10mmHg on both eyes. Slit-lamp examination also showed an improvement of anterior chamber depth now that it is deep. Conclusion: Although degeneration of optic nerve due to glaucoma is deemed irreversible, our patient showed a significant improvement in visual function following surgery. Early detection and early intervention with surgery might play an important role in acute closure angle glaucoma to prevent further optic nerves damage and deterioration of visual function.]]>
<![CDATA[Changes in Pattern and Multifocal Electroretinogram in Tuberculosis Patient with Ethambutol Therapy ]]>
<![CDATA[Syntia Nusanti]]>;
<![CDATA[Budiman Bintang Prakoso]]>;
<![CDATA[Muhamad Sidik]]>;
<![CDATA[Erlina Burhan]]>;
<![CDATA[Aria Kekalih]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100315
<![CDATA[Introduction: Tuberculosis (TB) is a world health problem, especially in Indonesia as the third biggest country for new emerging TB patients. Ethambutol is one of the standard therapies to treat TB patients in Indonesia. Ethambutol has a side effect called ethambutol optic neuropathy which is hard to diagnose due to normal fundus appearance in most cases and therefore often detected late. Early detection is necessary so that permanent damage can be prevented. Examination pattern electroretinography (pERG) and multifocal electroretinography (mfERG) have the advantage to detect and confirm ocular toxicity by ethambutol after the clinical problem had emerged. It is not yet known neither pERG nor mfERG could detect any changes to detect ethambutol ocular toxicity before the clinical problem emerged. Methods: This study was a prospective clinical trial with 40 eyes samples and analyzed with paired t and Wilcoxon tests. The ocular examination was conducted using the Snellen chart, HRR Richmond Plates, Pelli Robson, pERG, and mfERG in tuberculosis category 1 patient with 2 months follow-up. Result: Visual acuity, color, and contrast sensitivity were normal in all patients for 2 months follow-up period. In pERG examination, the mean implicit time wave P50 was shortened by -1.27± 4.71 mS (p=0.049), and the mean amplitude wave N95 was reduced by -0.93± 4.49 ?V (p=0.038). Both were statistically significant. In the mfERG examination, we did not find any statistically significant changes in both wave N1 and P1. Conclusion: Changes in pattern ERG presented earlier compared to mfERG after ethambutol therapy for 2 months.]]>
<![CDATA[Characteristic of Secondary Intraocular Lens Implantation in Aphakic Children in Cicendo National Eye Hospital ]]>
<![CDATA[Lina Sudaryo]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100318
<![CDATA[Background: Pediatric cataract is responsible for 200.000 of preventable blindness in children. Early cataract extraction and correction after the lens removal is critical. Secondary intraocular (IOL) implantation might be considered when the child is intolerant to contact lenses/spectacle wear. Only a few study has been done regarding secondary IOL implantation in aphakic children. Objective: This study was aimed to describe the characteristic of secondary IOL implantation in aphakic children in Cicendo National Eye Hospital. Methods: This retrospective observational study took samples from medical records of patients who underwent secondary IOL implantation in 2016 – 2020 in Cicendo National Eye Hospital. Results: Fifty nine eyes of forty pediatric patients underwent secondary IOL implantation surgery between 2016 – 2020. Two patients were excluded. From the 38 patients, 56 eyes were observed. Total of 20 patients were boys (52.6%) and 71.1% cases were bilateral cataract with congenital cataract as the main initial diagnosis (47.4%). Mean age of secondary IOL implantation was 71 ± 35 (20–201) months. Mean duration between cataract surgery and secondary IOL implantation was 51 ± 36 (2 – 189) months . Total of 80.4% of the IOL were fixated in the sulcus. Only 25% remained present for more than 12 months follow up and 65.8% of patients were corrected with bifocal spectacles. Conclusion: Secondary IOL implantation in aphakic children were mostly done in the age of six years old. Most of the IOL were fixated in the sulcus. Patients were mostly given bifocal spectacles.]]>
<![CDATA[The Utility of Ocular Imaging in Traumatic Optic Nerve Avulsion: A Case Report ]]>
<![CDATA[ikhwanuliman Putera]]>;
<![CDATA[Syntia Nusanti]]>;
<![CDATA[Nur Aisyah Rahmawati]]>;
<![CDATA[Annisa Nindiana Pertiwi]]>;
<![CDATA[Mario Marbungaran Hutapea]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 48 No 1 (2022): 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.v48i1.100365
<![CDATA[Objective: To describe a detailed presentation and the utility of ocular imaging, both ocular ultrasound and orbital computed tomography (CT), to confirm the diagnosis of traumatic ONA in which megadose steroid would give no advantage. Case Presentation: A five-year-old boy came with a unilateral sudden visual loss after incidentally falling with his left eye struck to a handlebar of a parked bicycle. His left eye had no light perception, ophthalmoplegia, and showing 4+ relative afferent pupillary defect. A hallmark "pit" sign and a pale retina without a tear were noted. B-scan ocular ultrasound displayed retinal step sign, vitreous hemorrhage in front of the optic canal, lamina cribrosa defect, edematous retina, and retracted optic nerve. Orbital computed tomography scan showed a disruption of the optic nerve-globe junction. Steroid infusion was decided not to be given. Conclusion: Ocular imaging, especially ultrasound, along with a thorough examination, is satisfactorily adequate to confirm the diagnosis of traumatic ONA.]]>
