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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 13 Documents
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Search results for , issue "Vol 49 No 1 (2023): Ophthalmologica Indonesiana" : 13 Documents clear
AUROLAB AQUEOUS DRAINAGE IMPLANT IN YOUNG ADULT WITH NEOVASCULAR GLAUCOMA AND TUBERCULOSIS HISTORY: A CASE REPORT Barii Hafidh Pramono; Masitha Dewi Sari; Aslim D. Sihotang
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100170

Abstract

Introduction: Neovascular glaucoma (NVG) is historically known as rubeotic glaucoma, from “rubeosis iridis” that refers to the iris neovascularization. One of several causes that lead to rubeosis iridis is changes in Pigment Epithelium-Derived Growth Factor (PEDF) that may be caused by Mycobacterium tuberculosis. The influence of NVG may cause intraocular pressure (IOP) to rise rapidly. It can be decreased by Aurolab Aqueous Drainage Implant (AADI). Case Report: A 34-year-old male complained of left eye pain and sudden decreased vision for the past 2 months. He had been diagnosed with tuberculosis since 8 months ago. The patient’s blood pressure, blood sugar, cholesterol, and triglycerides were within normal limit. Diabetes Mellitus (-). Human Immunodeficiency Virus (-). Visual acuity of left eye was hand movement. The pupil was dilated and non-reactive, anterior chamber depth is shallow, and rubeosis iridis (+). IOP is 60 mmHg. Medical management was failed to decrease the IOP. Funduscopy image showed cup-disc ratio was 0,7. Ganglion cell complex parameters showed 80,91. On the next day after AADI implantation surgery, the patient’s left eye IOP was reduced to 10 mmHg. On the 14th day post operative visual acuity was 2 meter counting finger. The anterior segment of the conjunctiva bulbi was hyperemic and conjunctival injection was reduced. The camera oculi anterior showed remainder of the implant. In the iris, rubeosis iridis disappeared, pupil was dilated, IOP was increased to 12 mmHg Discussion: Neovascular glaucoma was caused by the growth of the fibrovascular membrane on the surface of the iris and the anterior chamber angle. The three most common causes of neovascular glaucoma were diabetes mellitus, central retinal vein occlusion, and carotid artery occlusion. Conclusion:AADI is a safe and effective option for patients with neovascular glaucoma following tuberculosis.
Prospective Comparative Study on Endothelial Corneal Cell After Cataract Surgery Using Torsional vs Longitudinal Phacoemulsification Precisza Fanny Faranita; Wisnu Sadasih; A. Rizal Fanany; Maharani Maharani
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100403

Abstract

Objectives: Our aim was to compare endothelial corneal cell changes after cataract surgery performed with Torsional and Longitudinal phacoemulsification in patient with senile cataract. Methods: In this prospective study, the patients were divided into two groups, 24 eyes underwent cataract surgery using Torsional (OZil Infiniti Vision System, Alcon) and 23 eyes using Longitudinal phacoemulsification (Stelaris, Bausch & Lomb). Preoperative, 1 day, and 1-week post-operative examinations on endothelial corneal cells were performed using specular microscope. Cataracts were subdivided according to the LOCS III grading of nucleus. Intraoperative parameters using phacoemulsification time were evaluated. Results: On the results of CCT at 1 day and 1-week post-operative, there were significant changes in group Torsional and Longitudinal 601±68.67; 562.22±45.48 (p=0.033) and 561,71±36,37; 519.52±79.93 (p = 0.015). However, there were no significant changes of CD, CV, HEX 1 day and 1 week post operatively between two groups. The phacoemulsification time was lower in group Torsional 17.11±15.86 seconds than group Longitudinal 18.53±15.46 seconds (p=0.595) but not significantly different. Conclusions: Torsional phacoemulsification outperforms the Longitudinal with a lower phacoemulsification time on soft and medium cataracts, but the differences were not significant. Torsional caused more corneal edema at 1 day and 1 week postoperative significantly and more endothelial cell losses but insignificantly.
LATE-ONSET, BLEB-ASSOCIATED ENDOPHTHALMITIS CAUSED BY STAPHYLOCOCCUS AUREUS Riskha Pangestika; Fifin Luthfia Rahmi; Maharani Maharani
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100429

Abstract

Introduction: Bleb-associated endophthalmitis (BAE) is a potentially sight-threatening complications of trabeculectomy and is associated with poor visual outcome. BAE denotes an ocular infection with involvement of the vitreous, which usually develops months or years after glaucoma filtering surgery. The purpose of this case report was to present a case about late onset BAE caused by Staphylococcus aureus. Methods: A 55-year-old male presented with a 3-days history of left eye pain, redness, hypopion decreased visual acuity and hypotony with Seidel test positive. He had a history of primary open angle glaucoma that was treated with a combined procedure of cataract surgery and trabeculectomy in the left eye ten years earlier. His visual acuity had decreased from 6/20 to light perception. This patient showed signs of hypotony, endophthalmitis, leak, and pain but no previous history of using anti-fibrotic agents. BAE causative organisms cultures grew the S.aureus, that frequent cause of acute-onset endophthalmitis. The patient underwent treatment with pars plana vitrectomy, vitreous taps, administered intravitreal antibiotic, and prescribed hourly topical antibiotic. Six months after his last treatment, his left eye shows no residual infection, and visual acuity increase to 1/60. Results: One case of late onset BAE with visual improvement after early vitrectomy, intravitreal, oral and topical antibiotic treatment. Conclusion: Despite the poor prognosis of BAE caused by S.aureus infection, after proper treatment can yield an adequate result, as demonstrated in this case.  
COMPARISON OF ONH, MACULA STRUCTURE AND HFA PATTERN IN HIGH MYOPIA AND EMETROPIA EYES WITH/WITHOUT GLAUCOMA idhayu anggit widhasari; krisna dwi purnomo; Tatang Talka Gani; Retno Ekantini
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100557

Abstract

Introduction: Axial length elongation contributes a challenge in myopia eyes due to morphological and visual field abnormalities. OCT instruments do not embed a normative database from high myopia. The study is aimed to compare Cirrus OCT and HFA parameters on high myopia and emetropia with/without glaucoma. Methods: This cross-sectional, prospective study was conducted at Sardjito General Hospital from 1st April 2021 to 11th May 2021. Patients with high myopia was enrolled with Spherical Equivalent (SE) ? -6D, 20 – 55 years of age. All participants underwent a complete ophthalmologic examination. Inclusion criteria: BCVA 20/40 or better, reliable visual field results. Result: From 22 eyes, there were no significant difference of age between high myopia with glaucoma/HMG (n=5), high myopia/HM (n=6), emetropia with glaucoma/EG (n=5), emetropia/E (n=6) with mean age was 36±3.2 y.o and 60% were male with SE -8.5±1.03D. Among ONH parameters, there were no differences between groups. In HMG, HM, EG, E group, median avgRNFL was 85um, 96.5um, 105um, 110um respectively. Thus, median vertical CD is 0.48, 0.40, 0.58, 0.55 in HMG, HM, EG, E group respectively. Whilst median GCIPL and visual index were 75um, 78.5um, 85um, 89.5um in HMG, HM, EG, E group respectively and had significantly different 0.012 (p<0.05) between groups. Median visual field index was 92%, 97%, 98% in HMG, HM, EG group respectively with significantly different 0.04 (p<0.05). Conclusion: The GCIPL and visual field index are significantly different between high myopia and emetropia with/without glaucoma
VISUAL OUTCOMES AND COMPLICATIONS OF IRIS-CLAW INTRAOCULAR LENS IMPLANTATION IN APHAKIC EYES WITH INADEQUATE CAPSULAR SUPPORT Faiz Nurboston Fauzi; Dini Dharmawidiarini; Farida Moenir; Sahata PH Napitupulu
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100592

Abstract

Introduction: Aphakia with inadequate capsular support remains a challenge for ophthalmologist. Although there is no consensus on the best method for this case, many studies have been reported using iris claw intraocular lens for secondary implantation. Objective: To evaluate the various indications, visual outcomes, and complications of iris claw intraocular lens in aphakic eyes. Methods : This retrospective case study was conducted in Undaan Eye Hospital, Surabaya, collecting data from medical records with a total of 188 eyes of 186 patients between May 2017 and April 2020, that were rehabilitated with prepupillary and retropupillary fixation of an iris claw lens. Patients were followed-up to 9 months for visual acuity and complications. Results: The most common cause of aphakia was subluxation of lens (spontaneous, trauma or congenital) in 90 of the 188 eyes (47.3%). The mean follow-up was 3 months (range :1-9 month). Most patient had the best preoperative BCVA (0-0.50 logMAR) 63%, ranging 0-2.47 logMAR with a mean of 0.72 logMAR. At final follow up, of the total patients, 72.9 % had the BCVA of 0-0.5 logMAR, with a mean of 0.37 logMAR. Complication included secondary glaucoma 2.12%, uveitis 1.06 %, iridodyalisis 1.06 %, and bullous keratopathy 1.06%. Conclusion: iris claw IOL implantation is a safe and effective method of rehabilitating aphakic eye with inadequate capsular support.
AN ACTIVE, SIGHT-THREATENING GRAVES’ ORBITOPATHY: A CHALLENGING CASE REPORT Muhammad Fariz; Delfitri Lutfi; Ismi Zuhria; Susy Fatmariyanti; Hendrian Dwikoloso Soebagjo
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100634

Abstract

Introduction: Graves’ Orbitopathy is a self-limiting autoimmune process associated with dysthyroid states, and if left untreated can lead to a number of complications, ranging from mild to sight-threatening. Corneal ulcer is one of the sight-threatening complications of Graves’ Orbitopathy. Case Report: A 22-year-old woman came with a complaint of blurred vision and retrobulbar pain on both eyes that happened gradually for 2 months, preceded by protrusion on both eyes. She had history of untreated hyperthyroid disease for 7 years. Her visual acuity was 1/60 and hand movement on the right and left eye, respectively. Anterior segment examination on both eyes revealed eyelids redness and swelling, redness and chemosis of conjunctiva, and corneal ulcer with descemetocele on her right eye. All of these clinical findings support the diagnosis of an active, sight-threatening Graves’ Orbitopathy. Discussion: The management of this patient involves; 1) thyroid function control due to the high level of thyroid function, 2) active, sight-threatening Graves’ orbitopathy management using high doses of intravenous methylprednisolon as guided by the 2016 European Group on Graves’ Orbitopathy (EUGOGO) guidelines protocol, 3) Application of amniotic membrane transplant to prevent the prolapse of intraocular tissue. Conclusion: By following EUGOGO guideline protocol, the clinical condition of this patient improved, but the management of an active, sight-threatening Graves’ Orbitopathy remains challenging and should be covered by multidisciplinary approach.  
SCLERAL WOUND HEALING IN PARS PLANA VITRECTOMY : A NARRATIVE REVIEW Nabita Aulia; Habibah S. Muhiddin; Budu; Andi Muhammad Ichsan; Hasnah Eka
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100636

Abstract

Background: Scleral wound healing involves cell death, migration, proliferation, differentiation, and ECM remodeling. Damaged connective tissue and blood arteries produce extravasation of blood cells, platelets, and plasma proteins when incisions are made in the conjunctiva and sclera (e.g. fibronectin, fibrinogen and plasminogen). Aims: This literature review aims to elaborate scleral wounds constructions in general, wound healing process, and closure of the scleral wound after pars plana vitrectomy. Methods: This literature review conducted 35 research publications from 2013-2022 who cited from some reputable sources using “wound healing”, “scleral”, “sutureless”, and “vitrectomy” as keywords. Results: The self-healing process that takes place after scleral wounds are closed. On the second day, fibrous tissue grows to fill in the wound gap, marking the beginning of the wound healing process. On the third day, the connective tissue was then expanded to span the entire thickness of the wound. On day five, the connective tissue begins to thicken and begins to align with the lamellae of the normal connective tissue that is around it. This process continues until day seven. On the seventh day, it looked that the wound had healed and normal tissue creation had taken place. Conclusion: Transconjunctival sutureless vitrectomy accelerated scleral wound healing. Small trocars and Zorro incisions speed scleral healing. Otherwise, silicone oil didn't affect scleral wound healing.
FIRST POSNER SCHLOSSMAN SYNDROME POST COVID-19 INFECTION Kristian Goenawan; Margrette Paliyama
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100658

Abstract

Introduction: We reported a unique case report of Posner Schlossman Syndrome (PSS) after Covid-19 infection. Case Illustration: Female 54 y.o. came in our hospital with chief complaint of painless blurred vision, red eye, and very high pressure on right eye (RE). She had the same complaint 1½ months before and diagnosed as acute primary angle closure glaucoma (PACG), treated successfully with good outcome. She also had history of covid-19 infection 1 month before the first attack. Initial visual acuity (VA) of RE is 20/70. Anterior segment showed mild inflammation with flare and cell but no KP, while posterior segment cannot be assessed. IOP was 57.0 mmHg. After 1 month of medication (patient rejected to go inward), the patient finally agreed to the trabeculectomy because VA decreased to 20/200. Perimetry and OCT has been done before the operation, showed decreased parameter. One day, 7-days, and 28-days post operated VA were 3/60, 20/50, and 20/40 respectively, while IOP were 9.0 mmHg, 6.7 mmHg, and 15.0 mmHg respectively. Discussion: PSS can be very similar to acute PACG, though with careful history taking and examination we can distinct the disease. History taking for recurrent attack and unilateral is very important. Examination that showed acute open angle marked IOP with sign of uveitis should lead to PSS. Conclusion: In every attack of glaucoma, PSS has resemblance with acute PACG. The foresight of an ophthalmologist in determining the diagnosis is indeed very important.
EFFICACY OF ATROPINE SULPHATE EYE DROPS IN CONTROLLING MYOPIA PROGRESSION: A REVIEW Arcci Pradessatama; Umar Mardianto
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100681

Abstract

Introduction: Myopia is major public health concern that has become increasingly common. Severe myopia has become one of the main causes of untreatable vision loss throughout the world, often due to its irreversible complications. Studies shows atropine can reduce myopia progression in children. Currently, there are no guidelines for the use of atropine specifically to control myopia progression. This study was made to review the efficacy of various atropine doses in controlling myopia progression. Methods: Literature searching was conducted in four online databases (PubMed, EBSCOhost, ScienceDirect, and Scopus. Search terms included were “Atropine” and “Myopia”. Validity was assessed using assessment tool from Cochrane. Efficacy was evaluated using myopia progression in spherical equivalent per year and axial lengthening per year. Results: Sixteen randomized controlled trial studies fulfilled our inclusion criteria and eligibility screening. Overall, atropine shows favorable results in spherical equivalent progression (D/year) compared to control, with SMD = -1.13, 95% CI (-0.58, -1.68). Less axial elongation (mm/year) was observed in atropine group, with SMD = -1.28, 95% CI (-0.18, -2.37). Atropine 0.01% concentration shows overall significantly better myopia progression and axial lengthening compared to control, with SMD = -0.76, 95% CI (-0.08, -1.44) and SMD = -0.63, 95% CI (-0.14, -1.12), respectively. Higher atropine doses showed larger effect sizes with higher occurrence of adverse effects. Conclusion: Atropine eye drops in various doses shows overall effective myopia control in spherical equivalent and axial lengthening. Atropine 0.01% has significant myopia progression inhibition with less adverse effects than higher doses.
MINIMALLY INVASIVE GLAUCOMA SURGERY (MIGS): COMPARISON OF TRABECULAR VERSUS SUPRACHOROIDAL ROUTE Ridho Ranovian; Widya Artini Sumantri
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100707

Abstract

Introduction: Because of the high rate of complications associated with traditional glaucoma filtering surgery, various research were launched to develop a new device, such as drainage channels, such as Glaucoma Drainage Devices.  Objective: To compare the efficacy and safety of trabecular route and suprachoroidal MIGS in eyes with mild to moderate glaucoma with and without cataract extraction of these two devices.  Methods: Literature search was conducted using online database such as Google Scholar, Pubmed, Survey of Ophtalmology, and Clinical Key.  Result: Since the IOP-lowering efficacy of these treatments is restricted by episcleral venous pressure, MIGS targeting the trabecular outflow system may be the best option for patients with mild-to-moderate open-angle glaucoma.  Conclusion: The implantation of trabecular iStents resulted in a considerable reduction in IOP, particularly in mild and moderate POAG. Both MIGS versions have good efficacy and safety profiles, with only minor problems like microscopic hyphema and stent blockage. Keywords: glaucoma, Minimally Invasive Glaucoma Surgery (MIGS), iStents, cypass

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