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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 844 Documents
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Corneal Haze after Wavefront Guided PRK at Dr Yap Eye Hospital Yogyakarta: Is There Any Difference Between Low And High Myopia? Dede Neni Herani; Suhardjo Suhardjo
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.11

Abstract

Background: Wavefront guided Photorefractive Keratectomy (PRK) has regained its popularity. However corneal haze after this procedure often follows. Five to 15% of PRK patients developed corneal haze. The purpose to investigate whether the presence of corneal haze after PRK in low, moderate, and high myopia patients are different and whether these differences influence visual outcomeMethod: This was a restrospective cohort study of 589 eyes underwent PRK at Yap Eye Hospital between 2011 and 2012. Visual acuity, refractive status, and corneal haze were examined at 6 times follow up after PRK. Corneal haze was defined as persistent hazy found at three times follow up including the fifth and sixth follow up.Result: There were 207 males and 77 females with mean age 23,2 years who has clear cornea and 21.5 whose hazy cornea. We found 11.5% of corneal haze in low myopia and 11.2% in high myopia. The proportion of corneal haze in different severity of myopia was not statistically significant (p=0.38). Regardless of the presence of corneal haze, the final visual outcome afterPRK wavefront guided was overall good to excellent (1.00). However the corneal haze condition was resolved ini six months after.Conclusion: The presence of corneal haze after wavefront guided PRK was similar across different severity of myopia. The presence of corneal hazedid not influence the final visual outcome, which was overall good to excellent. Keywords: wavefront guided PRK, myopia, corneal haze, visual outcome
Characteristics and Management of Pediatric Ocular Trauma Laila Wahyuni; Maya Sari; Arief S Kartasasmita
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.12

Abstract

Background: To describe the characteristics of patients with ocular trauma in Cicendo Eye Hospital (CEH) Bandung, West Java.Methods: Data was taken from medical record of patients aged 0-14 between January to December 2011. The patient age, gender, visual acuity (before and after treatment), onset, types of trauma, laterality, location of trauma, causes and treatment were documented and analyzedResults: We found 188 children recorded with eye injury, 130 boys (69.1%) and 58 girls(30.9%) . Based on age distribution, eye trauma was mostly in group 2-7 years in 83 children (44.14%). The initial visual acuity obtained was mostly > 0.5 (Snellen chart) in 89 children (53,7%) and 0,02 – LP of 11 children (50%) of closed globe injury and open globe injury respectively. Most patient came to CEH between 1-3 days of onset. Laterality of ocular trauma was mostly on the rigth eye (53,2%) and occur at out door (53,2%). The most causes of injury was blunt trauma 166 cases (88,3%). Medical management was needed in 141 cases, 46 cases had to been operated, and 1 cases just conservative.Conclusions: Ocular trauma was a common injury in preschool children, boys and right eye, mostly occur at out door, but those were no significant difference in both open and closed ocular trauma. Prognosis for visual function are mostly good in closed globe injury. We need more intensive supervision in the home especially outdoor enviroment, for that group of children. Key word: open globe injury, closed globe injury, Children, Cicendo eye hospital
Variations in Intraocular Pressure Following Photorefractive Keratectomy in Different Degree of Myopia at Dr Yap Eye Hospital Mufida Dwi Nurhayati; Suhardjo Suhardjo
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.13

Abstract

Backgorund: To investigate the variations in intraocular pressure following PRK in different degree of myopia.Methods: Restrospective cohort study of 315 patients (429 eyes) who underwent photorefractive keratectomy at Yap Eye Hospital between January 2011 and December 2012. Visual acuity, refractive status, and intraocular pressure were examined before, 2, 4, 8, 12 weeks after photorefractive keratectomy. IOP was measured directly using non-contact tonometry and calculated using Chang’s formula (ΔP = -0.12 x refractive change – 1.36 mmHg). Variations in IOP were assessed comparing follow-up to baseline IOP.Results: There were 225 men and 90 women with mean age 22,9 years. Overall, compared to IOP prior surgery (mean 15.6mmHg), there were significant variations in measured IOP at 2, 4, 8, and 12 weeks after the procedures (variations were -30-.6% (mean 11.0mmHg), -25.0% (11.7mmHg), -26.3 (mean 11.5mmHg), -29.5% (mean 11.0mmHg) consecutively; p for variations<0.001). However, these variations were also presents in low, moderate, and high myopia (all p for variations <0.001). However, there were almost none variations using converted IOP (overall -9.14% (14.9mmHg); low myopia -8.91% (14.3mmHg); moderate myopia -5.81% (14.6mmHg); high myopia 0% (15.5mmHg); p<0.01).Conclusion: PRK caused relatively decreased variations in measured IOP, however, with converted IOP these variations are very small (relatively no difference in pre and postoperative IOP).
Severity of Amblyopia and Its Correlation with The Amount of Refractive Error Ria Sandy Deneska
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.14

Abstract

Background: To analyze the correlation between the severity of amblyopia and the amount of refractive errorMethods: Patients in outpatient clinic dr Soetomo General Hospital, who was diagnozed as amblyopia, from November 2011 – January 2013, were enrolled in this retrospective study. All subjects were evaluated for subjective refraction using Snellen Chart and objective refraction using streak retinoscopy. The severity of amblyopia determined by the BCVA and the amount of refractive error stated by the spherical equivalent and the amount of cylindrical errors.Result: The subjects of this study was 40 patients (73 eyes) with age 5-11 years old. The range of BCVA was 0,1-0,8 logMAR units, the spherical equivalent of refractive errors were minus 1,5D – 12,75D and the cylindrical errors were minus 0,50 – 5,00D. Statistically, there was correlation between the severity of amblyopia and the spherical equivalent of refractive errors, but there was no correlation with the cylindrical errors.Conclusion: The severity of amblyopia has a correlation with the amount of spherical equivalent of refractive error, but has no correlation with the amount of astigmatism. Key words: Amblyopia, Spherical Equivalent, Cylindrical Error
Perbedaan Tajam Penglihatan Pra dan Pasca Bedah Katarak dengan Uveitis Ronny Gushalf; Erna Tjahyaningtyas; Budiman Budiman
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.15

Abstract

Background: To assess the visual outcome before and after of cataract surgery in eyes of patients with uveitisMethods: We retrospectively reviewed the charts of 20 patients (20 eyes) with uveitis who underwent phacoemulsification cataract extraction or small incision cataract surgery with posterior chamber intraocular lens implantation at National Eye Centre of Cicendo Eye Hospital from January 2011 to April 2012. Changes in visual outcome before and after cataract surgery during subsequent visits were analyzed.Results: A total of 20 eyes of 20 patients fulfilled the enrollment criteria for this retrospective study with an age range of 6 to 82 years mean 40,25; median, 38 . Of the patients enrolled, 75% were female and 25% were male. Of the 20 eyes enrolled in this study, 8 were normal limit in anterior and posterior segment, 10 had posterior disease and 2 had recurrent uveitis that influence visual outcome after cataract surgery.Conclusions: Phacoemulsification cataract extraction or small incisson cataract surgery with posterior chamber intraocular lens implantation is safe in patients with uveitis. Cataract surgery in eyes with uveitis leads to an improvement of vision in the majority of cases. Severe postoperative uveitis is the most common postoperative complication for poor visual outcome after surgery. Posterior disease had influence in visual outcome after cataract surgery.
Retinal Neurodegeneration on the Early Type 2 Diabetes Mellitus Teguh Susilo; Freddy Rares; Herny Poluan
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.16

Abstract

Background: retinal neurodegeneration has been known to happen before any vascular lesion detected in the histological study in diabetic induced rats. This research was aimed to analyse neurodegeneration of the retina anatomically in vivo on the diabetic patient before any lesion could be seen clinically as the manifestation of microvascular disease.Method: comparative observational research was conducted on two groups, i.e. normal and NDR (no diabetic retinopathy) which fulfil the inclusion and exclusion criteria. The macular thickness of each group measured with Stratus OCT machine. The collected data was analysed statistically.Result: samples of 42 eyes collected from 21 patients in the normal group and 41 eyes collected from 22 patients in the NDR group. The normal group consisted of 20 (48%) males and 22 (55%) females while NDR group consisted of 17 (41%) males and 24 (59%) females. The age mean was 51.33 years on the normal group and 53.44 years on the NDR group. The sex and the age difference between the two groups had no statistical significance. Statistical analysis on the two groups showed very significant reduction of the macular thickness apply to all macula region except for the foveal minimal and superior outer which only showed significant reduction. The thinning of macula showed a greater extends of reduction on the fovea and inner ring compare to outer ring.Conclusion: there was thinning of macula as result of retinal neurodegeneration on the early diabetic patient before any microvascular lesion could be seen (no diabetic retinopathy/NDR). Keywords: neurodegeneration, diabetes mellitus, macular thickness, OCT
Comparison of Topical and Subconjunctival Curcumin Injection on Corneal Neovascularization on Alkali Injuries of Wistar’s Cornea. Rakhmasari Y.A; Sri Inakawati; Siti Sundari; Winarto Winarto; Ediati Sasmito
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.17

Abstract

Background: Neovascularization of the cornea causing loss of corneal clarity, decrease of visual acuity and also improve the failure of Keratoplasty. It can occur due to the imbalance of angiogenic and antiangiogenic factors such as on chemical trauma. Curcumin is the active extract which have anti-angiogenesis pharmacological effect. Subconjungtival injection have many advantages compared with topical administration. The purpose is to compare the effect of subconjunctival curcumin injection and topical curcumin on corneal neovascularization on alkali injuries of wistar’s cornea. Methods: Experimental study with post test only control group design using 28 male Wistar rat strain which received chemical trauma. The samples were randomly devided into 4 group. Topical curcumin 80 μmol/L, topical DMSO 0,1% five times daily for 7 days. Subconjunctival injection of curcumin 40 μmol/L and DMSO 0,1% were received once after the chemical trauma on the cornea. On day 8 was measured the corneal neovascularization in length of blood vessels and width of area. Statisticaly hypotheses with independent t-test and significant p < 0,05. Result: Subconjunctival injection of curcumin group were significantly reduced the area of corneal neovascularization than topical curcumin group (p = 0,045).
 Conclusion: Subconjunctival injection of curcumin needs further study to compare the benefits and side effect
Global Information, Electronic Media and Digital Generation Tjahjono D. Gondhowiardjo
Majalah Oftalmologi Indonesia Vol 41 No 1 (2015): 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.v41i1.18

Abstract

[No Abstract Available]
Primary Health Care and Our Profession Tjahjono D. Gondhowiardjo
Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): 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.v41i2.19

Abstract

(No abstract available)
Surgical Options in Managing Convergent Strabismus Fixus Related to High Myopia Jessica Zarwan; Gusti G Suardana; Anna P Bani
Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): 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.v41i2.21

Abstract

 Background: Convergent strabismus fixus is a condition in which one or both eyes are anchored in extreme adduction. This condition is caused by superotemporal herniation of the enlarged globe from the muscle cone through the space between the superior and lateral rectus muscle. It is commonly related to high myopia. Recently, transposition type procedure which unite the superior and lateral rectus muscles were proposed as the treatment of choice in this condition. However, there is no clear consensus regarding the best surgical procedure in convergent strabismus fixus. This case series reported three rare cases of convergent strabismus fixus related to high myopia and highlight the option of surgical procedure that can be done in these cases. Case Illustration: Three patients presented with convergent strabismus fixus of both eyes with history of bilateral high myopia since childhood. All patients showed Krimsky tests of >95ΔET preoperatively, with medial displacement of superior rectus and inferior displacement of lateral rectus of both eyes in all patients on orbital imaging. The bilateral Yokoma procedure both resulted in an orthophoric postoperative result with marked improvement in abduction and elevation. The hemi-Jensen also showed a significant improvement of over than 60Δ on the operated eye, resorting it to a central position during primary gaze. Conclusion: Convergent strabismus fixus is a rare condition and frequently associated with high myopia. Both techniques of Yokoyama procedure or hemi-Jensen procedure combined with medial rectus recession showed similar good results with improvement in position and ocular motility of the eye Keywords: convergent strabismus fixus, high myopia, Yokoyoma procedure, hemi-Jensen procedure

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