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[Horner Syndrome Related to Nasopharyngeal Carcinoma ]]>
<![CDATA[Nova Diana]]>;
<![CDATA[Syntia Nusanti]]>;
<![CDATA[M. Sidik]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.22
<![CDATA[Background: Horner syndrome classically presents with ipsilateral blepharoptosis, pupillary miosis, and facial anhidrosis. The syndrome results from interuption of the sympathetic innervation to the eye and ocular adnexae. Case Illustration: A 43-year-old male complaining of drop of upper eyelid right eye, anhidrosis right side of face, and numbness on his right face since 7 months previously. He had painless, slowly enlarging, right-sided neck mass that was first noticed approximately 7 months before presentation. The biopsy and CT scan confirmed nasopharyngeal carcinoma (NPC). Best corrected visual acuity of both eyes was 6/6, normal IOP and ocular movement. There was mild ptotic eyelid 2 mm of his right eye. Both anterior segment within normal limit. There was unequal pupils greater in the dark, with pupil size of the right eye 3 mm and left eye 5 mm. The pupils were reactive to light, without afferent pupillary defect. Both posterior segment examination were unremarkable. There was reduced sensibility of the right face at maxila and mandibular region. The patient was diagnosed with Horner syndrome with involvement of right trigeminal nerve at maxillary and mandibular division, and involvement of sweat glands corellate with preganglionic lesion. Conclusion: Nasopharyngeal carcinoma that affects oculosympathetic pathway may give clinical signs as Horner syndrome. There was found involved of sweat gland in this case, it is correlated with lesion in preganglionic. But the anhidrosis occurs only in maxila and mandibular region, therefore post ganglionic involvement can not be ruled out. Keywords: Horner syndrome, nasopharyngeal carcinoma]]>
<![CDATA[Management for Perforated Mooren’s Ulcer ]]>
<![CDATA[Linda Wira Putri]]>;
<![CDATA[Havriza Vitresia]]>;
<![CDATA[Getry Sukmawati]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.23
<![CDATA[Background: To report the surgical management for perforated Mooren's ulcer by performing conjunctival resection with situational corneal suture and Amniotic Membrane Transplantation. Case Illustration: There were six patients diagnosed with Mooren's ulcer between 2011-2013. Three of them were perforated Mooren's ulcer with iris prolaps, and the size of perforation was 2-4 mm. The sex distribution of the patient were 3 male and 3 female patients. The age of presentation of were varied from 11-48 yo. Three patients underwent surgery, one patient refused. The other 2 patients only got medical therapy. For perforated cases with iris prolaps, we performed conjunctival resection with situational corneal suture, overlying the perforation. The suture were made like a net or bridge, depend on cases, and then amniotic membrane were put over the suture. The corneal suture should not be tight because it can disrupt the corneal contour. Amniotic membrane were put on the net layer by layer, and then fixed by interrupted suture to the episclera and cornea, at least in 8 position. The eyes were patching about 4 days and give topical and systemic antibiotic, and corticosteroid systemic. All of patient have complete epithelization after surgery between day 7-10 and have visual acuity improvement. Some of the patient still followed up until now. Conclusion: Conjunctival Resection with situational corneal suture and Amniotic Membrane Transplantation appeared to be an effective procedure for perforated Mooren's ulcer and iris prolaps, even more than 2 mm size of perforation.]]>
<![CDATA[Various Tamponade in Surgery for Retinal Detachment Associated with Proliferative Vitreoretinopathy ]]>
<![CDATA[Faraby Martha]]>;
<![CDATA[Andi A Victor]]>;
<![CDATA[Elvioza Elvioza]]>;
<![CDATA[Ari Djatikusumo]]>;
<![CDATA[Gitalisa A Andayani]]>;
<![CDATA[Anggun R Yudantha]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.24
<![CDATA[Background: To review the literature and report relative efficacy and safety of various tamponade agents used with surgery for rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) regarding functional success rate, anatomical success rate, and adverse effects. Methods: We searched articles from PubMed and Clinical Key database starting from the year of 1990 to November 2014. Information needed from all articles were extracted into data extraction sheet. We reviewed the efficacy of both tamponade agents regarding the postoperative visual acuity, macular attachment, and adverse effect. Results: Eight articles were included after fulfilling inclusion and exclusion criteria. Our analysis showed all studies shows an increasing visual acuity and percentage of macular attachment postoperatively of all type tamponade agents. Functional and anatomical success rate of Sulfur hexafluoride gas (SF6) was high in study with PVR stage B or less (94-98%). In patient with complex or recurrent RD associated with PVR, silicone oil had a better functional success (51% vs 32.5%) and better anatomical success (80% vs 60%) than SF6 gas. The anatomical success rate also higher in C3F8 than in SF6 group (73.9% vs 57.5% respectively). Functional and anatomical success rate of HSO as tamponade was high in patients with a severe PVR located mainly in the inferior quadrants (92.3%).Conclusion: As tamponade agents, C3F8 and silicone oil appear to have more visual and anatomic advantages over SF6 in participants with complex or recurrent RD associated with PVR. Silicone oil was better than C3F8 gas to obtain final visual and anatomic successs in patient with recurrent RD associated with higher grade PVR. Heavy silicone oil would be useful in particular cases complicated by recurrent inferior RD with PVR. Retinal redetachment, glaucoma, cataract, hypotony and keratopathy were reported in both gases and silicone group. Keywords: Tamponade in retinal detachment surgery, SF6, C3F8, silicon oil, and heavy silicone oil]]>
<![CDATA[Efficacy and Safety of Mydriatic Regiments Used in Screening Retinopathy of Prematurity ]]>
<![CDATA[Elisabeth Irma]]>;
<![CDATA[Julie D. Barliana]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.25
<![CDATA[Background: ROP screening must be done under pupil dilation to examine the ocular fundus, in order to allow diagnosis and staging of ROP. The objectives of this literature review are to compare the efficacy and safety of topical cyclopentolate, phenylephrine, tropicamide and the combination of these regiments in infants for ROP screening. Methods: The search was conducted through electronic databases providing journal articles with keywords: cyclopentolate, phenylephrine and tropicamide on pupil dilation and systemic side effects in infants on screening Retinopathy of prematurity.The baseline of pupil diameter, frequency of instillation, mean difference amount of dilated pupil size and diameter of the pupil in 30 or 45 minutes and 60 minutes are presented in outcome. Results: The mydriatic agents used in this literature review were phenylephrine, tropicamide, cyclopentolate and the combination of those regiments. Doses of mydriatic agents used in this review are variables. The lowest dose for phenylephrine is 1%, cyclopentolate is 0.2% and tropicamide is 0.5%. The highest dose for phenylephrine is 2.5%, cyclopentolate is 1.0 % and tropicamide is 10 %. The use of mydriatic regiments during newborn ophthalmic examinations has been associated with systemic side effects. Most reports have implicated the sympathomimetic component of the mydriatic solutions as the hypertensive agents. Conclusion: Using only cyclopegic regimens did not produce adequate mydriasis in infants. The combination of low concentration sympathomimetic (phenylephrine 1%) and parasympatholytic (Cyclopentolate 0.2 %) produces adequate pupillary dilation and does not cause an increase in blood pressure and heart rate.]]>
<![CDATA[Experience of Sutured Limbal Stem Cell Conjunctival Autograft after Pterygium Excision ]]>
<![CDATA[Eddyanto Eddyanto]]>;
<![CDATA[Ismi Z]]>;
<![CDATA[Fazarrahmah Fazarrahmah]]>;
<![CDATA[Windi IR]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.26
<![CDATA[Background: To know the effectiveness of sutured limbal stem cell conjunctival autograft after pterygium excision in order to avoid recurrencies. Method: This is a prospective study of limbal stem cell conjunctival autograft after pterygium excision during December 2011 until April 2012. Type of operation were pterygium excision followed by cojunctival limbal stem cell autograft. Follow up be conducted at day 1, 1 week, 1 and 3 month post operatively. The recurrence rate was evaluated using Portable PASW statistics 18 software. Result: Twenty cases of pterygium had been operated. Ten cases could be evaluated 3 months. Three males and 7 females, average age was 50.2 ± 10.55 year, range 38-72. 2cases were pre existing recurrence pterygium. BCVA pre operation range 1.00 - 0.1. BCVA post operation range 1.00 – 0.20. One of 10 cases was recurrence after this study, the BCVA decrease and need repeated excision and limbal stem cell conjunctival autograft. There is no statistically significant correlation of the type of pterygium pre and recurrence post operatively. Moderate association was noted between BCVA pre operation and recurrence rate post operatively. Very strong association was noted between age of these patient and recurrence post operatively. There is a significantly differrence of BCVA before and after operations. Conclusion: Sutured limbal stem cell conjunctival autograft after pterygium excision in order to avoid recurrencies was effective 3 months after operation. The recurrence rate is 10%. This study need more samples and comparring group with other technique in order to know this tehnique is better than other or not. Keywords: Ocular surface disorder, corneal conjunctivalisation, pterygium excision, limbal stem cell transplantation]]>
<![CDATA[A Comparison 24 Hour Intraocular Pressures Between Travoprost 0.004% and Timolol Gel 0.1% on Controlled Primary Open Angle Glaucoma ]]>
<![CDATA[Puranto Budi Susetyo]]>;
<![CDATA[Virna Dwi Oktariana]]>;
<![CDATA[Edi Supiandi]]>;
<![CDATA[Joedo Prihartono]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.27
<![CDATA[Background: To compare 24 hours intraocular pressure (IOP) in patients controlled primary open angle glaucoma treated with timolol gel 0.1% versus travoprost 0.004%. Method: 26 controlled primary open angle glaucoma patients were randomized to received travoprost 0.004% dosed in the evening or timolol gel 0.1% dosed in the morning. After 4 weeks of treatments 24 hours IOP curved was performed at 9 a.m until 6 a.m every 3 hours. Result: The mean IOP of travoprost 0.004% group was 12.2±1.5 mmHg and timolol 0.1% group was 13.4±1.9 mmHg (p>0.05). The IOP fluctuation of travoprost 0.004% was 3.9±1.4 mmHg and timolol gel 0.1% was 5.9±1.4 mmHg (p<0.05). Peak IOP travoprost 0.004% was 14.3±1.7 mmHg and timolol gel 0.1 % was 16.8±1.7 mmHg (p<0.05). Travoprost 0.004% has lower IOP in almost each point measurement compare to timolol gel 0.1%. Conclusion: Travoprost 0.004% has lower fluctuation, peak and mean IOP compare to timolol gel 0.1%. Keywords: Primary open angle glaucoma, IOP fluctuation, peak IOP, travoprost 0.004%, timolol gel 0.1%]]>
<![CDATA[Clinical Outcomes of Laser In Situ Keratomileusis (LASIK) Using Microkeratome and Laser Femtosecond Flap in Myopic Patients ]]>
<![CDATA[Sesy Caesarya]]>;
<![CDATA[Hikmat Wangsaatmadja]]>;
<![CDATA[Mayang Rini]]>;
<![CDATA[Feti Karfiati]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.28
<![CDATA[Background: This study aimed to compare postoperative visual acuity and complications between flap LASIK creation using microkeratome and femtosecond laser. Method: This is a retrospective observational study. Data were collected from medical record, patient with microkeratome and femtosecond laser flap creations with best corrected visual acuity 6/6 preoperatively.Uncorrected postoperative visual acuity at 1 day, 1 week and 1 month, also complications were recorded. Result: The microkeratome and femtosecond laser group comprised of 130 and 184 eyes respectively. Visual acuity at 1 day follow up were 99.23% ≥6/12 in microkeratome group and 96.20% ≥6/12 in femtosecond laser group (P=0.19), at 1 week follow up were 99.23% ≥6/12 in microkeratome group and 97.82% ≥6/12 in femtosecond laser group (P=0.36) and 1 month follow up were 99.23% ≥6/12 in microkeratome group and 98.37% ≥6/12 in femtosecond laser group (P=0.60). There were significant differences in intraoperative (P=0.00) and postoperative (P=0.04) complications between two groups. Conclusion: There was no significant difference in visual acuity between LASIK flap creation using microkeratome and femtosecond laser at 1day, 1 week and 1month follow up. There were significant differences in intra and postoperative complications between two groups. Keywords: LASIK, microkeratome, femtosecond laser]]>
<![CDATA[Comparison of Laser Photocoagulation Using 810 nm with 20 ms and 100 ms Duration on the Progression of Neovascularization in Proliferative Diabetic Retinopathy ]]>
<![CDATA[Muhammad Yusran]]>;
<![CDATA[Elvioza Elvioza]]>;
<![CDATA[Ari Djatikusumo]]>;
<![CDATA[Rossalyn Sandra Andrisa]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.29
<![CDATA[Background: The aim of this study was to compare the effectiveness of laser photocoagulation 810- nm with 20 ms and 100 ms duration to prevent the progression of proliferative diabetic retinopathy. Method: This study was prospective double blind randomized clinical trial. Twenty-eight participants who met the inclusion criteria divided into two groups to undergo laser photocoagulation by using 810 nm lasers. One group received 100 ms duration and the other received 20 ms duration. Grade 3 burns with a 200 μm spot sized were placed with both parameters. The progression of PDR was evaluated in two months follow up by using seven fields’ fundus photographs. Fluence, power and visual acuity were compared in this study. Result: Twenty five subjects completed the two months follow up. The proportion of non-progressive PDR in 100 ms group was 75.0% and in 20 ms was 76.9% (p=1.000). The power in 20 ms group increased twice than 100 ms group (1000 vs. 500 mW; p=0.000). The median fluence in 20 ms group was less than 100 ms group (6.36 vs. 15.91 J/cm2; p=0.000). Improvement of visual acuity in 20 ms and 100 ms was comparable (23.1% vs. 33,3%; p=1.000). Conclusion: The 20 ms duration showed similar result in preventing the progression of PDR compared to 100 ms duration. Keywords: Proliferative diabetic retinopathy, laser photocoagulation, diode 810 nm]]>
<![CDATA[Overview Results of Optic Neuritis After Steroid Therapy ]]>
<![CDATA[Ricky O Sembiring]]>;
<![CDATA[Bambang Setiohadji]]>;
<![CDATA[Ine Renata Musa]]>;
<![CDATA[Feti Karfiati]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.30
<![CDATA[Background: Optic neuritis is an inflammatory condition of the optic nerve characterized by a sudden onset of unilateral visual loss, usually affecting young females. Recent studies have shown that treatment with intravenous methylprednisolone results in more rapid recovery of vision. The aim is to describe early visual outcome after methylprednisolone treatment according to Optic Neuritis Treatment Trial (ONTT) in optic neuritis. The outcome will be visual acuity and color vision. Method: This is a retrospective observational study. The data were collected from medical records of patients diagnosed as optic neuritis who had steroid treatment, from January 2009 to December 2012. Result: There were increased visual acuity in 92.4% eyes within 7-11 days after administration of parenteral methylprednison, as well as color vision in 83.0% eyes. Conclusion: Methylprednisolone treatment will improve visual acuity and color vision in early follow up. Keywords: Optic neuritis, visual acuity, color vision]]>
<![CDATA[Effect of Pterygium Size on Astgmatism and Corneal Topography Before and After Surgery ]]>
<![CDATA[Mochammad Sjarifudhin]]>;
<![CDATA[Gatut Suhendro]]>
<![CDATA[ Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana ]]>
Publisher : <![CDATA[The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami)) ]]>
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DOI: 10.35749/journal.v41i2.31
<![CDATA[Background: Objective: To analyze the association between pterygium size with astigmatism and corneal topography changes before and after surgery. Methods: This study was conducted at Dr. Soetomo General Hospital and Surabaya Eye Clinic on February-June 2013. In 31 eyes of 20 patients with primary pterygium, size of pterygium was measured in millimeters from the limbus (horizontal length) by caliper and the beam of slit lamp microscope. Twenty four eyes with pterygium type 2 and 3 were excised with bare sclera technique and intraoperative MMC application. Astigmat and corneal topography was investigated with the help of Orbscan preoperatively and 4-6 weeks postoperatively. Result: The size of pterygia had a significant correlation on the elevation of the preoperative corneal astigmatism and irregularities (p<0.001). The mean Sim K astigmatism (p=0.005) and irregularity index (<0.001) significantly decreased after pterygium surgery. The mean refractive power significantly increased after the operation (p<0.001). Conclusion: Pterygium leads to significant changes in corneal refractive status, which increase with the increase in the size of pterygia and improve following pterygium surgery. Keywords: Pterygium, astigmatism, corneal topography]]>
