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All Journal Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan
Kantika Prinandita
RSUD Ciawi
Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Clinical Evaluation of Right Orbital Cellulitis in An Elderly Patient Lulu Naeluvar; Kantika Prinandita; Meriana Rasyid
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.483

Abstract

Orbital cellulitis is a severe infection of the intraorbital tissues that can threaten vision and requires prompt management. This study aims to describe the clinical characteristics, diagnosis, and management of orbital cellulitis in an elderly patient with systemic risk factors. A descriptive clinical approach was employed, collecting data through anamnesis, physical examination, and ophthalmologic assessments including visual acuity, slit-lamp examination, and fundus evaluation, as well as the patient’s medical and treatment history. Data were analyzed qualitatively to illustrate the clinical manifestations, diagnosis, and therapeutic interventions. The case involved a 64-year-old male presenting with redness, swelling, pain, tearing, and difficulty opening the right eye for one week, with a history of diabetes mellitus and dental caries. Physical examination revealed palpebral edema, conjunctival and scleral hyperemia, restricted ocular motility, and decreased visual acuity in the right eye. The definitive diagnosis was orbital cellulitis in the right eye, with cataract in the left eye and diabetes mellitus as comorbidities. Management included broad-spectrum topical antibiotics and referral to both ophthalmology and internal medicine specialists for multidisciplinary care. In conclusion, early intervention and accurate clinical diagnosis are essential to prevent severe complications such as subperiosteal abscess, cavernous sinus thrombosis, or permanent vision loss.
Keratouveitis of the Right Eye Secondary to Herpes Zoster Ophthalmicus: A Case Report Aureliza Syfa Salsabila; Kantika Prinandita; Meriana Rasyid
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 2 (2026): July 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i2.530

Abstract

Herpes zoster ophthalmicus (HZO) is a reactivation of the varicella-zoster virus involving the ophthalmic branch of the trigeminal nerve that may cause severe ocular complications, including keratouveitis, potentially resulting in permanent visual impairment. This case highlights the clinical challenge of managing active HZO-associated keratouveitis in the presence of coexisting bilateral senile cataracts, in which treatment prioritization is essential to optimize visual outcomes. A 52-year-old man presented with pain, redness, photophobia, and decreased vision in the right eye for 10 days before hospital admission. Ophthalmologic examination revealed decreased visual acuity in the right eye, with counting fingers at 0.5 m, eyelid edema, conjunctival hyperemia, discharge, conjunctival and ciliary injection, corneal haze with infiltrates, and keratic precipitates, while bilateral lens opacities consistent with senile cataracts were also identified. Dermatological examination demonstrated multiple vesicular lesions distributed along the ophthalmic branch of the trigeminal nerve with a positive Hutchinson sign. The patient was diagnosed with right-eye keratouveitis secondary to HZO accompanied by bilateral senile cataracts and was treated with oral acyclovir, topical acyclovir 3% ophthalmic ointment, topical levofloxacin, topical prednisolone acetate, and cyclopentolate. At the one-week follow-up, the patient showed reduced ocular pain, improvement in right-eye visual acuity from counting fingers at 0.5 m to counting fingers at 3 m, and resolution of ocular tenderness. However, conjunctival hyperemia, mild corneal opacity with residual scarring, and bilateral lens opacities persisted, indicating partial clinical improvement despite ongoing ocular involvement. This case emphasizes the importance of early diagnosis, prompt antiviral therapy, careful ophthalmologic monitoring, and prioritization of active ocular inflammation management before cataract intervention to minimize complications and preserve visual function.
Co-Authors Aureliza Syfa Salsabila Lulu Naeluvar Meriana Rasyid