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All Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Ophthalmologica Indonesiana
Oktaliani, Rahayu
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Health Professions Medicine & Pharmacology Public Health

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A Case: The Strategy of Corneal Ulcers: Poster Presentation - Case Report - General practitioner Oktaliani, Rahayu; Waslan, Kuswaya
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/4d65pq34

Abstract

Introduction : Corneal ulcers are considered an ophthalmologic emergency because of their potential to permanently impair vision or perforate the eye. Accurate and quick diagnosis and prompt treatmentis a key to improve clinical and visual outcomes in cases of corneal ulceration. Case Illustration : In this paper, we present the case of male 40-year-old presented with complaints of pain and defective vision in the right eye. Visual examination of the right eye is 1/~. It was found, palpebral edema, hyperemic tarsal conjunctiva. The bulbar conjunctiva showed conjunctival injection, ciliary injection. The cornea looks completely cloudy, the surface is not slippery, infiltrates and edema. The patient was treated with medical and surgical therapy, and then the patient’s have a good clinical response and was able to return to work. Discussion : The diagnosis of corneal ulcers was established based on history, physical examination and clinical examination using a slit lamp and laboratory examinations. Patient's examination revealed the presence of Candida albicans. This examination is important to distinguish the cause of the corneal ulcer so that it can help select an adequate therapy. Conclusion : Indonesian farmers have highrisk of fungal corneal ulcers. Fungal corneal ulcers is important cause of corneal blindness all over the world especially in develoving countries. Fungal corneal ulcers can diagnosis by slitlamp biomicroscopic examination and culture are essential for early specific diagnosis and must be taken consideratiaon to establish the most effective treatment and avoid severe complications
A neglected ocular tuberculosis without antitubercular therapy: A case report Oktaliani, Rahayu; Idrus, Elfa Ali
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 2, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss2.art15

Abstract

Ocular tuberculosis (TB) is one of the causes of uveitis, but there is often a skepticism and lack of acceptance regarding this diagnosis. We present a case of a-62-year-old female patient who complained of blurred vision, pain, and redness in her right eye. These symptoms had persisted for the past 16 months. The latest visual acuity in the right eye was 0.0167, and in the left eye was 0.63. Upon examination, keratic precipitates were found in the right eye, along with flare and cells +1/+1, pupil seclusion, a cloudy lens, and opacity in the posterior segment. The left eye was within normal limits. The patient was diagnosed with panuveitis of the right eye due to ocular TB and a complicated cataract. She had been referred by the local general hospital with complaints of blurred vision and was initially diagnosed with anterior uveitis due to ocular TB based on clinical presentation and positive Interferon-Gamma Release Assay (IGRA) test results. The patient was then referred back to the Internal Medicine Department of the local general hospital and the community health centre to start the anti-tuberculosis therapy (ATT). However, the patient refused treatment and, as a result, did not receive anti-tuberculosis drugs. Panuveitis TB, without adequate treatment, can lead to a poor prognosis.
Insights in managing refractive surprise after cataract surgery: A case series Oktaliani, Rahayu; Budiman; Knoch, Andrew Maximilian Herman; Sugiarti, Emmy Dwi; Tjokrovonco, Ludwig Melino
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 3, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss3.art14

Abstract

Improvements in cataract surgery techniques and intraocular lens (IOL) calculations have raised patient expectations for precise visual outcomes. Refractive surprise occurs when the post-operative refractive outcome differs from the intended target, leading to unexpected visual outcomes. Secondary piggyback IOL implantation and IOL exchange are techniques to correct the refractive surprise. We presented some case series of refractive surprise after cataract surgery. Case I was A 55-year-old woman presented with the complaint of blurred vision in her left eye after cataract surgery ten months before. The visual acuity was 0.125 in the right eye (RE) and 0.05 in the left eye (LE). The best-corrected visual acuity of the left eye was 0.63 with a refraction of S+6.00 C-0.50 × 20°. She was diagnosed with hyperopic surprise in the left eye and pseudophakia in both eyes. The piggyback intraocular lens implantation procedure was chosen to correct the refractive surprise. Case II was A 72-year-old man presented with the complaint of blurred vision in his right eye after cataract surgery five years before. The visual acuity was 1/60 in his right eye and 0.16 in his left eye. The best-corrected visual acuity of the right eye was 0.4 with a refraction of S-14.00 C-1.50 × 125°. He was diagnosed with myopic surprise in his RE. The IOL exchange to scleral fixation with the Yamane technique implantation procedure was chosen to correct the refractive surprise. Piggyback IOL implantation and IOL exchange are proven, safe, and effective methods for correcting refractive surprises following cataract surgery.
Co-Authors Budiman Idrus, Elfa Ali Knoch, Andrew Maximilian Herman Sugiarti, Emmy Dwi Tjokrovonco, Ludwig Melino Waslan, Kuswaya