Primitasari, Yulia
Department Of Ophthalmology, Faculty Of Medicine, Universitas Airlangga/ Dr.Soetomo General Hospital, Surabaya

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Profile of Secondary Glaucoma at a Tertiary Hospital in East Java Komaratih, Evelyn; Rindiastuti, Yuyun; Primitasari, Yulia
Folia Medica Indonesiana Vol. 56, No. 1
Publisher : Folia Medica Indonesiana

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Glaucoma is the leading cause of irreversible blindness. The aim of this study was to review the profile of secondary glaucoma cases visiting a tertiary hospital in East Java. This is retrospective observational study, completed case records of new patients with secondary glaucoma who presented to glaucoma clinic from January 2014 to April 2016 were included. Out of the 363 case records screened, 66 cases were found to eligible for inclusion. The evaluation included a detailed history and examination performed including vision, anterior segment examination, intraocular pressure (IOP), gonioscopy, and fundus evaluation. Diagnosis of secondary glaucoma was made on the basis of presence of a secondary cause for presence of raised IOP. 66 cases were eligible for inclusion in the study, most of the cases was occurred in the range age 21-50 years. The male female ratio was 1.3:1. Frequent causes of secondary glaucoma were lens factor 30.8%, steroid induced 29.5%, uveitic 20.5%, neovascular15.4%, and surgical complication 3.8%. Most patients with secondary glaucoma have poor vision < 0.1 with high IOP at presentation. Assessment and early detection of underlying cause is the key guide to treatment strategy.
Selection of Medical Therapy in Glaucoma Patients in the Outpatient Eye Clinic Soetomo General Academic Hospital Surabaya Praba, Venansya Maulina; Primitasari, Yulia; Qorib, Mohammad Fathul; Loebis, Rozalina
Folia Medica Indonesiana Vol. 57, No. 4
Publisher : Folia Medica Indonesiana

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Highlight: • Medical therapy selection in the outpatient eye clinic were determined. • Treatment of prostaglandin analogue therapyfor primary open angle glaucoma was the most common glaucoma type. Abstract: Glaucoma is the second leading cause of blindness and the third cause of visual impairment. Glaucoma management includes medical therapy, laser, and incisions. This study aims to determine the selection of medical therapy in the outpatient eye clinic Soetomo General Academic Hospital Surabaya. This study was a retrospective descriptive study. The variables were type of glaucoma, visual acuity, intraocular pressure, and drug therapy. Data processing was done by collecting, grouping, and describing data. Glaucoma was mostly common in 50-64 years old (37.66%), male (50.65%), most patients lived in Surabaya (53.68%), the most common type was Primary Open-Angle Glaucoma (32.90%), the most medical therapy given in the first visit in 2019 was single medical therapy (67.97%), the most single drug therapy was latanoprost (49.68%), the most drugs combination was timolol maleat with acetazolamide (35.14%), the most commonly drugs class were prostaglandin analogues (48.48%), most of the visual acuity values were 6/6 - 6/18 (1,00 – 0,33) (37.88%), most intraocular pressure was in the 11-21 mmHg (62.55%). The most common type of glaucoma was primary open angle glaucoma with the most therapy given was prostaglandin analogue.
Gonioscopy in Practical Ophthalmology: A Comprehensive Review of Its Principles, Practice, and Clinical Relevance Widyati, Dyah Ratri; Primitasari, Yulia; Komaratih, Evelyn; Nurwasis
Vision Science and Eye Health Journal Vol. 5 No. 1 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i1.2025.39-45

Abstract

Introduction: Gonioscopy is a vital ophthalmic examination that enables direct visualization of the anterior chamber angle, which is primarily essential for glaucoma diagnosis and management. Despite being the gold standard, it remains underutilized in clinical practice. Purpose: This review synthesizes current knowledge on gonioscopy's principles, techniques, and clinical relevance, emphasizing its predominant role in glaucoma while acknowledging its broader diagnostic utility. Reviews: Gonioscopy allows detailed assessment of angle structures, which are crucial for distinguishing between open-angle and angle-closure glaucoma and for detecting secondary glaucomas such as neovascular or pigment dispersion glaucoma. Its dynamic indentation capability uniquely differentiates appositional angle closure from permanent synechiae, unlike static imaging modalities. The review highlights historical evolution, technique nuances, indications, and technological advancements, including digital imaging tools. Gonioscopy guides clinical decision-making by identifying angle pathology that influences interventions like laser peripheral iridotomy or surgical procedures. Challenges include operator skill requirements and patient cooperation, with underuse reported even among surgical candidates. Guidelines advocate routine gonioscopic examination for glaucoma suspects. Conclusions: Gonioscopy remains indispensable, especially in glaucoma care, providing dynamic, real-time anatomical insights that cannot be replaced by imaging alone. Improving clinical training and integration into routine practice is critical to optimize early detection, accurate diagnosis, and tailored management of glaucoma and other anterior segment disorders.