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Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract Putri, Nerissa Tamara; Firmansjah, Muhammad; Prastyani, Reni
Folia Medica Indonesiana Vol. 58, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

Highlight: • The management of penetrating ocular injury with IOFB and traumatic cataracts needs a thorough examination of the mechanism of injury, location, size, and composition of IOFB. • Endophthalmitis, retinal detachment, and development of PVR are potentially vision-threatment. Abstract: Most IOFB are metallic and found in males of productive age as a consequence of work-related accidents. A 45-year-old man complained of sudden blurred vision in the left eye (3/60 pinhole 5/12) after getting hit by a foreign body when cutting grass with a lawn mower. Anterior segment examination revealed a 10 mm long, one-plane, straight, full thickness, already sutured inferonasal corneal laceration, inferonasal traumatic iridectomy size 3x7 mm, and opaque lens. Head CT-scan revealed opacity with metallic density intraocularly. Ultrasonography revealed an echogenic lesion, particle-shaped with 100% RCS complex density, located at the inferonasal of the vitreous cavity. Focal laser photocoagulation was performed preoperatively because there was a tear at the superonasal of the retina. The patient underwent cataract extraction, intraocular lens implantation, vitrectomy, and IOFB extraction in a one-step procedure. IOFB was found at the inferonasal side of a vitreous cavity with size 3 x 1 mm, metallic, and not attached to the retina. Silicon oil tamponade was used as a precaution because there were retinal tears. Postoperatively, the left eye's visualacuity was 5/20. After 6 months, the silicon oil was evacuated and the visual acuity became 5/8.5.
UV-A–based intervention for mitigating myopia progression via retinal dopaminergic pathways in rabbits Aritonang, Christina; Irwanto; Prastyani, Reni
Jurnal Medik Veteriner Vol. 9 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jmv.vol9.iss1.2026.71-84

Abstract

The global rise in myopia, particularly among children and young adults, has stimulated increasing interest in environmental and light-based preventive strategies. This study investigated the protective effects of ultraviolet-A (UV-A) light exposure on myopia progression in a form-deprivation model and explored its potential mechanism via dopaminergic retinal signaling. In this experimental study, form-deprivation myopia (FDM) was induced in rabbits, which were randomly assigned to either a control group (n = 7) or a UV-A–treated group (375 nm, 12 h/day for 5 days; n = 6). Axial length, refraction, and ocular surface safety (Schirmer’s test and clinical observations) were evaluated before and after treatment. Retinal tissues were analyzed for tyrosine hydroxylase (TH) and dopamine receptors (D₁R and D₂R). Axial elongation was assessed within and between groups. UV-A–treated eyes demonstrated a shorter axial length and a greater hyperopic shift compared with controls (17.72 ± 0.14 mm vs. 23.12 ± 2.34 mm, p = 0.001; +4.58 ± 0.66 D vs. +2.64 ± 1.41 D, p = 0.001). Schirmer’s test revealed no significant differences (p = 0.40). TH and D₂R expression levels were significantly higher in the UV-A group (p = 0.013 and p = 0.009, respectively). Limitations of the study include the short experimental duration, small sample size, and the absence of a UV dose–response analysis. Overall, UV-A light exposure showed potential in inhibiting ocular axial elongation and reversing myopic shifts in a form-deprivation model, possibly through activation of retinal dopaminergic pathways, highlighting UV-A as a promising light-based intervention for myopia control.