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All Journal Syntax Literate: Jurnal Ilmiah Indonesia MAHESA : Malahayati Health Student Journal Oftalmologi: Jurnal Kesehatan Mata Indonesia
Widhyasti, Rahayu
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Humanities Dentistry Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Good Results in Open Globe Injury Including Intraocular Foreign Body Widhyasti, Rahayu; Widyanatha, Made Indra; S. Kartasasmita, Arief; Iskandar, Erwin; Virgana, Rova; Ihsan, Grimaldi
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.61

Abstract

Introduction: The second most frequent cause of open globe injury (OGI) is an intraocular foreign body (IOFB), a serious ocular emergency that needs to be diagnosed and treated right once to avoid blindness. It can enter the eye and cause damage later on, resulting in direct harm. When treating post-traumatic endophthalmitis, an urgent pars plana vitrectomy (PPV) procedure helps maximize visual outcome. Case report: A 55-year-old male patient came to the Emergency Room Tertiary Eye Hospital with chief complaints of blurry vision, pain, and red-eye in his right eye 3 days before admission. The patient’s right eye was hit by a fragment of the sickle knife while mowing the grass in the yard without protective eyeglasses. His chief complaints getting worse accompanied by lacrimation. The patient was diagnosed with Open Globe Injury Type C Grade D Pupil B zone 1, suspected early endophthalmitis, traumatic cataract of the right eye, and hypertension. Pars plana vitrectomy, vitreous tap, antibiotic intravitreal injection (with Ceftazidime and Vancomycin), IOFB extraction, explore, corneal scraping on the wound, cultural resistance, primary hecting of the cornea were done. The visual acuity improved and the infection was resolved. The infection was treated, and visual acuity returned after a month. Conclusion: In ophthalmology, IOFB is one of the most frequent traumas and is regarded as an emergency. To identify this problem, a thorough ophthalmology examination and the relevant ancillary testing should be performed. A patient with good care will have a favorable visual prognosis.
Clinical Characteristics And Success Of Ptosis Surgery At Indonesia National Eye Center Cicendo Eye Hospital During January 2016 – December 2020 Widhyasti, Rahayu; Boesoirie, Shanti Fitrianti
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14062

Abstract

Introduction: Ptosis is defined as drooping of the upper eyelid. Unilateral or bilateral ptosis can affect appearance and visual function, both of which can negatively impact quality of life. It may be congenital or acquired, determined by the timing of onset.Purpose: To describe clinical characteristics and surgical outcomse in ptosis correction surgery at Indonesia National Eye Centre, Cicendo Eye Hospital.Methods: This is a descriptive-retrospective study, medical records of patients who was admitted to Indonesia National Eye Centre, Cicendo Eye Hospital, from January 2016 to December 2020 with diagnosis of eyelid ptosis were included in this study.Results: From total of 189 patients (209 eyes) in this study, there were 41,8% male and 58,2% female patients with median age 22 years at the first time of visit. Most of the patients had unilateral ptosis (89,5%), and 10,5% had unilateral ptosis. According to the etiology of ptosis, 34,2% eyes were neurogenic ptosis. Degree of ptosis were severe in 70,9% eyes and most patients had fair levator function. Success rate were more than 95% in ptosis patient who underwent surgery.Conclusion: Majority of ptosis patient in Indonesia National Eye Centre, Cicendo Eye Hospital were caused by neurogenic followed by mechanical, traumatic, aponeurotic, myogenic, and pseudoptosis. Female patients were more common than male patients and median age at the first time visit were during second decade of life. Surgical outcome in ptosis tend to have high clinical success rates.Keywords: Characteristic; Outcome; Ptosis; Surgery 
Tuberculous Uveitis as an Extrapulmonary Manifestation of TB: Diagnostic and Therapeutic Challenges Widhyasti, Rahayu; Pamungkas, Seno; Anggraini, Susan
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i5.58254

Abstract

Tuberculosis (TB) continues to pose a global health challenge, particularly in tropical and developing regions. Although primarily a pulmonary disease, TB can manifest in extrapulmonary forms, including ocular involvement such as uveitis. This study aims to describe the diagnostic and therapeutic challenges associated with tuberculous uveitis in a young female patient previously diagnosed with pulmonary TB. The patient presented with rapid progressive vision loss in one eye and was later diagnosed with uveitic tuberculosis. Despite receiving standard anti-tubercular therapy (ATT) and corticosteroids, irreversible retinal damage led to permanent vision loss. The research employs a case report approach with clinical evaluations including slit lamp, ultrasonography, and fundus examinations. Findings underscore the diagnostic difficulty due to nonspecific ocular symptoms and the often presumptive nature of ocular TB diagnosis, lacking microbiological confirmation. Early treatment improved inflammation but failed to restore vision. This case highlights the necessity of integrating ophthalmic evaluations into TB management, especially in endemic regions. Multidisciplinary collaboration among healthcare providers is vital for effective diagnosis and timely treatment. The study emphasizes the importance of routine ocular screening in systemic TB cases and calls for further research into early diagnostic biomarkers and treatment guidelines to prevent vision loss in similar patients.
Co-Authors Anggraini, Susan Boesoirie, Shanti Fitrianti Ihsan, Grimaldi Iskandar, Erwin Pamungkas, Seno Rova Virgana S. Kartasasmita, Arief Widyanatha, Made Indra