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All Journal Majalah Kedokteran Bandung Jurnal Medika Malahayati IJRETINA - International Journal of Retina Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Juanarta, Pieter
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health

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OKULAR SIFILIS YANG DISERTAI HERPES ZOSTER OFTALMIKUS : LAPORAN KASUS Juanarta, Pieter; Heryati, Susi; Fajriansyah, Angga; Mustaram, Arief Akhdestira; Muslima, Patriotika; Idrus, Elfa Ali
Jurnal Medika Malahayati Vol 8, No 2 (2024): Volume 8 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v8i2.14302

Abstract

Sifilis dapat menyerang seluruh bagian mata, menjadikannya “great masquerade” dan harus dipertimbangkan pada pasien dengan gangguan sistem imun. Anamnesis, pemeriksaan fisik, pemeriksaan oftalmologi, dan pemeriksaan serologis dapat membedakan sifilis okular dari etiologi lain. Tujuan dari laporan kasus ini adalah untuk melaporkan diagnosis dan penatalaksanaan sifilis mata yang disertai dengan Herpes Zoster Ophthalmic. Pada laporan kasus ini, seorang pasien laki-laki berusia 27 tahun mengeluh erupsi vesikel yang disertai nyeri pada dahi dan kelopak mata kiri sejak dua hari yang lalu, serta pandangan kabur pada kedua mata sejak tujuh bulan yang lalu. Pemeriksaan fisik didapatkan ruam makulopapular pada kedua telapak tangan. Ditemukan sel vitreus dan kabut serta diskus optik bilateral yang kabur. Hasil laboratorium menunjukkan reaktivitas pada VDRL/RPR dan TPHA. Pasien didiagnosis menderita Uveitis Intermediate karena Sifilis, Herpes Zoster Ophthalmic Sinistra, dan Optik Neuritis Atipikal Bilateral. Pasien diberikan Benzatin Penisilin intramuskular, Valasiklovir oral, kortikosteroid sistemik, steroid topikal, dan dirujuk ke dokter spesialis kulit dan kelamin. Herpes Zoster Ophthalmic pada usia muda dapat menjadi tanda kondisi immunocompromised. Anamnesis, pemeriksaan fisik, dan pemeriksaan laboratorium penting dalam menentukan penyebab uveitis. Pasien dengan Okular sifilis akan mendapat manfaat dari terapi antibiotik dini. Kesalahan diagnosis akan menyebabkan kerusakan yang lebih berat dan mempengaruhi tajam penglihatan.
Patient’s Quality of Life After 3-and 6-Months Cataract Surgery Juanarta, Pieter; Karfiati, Feti; Budiman, Budiman
Majalah Kedokteran Bandung Vol 56, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3137

Abstract

Cataract surgery is the most common elective procedure and has been shown to increase patients' visual acuity. However, visual acuity alone cannot adequately represent their quality of life. Quality of life can be measured with a standardized questionnaire, such as the National Eye Institute Refractive Error Quality of Life Instrument. Patients with better quality of life pre-operatively will benefit less from cataract surgery. This study aimed to describe patients' quality of life after long-term cataract surgery in the National Eye Center Cicendo Eye Hospital. This cross-sectional descriptive study used primary data collected using a questionnaire  from March to May 2022. The subjects were 33 people with cataracts who underwent uncomplicated cataract surgery at Cicendo National Eye Hospital over the past three and six months of the study. Patients who met the inclusion criteria were given the NEI-RQL 42 questionnaire. In visual clarity, patient expectations, near vision, far vision, daily fluctuations, activity limitations, suboptimal correction, and satisfaction with correction variables, an increase in value at three months was observed, yet slightly decreased at 6 months. There was decreased glare complaints, symptoms, and dependence on correction at preoperative, 3 months, and 6 months. An increase in the level of concern and appearance from preoperative, 3 months, and 6 months post-operative was observed. Thus, an improvement in the patient's quality of life is observed three months after surgery, yet decreases slightly in six months after surgery.
Akar Masalah Gangguan Penglihatan: Menelusuri Kelainan Refraksi yang Tidak Terkoreksi Sirait, Susanti Natalya; Juanarta, Pieter; Musa, Ine Renata; Satari, Karmelita; Hutabarat, Joan Sherlone T.
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 3 (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.v6i3.77

Abstract

Pendahuluan: Kelainan refraksi yang tidak terkoreksi merupakan penyebab terbanyak gangguan penglihatan yang dapat dihindari. Miopia merupakan kelainan refraksi yang paling sering dan prevalensinya terus meningkat sehingga menyebabkan gangguan penglihatan. Genetik dan gaya hidup akan mempengaruhi perkembangan dan hasil akhir miopia. Metode: Penelitian ini merupakan penelitian deskriptif retrospektif dari pasien yang terdiagnosis miopia pada periode 1 Januari hingga 31 Desember 2020. Sebanyak 301 pasien dipilih menggunakan consecutive random sampling. Usia, jenis kelamin, tempat tinggal, kelainan refraksi, ketajaman penglihatan, derajat miopia, koreksi penglihatan terbaik, lateralisasi mata, dan penatalaksanaan ditinjau secara retrospektif. Hasil: Penelitian ini menunjukkan paling banyak terjadi gangguan refraksi bilateral (92,4%), miopia ringan (57,1%), dan diberi kacamata (99,3%). Pasien sebagian besar tidak mengalami gangguan penglihatan (70,4%), namun masih terdapat kebutaan (3,7%). Koreksi terbaik menunjukkan peningkatan pada kelompok tanpa gangguan penglihatan (92,7%), namun terdapat kebutaan yang tidak dapat dikoreksi (0,7%) yang berhubungan dengan ablasi retina, katarak, dan ambliopia. Kesimpulan: Pada penelitian ini terdapat peningkatan jumlah pasien tanpa gangguan penglihatan sebesar 22% setelah diberikan alat bantu kacamata. Selain itu terdapat 36,9% pasien yang belum pernah memakai kacamata sebelumnya dan 42,5% pasien berasal dari luar kota bandung. Hal ini menunjukkan bahwa masih kurangnya akses dan pelatihan untuk kesehatan mata terutama pada daerah terpencil sehingga banyak pasien dengan kelainan refraksi yang tidak terkoreksi harus menempuh jarak yang cukup jauh untuk mendapatkan alat bantu.
Ocular Manifestations of Aplastic Anemia: Rare Case of Anemic Retinopathy Juanarta, Pieter; Ihsan, Grimaldi; Iskandar, Erwin; Kartasasmita, Arief; Virgana, Rova; Indra, Made
International Journal of Retina Vol 8 No 1 (2025): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2025.vol008.iss001.280

Abstract

Incidence of aplastic anemia was 1-2 cases per million population per years, and showed higher rate in Asia and 10-25 years old. Anemic retinopathy can occur in 28% of patient with severe anemia, especially if accompanied by thrombocytopenia. Most cases were asymptomatic, however decrease visual acuity were also commonly found caused by haemorrhage and Macular edema. A 65 years old female patient came with blurry vision ten days prior admission accompanied with loss of consciousness, recurrent bleeding from nose, gum, and bluish discoloration in her extremities four years ago. Visual acuity was 1/60 on the right eye and 0.4 log on the left eye. Funduscopic examination showed vitreous haemorrhage, dot blot, hard exudate, and tortuosity of vein. Laboratory Examination showed anemia and thrombocytopenia, and peripheral blood morphology showed normochromic anisopoikilocytosis caused by chronic disease. She was scheduled to underwent anti VEGF and showed improvement in her visual acuity after injection. Fundoscopic examination later shows sub-hyaloid haemorrhage, dot blot, hard exudate, and tortuosity of vein. She was scheduled to undergo pars plana vitrectomy and were consulted to internal medicine. Aplastic anemia is a rare disease that usually asymptomatic, thus causing late intervention and a high mortality rate. Early manifestation can be seen in retinal structure as anemic retinopathy thus ophthalmologist have valuable impact in early detection of this disease. Haemorrhage overlying the macula and macular edema is the most common cause of visual impairment. Anti VEGF treatment, transfusion of blood component, and immunosuppressive therapy is needed to prevent complication and increase patient survival rate. Patient visual acuity usually imporved after early transfusion and anti VEGF injection, however delayed intervention may cause irreversible vision loss.
Secondary Piggyback Intraocular Lens for Correcting Refractive Surprise Post Silicone Oil Removal: Poster Presentation - Case Report - Resident Juanarta, Pieter; Knoch, Andrew M.H.; Budiman; Sugiarti, Emmy Dwi; Tjokrovontjo, Ludwig Melino
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: 10.35749/03djjh28

Abstract

Introduction : Pseudophakic refractive error can be caused by IOL malposition and inaccurate biometric examination. Treatment consists of IOL exchange, refractive laser correction, and secondary piggyback IOL. Secondary Piggyback IOL consist of customized IOL implantation on ciliary sulcus. Case Illustration : A Male, 62 years old, complains of blurry right eye. He underwent retinal surgery with silicone oil tamponade surgery 5 years ago and underwent silicone oil evacuation, phacoemulsification, and intraocular lens implantation one year later. The visual acuity of the right eye was 1/60 with BCVA of 0.2. He was diagnosed with Pseudophakia of both eyes and Hypermetropia Surprise of the right eye. He was planned to undergo piggyback intraocular lens implantation in the right eye (Figure 1). The visual acuity one week after operation of the patient's right eye was 0.32 (Figure 2). Discussion : Biometric examination in eye with silicon oil tamponade have longer axial length, causing pseudophakic refractive errors. Treatments consist of IOL replacement, refractive laser correction, and piggyback IOL implantation. IOL replacement has a high risk and requires quite high operator skills. Refractive laser correction is performed in small refractive errors. Piggyback IOL implantationis easier, safer, have more accurate IOL power, and reversible. Conclusion : Power of the intraocular lens is influenced by axial length, keratometry reading, lens thickness, and other parameters. Axial length measurement in patients with silicone oil tamponade requires greater accuracy to prevent pseudophakic refractive errors. IOL Piggyback implantation procedure is an alternative in person that can’t undergo laser correction or IOL exchange.
Co-Authors Arief S. Kartasasmita Budiman Budiman Budiman Fajriansyah, Angga Feti Karfiati Memed Hutabarat, Joan Sherlone T. Idrus, Elfa Ali Ihsan, Grimaldi Indra, Made Ine Renata Musa Iskandar, Erwin Knoch, Andrew M.H. Muslima, Patriotika Mustaram, Arief Akhdestira Rova Virgana Satari, Karmelita Sirait, Susanti Natalya Sugiarti, Emmy Dwi Susi Heryati, Susi Tjokrovontjo, Ludwig Melino