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All Journal Narra J GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Heca Journal of Applied Sciences Malacca Pharmaceutics Indonesian Journal of Case Reports Grimsa Journal of Science Engineering and Technology
Imelda, Eva
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Earth & Planetary Sciences Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Physics Public Health Veterinary

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Journal : Heca Journal of Applied Sciences

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The Complexity of Handling Posterior Subcapsular Cataract Case Imelda, Eva; Siti Rain Jannah; Sarra Mutiara Adev; Toshniwal, Navneet Shamsundar
Heca Journal of Applied Sciences Vol. 1 No. 1 (2023): June 2023
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/hjas.v1i1.13

Abstract

Cataracts or “katarrhakies” in Greek means waterfall. This term is used because the vision in cataract patients is described as a closed waterfall due to the clouding of the lens. PSCs (posterior subcapsular cataracts) might cause symptoms within months. and can cause worse visual disturbances compared to other types of senile cataracts. A 63-year-old man came to the Department of Ophthalmology at RSUD Dr. Zainoel Abidin with a chief complaint of blurry vision in both eyes since two years ago and felt more severe in the left eye. The patient also complained of difficulty seeing an object and reading at close range. On physical examination, a cloudy lens was found in the central posterior part of his both eyes the iris shadow test of both eyes was positive. The patient was diagnosed with posterior subcapsular cataract oculus dexter and sinister (ODS). The patient was planned to undergo phacoemulsification and intraocular lens (IOL) implantation in his left eye. The patient came back in the next couple weeks after surgery and it shows that his left eye visual acuity was 20/20 and the ocular anatomy was in good condition. Nowadays, phacoemulsification is still the first choice in PSC therapy. This type of cataract is difficult to treat because the cataract is still thin and the lens is mostly transparent, but it often causes glare and vision impairment which can interfere with daily activities.
Bilateral Juvenile Cataract in Childhood: A Comprehensive Clinical and Surgical Approach Imelda, Eva; Lubis, Dara Amalia; Lathifah, Lakaeisya SY; Toshniwal, Nikhil; Adev, Sarra Mutiara
Heca Journal of Applied Sciences Vol. 3 No. 2 (2025): September 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/hjas.v3i2.325

Abstract

Juvenile cataracts, though less common than congenital types, can cause irreversible visual impairment if diagnosis and treatment are delayed. We report a 10-year-old boy with progressive bilateral visual loss, photophobia, and leukocoria over three years, with a positive paternal history suggesting hereditary etiology. Examination revealed dense bilateral lens opacities and markedly reduced visual acuity. The patient underwent sequential aspiration–irrigation with posterior chamber intraocular lens implantation in both eyes. Surgeries were uneventful; however, postoperative vision in the right eye remained limited due to deprivation amblyopia, while the left eye achieved a better functional outcome. Final refraction showed mild residual error, and the patient was continued on visual rehabilitation and amblyopia therapy. This case highlights the importance of early detection and timely surgery in pediatric cataract to prevent permanent visual deficits and optimize outcomes. This report aims to illustrate the impact of delayed intervention on functional vision, daily activities, and educational performance in school-aged children within resource-limited settings.
Co-Authors Adev, Alya Mutiara Adev, Sarra Mutiara Anggreiny, Cut Dini Annisa, Thyfa Emka, Erifa Ananda Fadliyani, Eka Faizah, Siti Fitria, Ulfa Ghassani, Vania Ghazi Mauer Idroes Gianty, Jauza Aqilla Gunawan, Fany Jannah, Siti Rain Lathifah, Lakaeisya SY Lubis, Dara Amalia Mutia, Ulmiza Putri Nuzhatuddin, Fatimah Raudhatul Jannah Rinaldi Idroes Samira, Cut Putri Sari, Cut Refida Sari, Masitha Dewi Sari, Munita Sarra Mutiara Adev Siti Rain Jannah Suhendra, Rivansyah Syahrul Syahrul Teuku Rizky Noviandy Toshniwal, Navneet Shamsundar Toshniwal, Nikhil Toshnowal, Nikhil Zakiaturrahmi, Zakiaturrahmi