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Penatalaksanaan Benda Asing Intraokular: Tinjauan Pustaka Iskandar, Ferdy; Angelia, Maria
Cermin Dunia Kedokteran Vol 51 No 12 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i12.1220

Abstract

Intraocular foreign body (IOFB) is an ophthalmologic emergency, demanding immediate diagnosis and treatment to prevent blindness and eye loss. These foreign bodies may penetrate via cornea (62%), sclera (25%), or limbus (10%), most IOFB resides in the posterior segment of the eye (58%-88%). Early treatment plays a pivotal role in providing a favorable patient prognosis.
A case of mixed mechanism glaucoma: diagnostic and management challenges Iskandar, Ferdy; Oktariana, Virna Dwi; Aziza, Yulia
Medical Journal of Indonesia Vol. 34 No. 4 (2025): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cr.258092

Abstract

Mixed mechanism glaucoma occurs when secondary causes contribute to glaucoma in an eye with preexisting primary open-angle glaucoma (POAG) or primary angle-closure glaucoma. This study highlights its diagnostic and management challenges. A 63-year-old female presented with blurry vision and right eye pain for 2 months. She had undergone cataract surgery in the right eye 6 months earlier and developed elevated intraocular pressure (IOP) afterward. Her visual acuity in the right eye was hand movements, and IOP was 34 mmHg despite medications. Examination revealed signs of uveitis, leading to a diagnosis of secondary glaucoma. A glaucoma drainage device (GDD) was implanted, successfully controlling IOP. Follow-up revealed POAG signs in the left eye, prompting a revised diagnosis of mixed mechanism glaucoma in the right eye. GDD implantation was effective, but continued monitoring remained essential to maintain the target IOP.