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Umar, Batari Todja
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Health Professions Medicine & Pharmacology Public Health

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See-saw Nystagmus in Chiari Malformation Type I Suleha, Siti; -, Yunita; Umar, Batari Todja
Cermin Dunia Kedokteran Vol 42, No 8 (2015): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.647 KB) | DOI: 10.55175/cdk.v42i8.981

Abstract

Purpose: To report a case of 25 year-old woman with see-saw nystagmus as a manifestation of Chiari Malformation Type I. Methods: A 25 year-old woman was referred with involuntary movements of both eyes. Assessments were for visual acuity and anterior and posterior segments of the eyes, and magnetic resonance imaging of head and brainstem. Result: See-saw nystagmus was evident. Best corrected visual acuity were 6/6 in both eyes. Anterior and posterior segments of the eye were normal. The diagnosis of Chiari Malformation Type I was confirmed by magnetic resonance imaging. Conclusion: See-saw nystagmus can be found in Chiari Malformation Type I. No specific treatment was given.Tujuan: Melaporkan kasus seorang wanita berusia 25 tahun dengan see-saw nystagmus sebagai manifestasi Malformasi Chiari tipe I. Metode: Seorang wanita berusia 25 tahun dirujuk dengan gerakan involunter pada kedua bola mata. Pemeriksaan antara lain visus dan pemeriksaan segmen anterior dan posterior pada kedua mata serta pemeriksaan magnetic resonance imaging kepala dan batang otak. Hasil: See-saw nystagmus dapat dilihat jelas. Visus kedua mata telah dikoreksi menjadi 6/6. Segmen anterior dan posterior kedua mata normal. Diagnosis Malformasi Chiari tipe I dikonfirmasi dengan pemeriksaan magnetic resonance imaging. Simpulan: See saw nystagmus dapat ditemukan pada Malformasi Chiari tipe I. Tidak diberi terapi spesifik.
OCULAR GNATHOSTOMIASIS IN A FARMER FROM SOUTH SULAWESI, INDONESIA Trisnawaty, Dian; Umar, Batari Todja
Majalah Oftalmologi Indonesia Vol 51 No 1 (2025): Ophthalmologica Indonesiana
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/journal.v51i1.101699

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Introduction: Ocular Gnathostomiasis is a rare parasitic infection caused by the third-stage larvae of the spiruroid nematode. Gnathostome species are mostly seen in tropical and subtropical areas. It is a food-borne zoonosis caused by the consumption of raw or undercooked freshwater of fish, amphibians, reptiles, birds, and mammals, all of which are known to harbor the larval stages of Gnathostome species.   Case Report: A 37-year-old farmer complained of seeing moving objects in his left eye accompanied by blurred vision. At the previous visit, the patient had a history of red left eye with increased intraocular pressure, a visual acuity (VA) of 20/30 with the best corrected visual acuity (BCVA) of 20/20 and normal intraocular pressure. Slit lamp examination showed slight hyperemia of the conjunctiva and a live worm moving in the anterior chamber (AC). The worm was immediately removed using corneal clear incision and sent for parasitological examination.   Discussion: Ocular Gnathostomiasis by third-stage larvae of spiruroid nematode was found at the eye of a man from Siwa, South Sulawesi. Patients with complaints of recurrent redness of the eyes accompanied by increased intraocular pressure and a history of living in an area with a habit of eating raw freshwater fish should be considered the possibility of harboring helminth in the eye.   Conclusion: Patients with complaints of recurrent eye redness increased intraocular pressure, and a history of living in an area with a habit of eating raw freshwater fish should be considered the possibility of harboring helminth in the eye especially Gnathostome.
INTERNUCLEAR OPHTHALMOPLEGIA IN MULTIPLE SCLEROSIS PATIENT Tirkal, Fahrian; Mansyur, Yunita; Umar, Batari Todja; Goysal, Yudy; Baan, Junus
Majalah Oftalmologi Indonesia Vol 50 No 2 (2024): Ophthalmologica Indonesiana
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/journal.v50i2.101627

Abstract

Introduction: Internuclear ophthalmoplegia (INO) characterized by impaired adduction of the affected eye caused by a lesion in the medial longitudinal fasciculus (MLF). The common cause of INO is demyelinating disease including multiple sclerosis. INO arguably the most discrete localizing sign in medicine, has considerable value in predicting multiple sclerosis. Due to its high spatial resolution, MRI has allowed us to depict in vivo the anatomic organization of the human oculomotor nerve complex, the MLF, and related structures in the brainstem. Case Report: A 48-year-old female presented with blurred vision of both eyes for 2 weeks, but then slowly resolved. Best corrected visual acuity presentation on both eyes were 20/20 with normal intraocular pressure (IOP). Adduction deficit observed on the left eye with no nystagmus. Convergence are not impaired in both eyes. Anterior segments was normal except minimal lens cloudiness in both eyes. Funduscopic examination result also within normal limit. Patient had undergone Computerised Tomography (CT-Scan) and the result was normal, no ischemic area or Space occupied lesion (SOL) or intracranial bleeding were found. Brain MRI showed bilateral optic perineuritis and multiple lesion in bilateral frontoparietalis and in the left side of the pons suggested multiple sclerosis. Discussion: Impairment of adduction movement on the patient’s left eye caused by demyelinating plaque related multiple sclerosis on the left side of the pons as shown MRI imaging. Management in this patient is based on the underlying condition. Conclusion: Internuclear ophthalmoplegia in this cases maybe caused by lesion in the medial longitudinal fasciculus could be related with multiple sclerosis.
Co-Authors Baan, Junus Goysal, Yudy Mansyur, Yunita Suleha, Siti Tirkal, Fahrian Trisnawaty, Dian Yunita -