Claim Missing Document
Check
Articles

Found 3 Documents
Search

Is It Truly Myopia or Pseudomyopia?: A Case Report of a Pediatric Patient Intaniasari, Webby Bernica; Deneska, Ria Sandy
Asian Journal of Health Research Vol. 3 No. 1 (2024): Volume 3 No 1 (April) 2024
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v3i1.146

Abstract

Introduction: Pseudomyopia, resulting from excessive accommodation or nerve-related effects, creates false myopia corrected by cycloplegic refraction, which differs from secondary myopia caused by identifiable factors such as cataracts or trauma. If underlying hyperopia remains undetected, symptoms such as asthenopia and headaches occur, potentially resulting in conditions such as amblyopia. We presented a case of pseudomyopia in a pediatric patient to describe its clinical features and treatment. Case Presentation: A 7-year-old patient, who often uses smartphones for approximately 1–3 h daily in a well-lit room, initially reported blurry distant vision, headaches, eye discomfort, and difficulty reading from a distance. At the first visit, the visual acuity of the right (oculus dexter, OD) and left (oculus sinister, OS) eyes was 6/18 and 6/24, respectively. A cycloplegic was administered to both eyes, and subjective refraction of OD S +1.00 and OS S +1.25 was obtained. The patient was diagnosed with pseudomyopia and was administered glasses treatment and cycloplegic topical eye drops. After 12 weeks of treatment, the best-corrected visual acuity was 6/6. Conclusion: Pseudomyopia clinical features in pediatric patients could vary and should be distinguished from accommodative spasms. Treatment approaches vary widely, reflecting the lack of consensus on management despite consistent assessment and diagnostic approaches.
The Relationship between Characteristics and Underlying Eye Disorders with Optical Aid Selection and Visual Acuity Status Differences in Children with Low Vision Before and After Optical Aid Selection Sidohutomo, Andityo; Deneska, Ria Sandy; Loebis, Rozalina
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: 10.35749/6mad5m93

Abstract

Background: Low vision is a vision disorder that can have a significant impact on a person's independence, especially in children. According to WHO data from 2019, 246 million people suffer from low vision. Ophthalmologists must prioritize low-vision services such as refractive correction and low-vision assessment. This study aims to learn more about the relationship between characteristics and underlying eye disorders with optical aid selection, as well as differences in visual acuity status in children with low vision before and after optical aid selection. Methods: This study was an analytic observational retrospective cohort using medical records of children with low vision in RSUD Dr. Soetomo Surabaya. This study analyzed the relationship between characteristics (gender, age, education level, intervention history) and underlying eye disorders with optical aid selection using the Chi-Square test, while visual acuity status differences before and after optical aid selection were analyzed using the Wilcoxon test. Results: There were no relationships between characteristics (gender, age, education level, intervention history) and underlying eye disorders with optical aid selection (p > 0.05). There were differences in visual acuity status before and after optical aid selection (p < 0.05) with a minimum decrease of 0.1 logMAR which means an increase in visual acuity in all 72 samples of children with low vision after optical aid selection. Conclusion: These data provide new evidence of essential links between visual acuity status before and after optical aid selection. However, characteristics (gender, age, education level, intervention history) and underlying eye disorders were not associated with optical aid selection.
Management Challenges: Resection or Observation due to Astigmatism Refractive Error Associated with a Pediatric Limbal Dermoid Lesion Rahmaniyah, Aisyah; Fatmariyanti, Susy; Deneska, Ria Sandy
Vision Science and Eye Health Journal Vol. 5 No. 1 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i1.2025.18-22

Abstract

Introduction: Limbal dermoid is a congenital benign tumor that contains choristomatous tissue, which may cause astigmatism and lead to amblyopia. This presents management challenges related to limbal dermoids, astigmatism, and amblyopia. Case Presentation: A 10-year-old girl complains of a tumor in the left eye that appeared since two months old, initially small and gradually enlarged. The patient has blurred vision, especially during study. Visual acuity of the right and left eye is 0.33 and 0.15 with best correction visual acuity with left lens power C-3.00 x 10 to 0.67 and right lens power C-7.00 x 0 to 0.33. Anterior segment examination of the left eye revealed a hairy, light brown, soft, solid mass that measured 8 mm x 5 mm x 3 mm located at the limbus and widened towards the cornea and bulbous conjunctiva. Conclusions: Surgery does improve the physical appearance, but unless the young person receives treatment soon, the astigmatic error and visual acuity may not change considerably.