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All Journal Jurnal Ilmu Kedokteran dan Kesehatan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Samira, Cut Putri
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health Veterinary

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Leukokoria Okuli Sinistra Ec Suspek Retinoblastoma pada Bayi Usia 54 Hari Faizah, Siti; Imelda, Eva; Samira, Cut Putri
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 2 No. 5 (2023): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Oktober 20
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v2i5.10566

Abstract

Retinoblastoma (RB) adalah tumor ganas primer pada bola mata yang paling sering terjadi pada anak. Frekuensi terjadinya RB 1:14.000-20.000 kelahiran hidup, berbeda di setiap negara. Dilaporkan angka kejadian tumor RB di negara maju lebih rendah dibandingkan di negara berkembang. Tidak ditemukan predileksi pada jenis kelamin maupun ras, dan diagnosis RB 90% pada usia < 3 tahun. Umur rata-rata terkena RB tergantung pada riwayat RB di keluarga dan sisi yang terkena. Paien seorang bayi laki-laki  berusia 54 hari datang dibawa oleh kedua orang tuanya ke poli klinik Mata RSUD Dr. Zainoel Abidin dengan keluhan utama tampak bintik putih pada mata kiri. Menurut keterangan orang tua pasien, bintik putih pada mata kiri tersebut baru disadari oleh kedua orang tuanya pada saat pasien berumur 15 hari setelah lahir dan terlihat bersinar seperti mata kucing bila terkena cahaya. Pada pasien ini didapatkan pemeriksaan oculi sinistra, blink reflex (+), leukokoria (+), diameter pupil 5 mm (+), tidak respon terhadap refleks cahaya. Pada pemeriksaan B Scan USG mata kiri tampak adanya kalsifikasi di vitreus (+). Secara umum belum ada terapi definitif untuk menangani retinoblastoma, dikarenakan sifat dari penyakit ini yang sangat kompleks dan biasanya diperlukan berbagai kombinasi terapi untuk mendapatkan hasil yang baik.Deteksi dini yang dilanjutkan dengan penanganan yang cepat dan tepat dapat mengurangi mortalitas serta memperbaiki harapan hidup anak penderita retinoblastoma.
The Occurrences of Gelatinous Drop-Like Corneal Dystrophy within an Acehnese Family Samira, Cut Putri; Akbar, Muhammad Khalil; Islami, Dian
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (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.v6i1.65

Abstract

Introduction: Gelatinous drop-like dystrophy (GDLD) presents as an infrequent form of corneal dystrophy characterized by an autosomal recessive inheritance pattern. While its incidence in Japan stands at roughly 1 in 33,000 individuals, it manifests less frequently in other populations. Surgical intervention, such as lamellar or penetrating keratoplasty is typically necessary to relieve symptoms Objective: To describe 3 cases of Gelatinous drop-like dystrophy and their treatment approaches Illustration: Three brothers were diagnosed with corneal dystrophy, marked by a white-yellow nodular lesion resembling a kumquat on the corneal surface. Each patient exhibited light perception with good projection in terms of visual acuity. All underwent full-thickness lamellar keratoplasty for treatment. A month post-surgery, their visual acuity had improved to 3/60, 2/60, and 2/60, respectively. Conclusion: GDLD is a rare corneal condition associated with potential vision loss. Identification through familial history, corneal clinical features and involvement contributes to diagnosing GDLD. Full-thickness penetrating keratoplasty may be considered for managing significant visual impairment resulting from GDLD Keywords: corneal dystrophy, full-thickness penetrating keratoplasty, gelatinous drop-like
Temporary Lateral Tarsorrhaphy In Managing Corneal Ulceration Related To Facial Nerve Palsy : Case Report Rosdiana, Eka; Samira, Cut Putri
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 12 (2024): Volume 11 Nomor 12
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i12.18786

Abstract

Corneal ulceration is a breach in the corneal epithelial surface that can lead to blindness. Facial nerve palsy can lead to inadequate eyelid closure and reducing lubrication of the eye's surface. A 58-year-old man presented with a one-month history of worsening blurred vision, pain, and a whitish spot in the Right Eye (RE). He had been diagnosed with facial nerve palsy three months prior which hadn’t improved. Ophthalmic examination revealed reduced visual acuity, conjunctival hyperemia, hypopyon, and lagophthalmos with corneal exposure in RE. Fluorescent test showed 4x5 mm corneal ulceration with infiltrate. A neurological examination confirmed facial nerve involvement. After pharmacological treatment, a follow-up showed resolution of hypopyon but a persistent corneal ulcer with infiltrate. Long-term corneal exposure from lagophthalmos can cause corneal ulceration and thinning, especially in the lower part of cornea. This poses a therapeutic challenge. A temporary lateral tarsorrhaphy was performed to encourage healing of the corneal surface by optimizing eyelid positioning. One month post-procedure, the ulcer showed good re-epithelialization.
Clinical Characteristics of Uveitis Patients at Dr. Zainoel Abidin General Hospital Aceh Samira, Cut Putri; Nilawati, Enny; Islami, Dian; Rosdiana, Eka
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.v6i3.78

Abstract

Introduction: Uveitis is a sight-threatening condition characterized by inflammation in the uveal tract. In Aceh, data on the incidence of uveitis remains unavailable despite numerous reported cases. This study aims to analyze uveitis characteristics in Aceh, Indonesia, and provide information regarding the causes and patterns of inflammation to guide diagnostic and therapeutic approaches. Methods: A retrospective descriptive study was conducted using medical records from Dr. Zainoel Abidin Hospital from uveitis patients between January 2023 and August 2024. Data were analyzed for demographics, clinical presentation, etiology, management, and complications. Results: There were 60 patients with 92 eyes affected with the mean age between 20-44 years. Bilateral involvement occurred in 53.3% of cases with the common chief complaint being blurry vision (53.3%). Tuberculosis was the leading infectious cause (41.3%), while 30.4% of cases were idiopathic. Complications, including cataracts (52%) and glaucoma (12.6%) were prevalent. Conclusion: This study highlights the pattern of uveitis in Aceh, with tuberculosis as the leading cause of infection. Further research into strategies is required to expedite diagnosis and treatment by following local infection trends.
Karakteristik Klinis dan Kesintasan Keratoplasti Tembus Optik di Layanan Tingkat Tersier di Indonesia: Studi Retrospektif 4 Tahun Widyawati, Syska; Gondhowiardjo, Tjahjono D.; Nora, Rina La Distia; Harniza, Yulika; Samira, Cut Putri; Alberta, Ivana Beatrice
Majalah Kedokteran Indonesia Vol 72 No 6 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.6-2022-785

Abstract

Introduction: Purpose, to evaluate patient demographic characteristics, indications and variables related to penetrating keratoplasty (PK) survival. Study design, this study was retrospective case series. Methods: We trace all medical records of PK patients from 2015 to 2018 in Cipto Mangunkusumo Hospital Jakarta. The traced variables were indications of surgery, corneal vascularization, previous failed graft, glaucoma after PK, and other complication. PK survival rate is shown in the Kaplan Meier curve using SPSS v20.0. Results: A total of 214 patients underwent PK (men 67.3%, woman 32,7%) with mean age of 42.11 (0-85) years were included in this study. Three most common indications of keratoplasty were corneal scar (32.7%), infectious corneal ulcer (25.5%), and failed graft (19.2%). The overall graft survival rate for PK is 61.7%. The mean graft survival time was 14.388 ± 0.580 months (95% CI; 13.252-15.524). Conclusion: The graft survival rate for penetrating optic keratoplasty was 61.7%. Establishing an appropriate early diagnosis, reasonable surgical procedures, close monitoring, and early detection of complications with proactive interventions lead to better outcomes. Further research is needed to determine the relationship between the risk factors for corneal graft failure.
Detecting Keratoconus in Primary Healthcare: What general practitioners could do? Poster Presentation - Case Report - General practitioner Akbar, Muhammad Khalil; Samira, Cut Putri
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: 10.35749/0khakt62

Abstract

Introduction : Keratoconus (KC) is a rare eye disorder that causes corneal thinning and visual disturbances. KC prevalence in the pediatric population is 0.16%. Children with keratoconus experience faster disease progression and significant visual impairment at diagnosis, impacting their quality of life. This case report aims to raise awareness and provide knowledge regarding KC for general practitioners. Case Illustration : A 14-year-old male visited a primary healthcare facility complaining of difficulty seeing words on the classroom board for the past year. His best-corrected visual acuity was 6/15 (S-10.25 C-5.25x30) OD and 6/60 (S-25.00 C-2.75x150) OS. Upon examination, it was observed that the left cornea was more protruding than the right, with a positive Rizzuti and Munson sign. Based on the findings, the patient was suspected of having keratoconus with amblyopia and was referred to an ophthalmologist for further examination and management. Discussion : Keratoconus is severe and burdensome to society, impacting children's education and quality of life. Early detection and intervention are crucial to prevent worsening. KC can be detected in primary healthcare by observing external signs such as Rizzuti and Munson. KC can lead to severe vision problems and even amblyopia if left untreated. Treating pediatric KC involves improving vision using contact lenses. In cases where contact lenses cannot be used, keratoplasty may be necessary. Conclusion : Primary healthcare providers can identify and assess keratoconus in patients and make referrals to ophthalmologists for treatment to minimize the impact on vision and stop its progression.
Gelatinous Drop-Like Corneal Dystrophy in an Acehnese Family: Serial Cases.: Poster Presentation - Case Series - Ophthalmologist Samira, Cut Putri; Akbar, Muhammad Khalil
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/wne50q56

Abstract

Introduction : Gelatinous drop-like dystrophy (GDLD) is a rare type of corneal dystrophy with an autosomal recessive inheritance pattern. Although the prevalence in Japan is approximately 1 in 33,000, it is much less common in other nations. Lamellar or penetrating keratoplasty is needed for most patients to alleviate the symptoms. This case series aims to provide knowledge regarding rare cases of GDLD and its management. Case Illustration : Three male siblings from consanguineous marriage were found to have corneal dystrophy, characterized by a white-yellow nodular lesion with a kumquat-like appearance on the corneal surface. The visual acuity of each patient was light perception with good projection. To treat the condition, all patients underwent full-thickness penetrating keratoplasty. One month after the procedure, their visual acuity had improved to 3/60, 2/60, and 2/60, respectively. Discussion : GDLD is a genetic disease with gelatinous amyloid deposits in the cornea that typically manifests within the first decades of life. GDLD can present in three different phenotypes, including band keratopathy, mulberry, and kumquat-like appearance. In the case of these siblings, they have developed the severe kumquat-like phenotype. Detection by examining family involvement and the cornea's clinical presentation can help diagnose GDLD. Full-thickness penetrating keratoplasty can be an option for managing severely impaired visual acuity caused by GDLD. Conclusion : GDLD is a rare corneal dystrophy that can lead to severe visual impairment. The objective of treating GDLD is to enhance vision and prevent its progression. Vision loss can be alleviated througha surgical procedure such as full-thickness penetrating keratoplasty.
Co-Authors Akbar, Muhammad Khalil Alberta, Ivana Beatrice Faizah, Siti Harniza, Yulika Imelda, Eva Islami, Dian Nilawati, Enny Nora, Rina La Distia Rosdiana, Eka Tjahjono D. Gondhowiardjo Widyawati, Syska