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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 202
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.