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Angga Fajriansyah
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Changes in Ocular Surface Parameter After Intense Pulsed Light Therapy in Ocular Demodicosis: A Case Report: Poster Presentation - Case Report - Resident Rizki Adi Santosa; Angga Fajriansyah; Elfa Ali Idrus; Patriotika Muslima; Arief Akhdestira Mustaram
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/rhpqnd96

Abstract

Introduction : Demodex infestation may manifest as blepharitis and dry eye syndrome. Intense Pulsed Light (IPL) therapy is an emerging option for managing ocular demodicosis. Case Illustration : A 77-years-old woman complained of itch and watery eyes since four years ago. Meibomian pouting, telangiectasias, foamy secretions, and sleeves were identified in both eyelids. Right eye examination showed 52% and 42% meibomian dropout in the superior and inferior eyelid, respectively, Schirmer test 6 mm, lipid layer thickness (LLT) 43 nm, tear meniscus height (TMH) 0.36 mm, and non-invasive tear break-up time (NIBUT) 9.6 seconds. Left eye examination showed 65% and 56% meibomian dropout in the superior and inferior eyelid, respectively, Schirmer test 5 mm, LLT 66 nm, TMH 0.16 mm, and NIBUT 5.8 seconds. Demodex mites were identified during eyelash wet mount examination. She underwent four sessions of IPL. At the two-month follow-up, complaints were alleviated. Signs of blepharitis were subsided. Right eye examination showed 36% and 34% meibomian dropout in the superior and inferior eyelid, respectively, Schirmer's test 9 mm, LLT 68 nm, TMH 0.49 mm, and NIBUT 10.7 seconds. Left eye examination showed 25% and 35% meibomian dropout in the superior and inferior eyelid, respectively, Schirmer's test 9 mm, LLT >100 nm, TMH 0.9 mm, and NIBUT 6.2 seconds. Discussion : IPL has a role in managing ocular demodicosis by local inflammation control, meibum liquefaction, and meibomian glands photomodulation. IPL is also thought to directly eradicate Demodex mites. Conclusion : Improvement of ocular surface parameters was observed after IPL therapy in ocular demodicosis.
How to Quickly and Affordably Reduce Corneal Neovascularization: Poster Presentation - Case Report - Resident Surya Atmaja; Elfa Ali Idrus; Feti Karfiati; Patriotika Muslima; Arief Akhdestira Mustaram; Angga Fajriansyah
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/rtcz3738

Abstract

Abstract Introduction : Fine needle diathermy (FND) is one of the treatment modalities for corneal neovascularization (CoNV). Occlusion of the CoNV will reduce vascular leakage, thus preserving visual acuity. This case report presents FND as a treatment for CoNV due to ocular rosacea. Case Illustration : A 25-year-old volleyball athlete came to Cicendo Eye Hospital after experiencing blurry vision for a week, followed by flushing on the face. A general examination revealed telangiectasia and pustules on the central face (Figure 1). Visual acuity was 0.2 RE. A slit-lamp examination revealed hyperemiain the lid margins, oedema, and superficial-stromal neovascularization on the cornea (Figure 2). The patient was diagnosed with blepharo-kerato-conjunctivitis on RE due to ocular rosacea. The patient then underwent FND (Figure 3). The procedure was performed by using a 10.0-gauge needle inserted in the corneal stroma along the CoNV. The vessels were occluded by conducting monophasic diathermy at a power of 1 mA (Figure 4). On the 5th day, corneal oedema and neovascularization were reduced, and visual acuity improved to 0.4 ph 0.5 (Figure 5). Discussion : Corneal neovascularization may affect corneal transparency and thus reduce visual acuity. FND is relatively affordable and widely available. Compared to another modality, FND has not been widely performed to treat CoNV. A literature search using PubMed or Google Scholar found few case reports or reviews regarding successful cases of FND. Conclusion : Fine needle diathermy is a safe and effective treatment for CoNV due to ocular rosacea. Further studies should be conducted to evaluate the safety and long-term efficacy of FND.
DIFFERENT CONJUNCTIVAL AUTOGRAFT TECHNIQUES FOR PTERYGIUM SURGICAL EXCISION, A CASE SERIES: Poster Presentation - Case Series - Resident ANNISAK FITRIYANA; Angga Fajriansyah; Arief Akhdestira Mustaram; Patriotika Muslima; Elfa Ali Idrus
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: 10.35749/9gevkg97

Abstract

Abstract Introduction : Pterygium is a wing shaped fibrovascular growth that extends from the conjunctiva onto the cornea. There are many techniques available for pterygium removal, from simple excision to excision and repair of the defect with modified techniques. Case Illustration : 1. A 50-year-old woman presented with a grade II pterygium in both of her eyes. She was undergone sliding flap pterygium excision for her right eye. Case 2. A 32-year-old man presented with a grade II pterygium in his left eye. He was then undergone rotational flap pterygium excision for his left eye. Case 3 A-55-year-old woman presented with a grade II-III double head pterygium. She was later undergone modified conjunctival autograft double head pterygium excision for his left eye. Discussion : Surgical management is the gold standard for pterygium treatment. Indications for pterygium excision include decreased visual acuity due to astigmatism, obstruction of visual axis, repeated irritation and cosmetics. Surgical techniques for excision of the pterygium include bare sclera excision, tissue grafting using conjunctival graft, membrane transplantation amnion and limbal- conjunctival autograft. There are several choices of conjunctival graft techniques after pterygium excision, such as conjunctival sliding flap, conjunctival rotational flap, and modified conjunctival autograft. Modified conjunctival autograft technique was performed for double head pterygium management. The technique consisting of horizontally modified conjunctival autograft and vertically modified conjunctival autograft. Conclusion : The choices of surgical excision techniques for pterygium depends on the grades of the pterygium and operator’s preference.
Karakteristik Pasien Keratitis Herpes Simpleks Di PMN RS Mata Cicendo Periode Januari 2021-Desember 2021 Sitti Fitriani; Elfa Ali; Angga Fajriansyah; Arief Akhdestira; Patriotika M
RS Mata Makassar: Journal of Ophthalmology Vol. 1 No. 1 (2024): Journal of Ophthalmology
Publisher : RS Mata Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63670/mata.v1i1.3

Abstract

Purpose : To describe characteristics of the patients herpes simpleks keratitis (HSK) at the National Eye Center Cicendo Eye Hospital Methods : Descriptive-retrospective study was obtained on electronic medical records from January to December 2021 at the National Eye Center Cicendo Eye Hospital Result : From total 121 patients (134 eyes) in this study, there were 60.3% male and 39.7% female. Patients mainly in the age group of 41-50 (30.6%). Bilateral HSK was found in 10.74% in present study. Type of HSK consist of epithelial in 31 eyes, non necrotizing stromal in 38 eyes, necrotizing stromal in 26 eyes, endotheliitis in 9 eyes, keratouveitis in 16 eyes, and neurotropik keratopathy in 14 eyes. Most of patients had visual acuity < 3/60, 44.03% and 37.31% early and last visit, respectively. 12.69% reccurance rate with the highest reccurance in stromal keratitis. Laboratory results showed that the most patients with Immunoglobulin G (IgG) (+) Immunoglobulin M (IgM) (-) anti HSV-1 were detected in 24 patients (19.83%). The treatment was acyclovir ointment, oral acyclovir,corticosteroid eyedrop and antibiotic eyedrop depend on type of HSK. Surgery was performed on 18 eyes, 9 eyes underwent amnion membran transplantation (AMT) patch graft, 8 eyes take lenticule+AMT patch graft and 1 eye reported takes evisceration. Conclusions : Majority type of HSK type were stromal keratitis followed by epithelial keratitis, neurotropik keratopathy, keratouveitis and endotheliitis. Reccurrance of HSK is common. Treatment depends on type of HSK and certain clinical conditions require surgery. Keywords : Herpes simplex keratitis, Characteristics, HSV-1
Co-Authors ANNISAK FITRIYANA Arief Akhdestira Arief Akhdestira Mustaram Elfa Ali Elfa Ali Idrus Erwin Iskandar Feti Karfiati Memed Ilmah Nadia Ayu Destiani Nadia Ayu Destianti nadida nurfadhila Nathasya Maharani Susilo NURUL HIKMAH Patrioka Muslima Patriotika M Patriotika Muslima Pradistya Yudiasari Putri Pamulani Rizki Adi Santosa Siti Aisyah Sitti Fitriani Surya Atmaja Susi Heryati Tiara Shaniaputri