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A Watchful Eye: A Case Report on The Management of Hypotony Maculopathy after Non-Valved Glaucoma Drainage Device Implantation: Poster Presentation - Case Report - Resident Herdian, Felicia Sesih; Amanda, Lia; Ivanovna, Regina; Gunardi, Triana Hardianti; Yunard, Ardiella; Suryono, Astrianda Nadya
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/b6ewfv90

Abstract

Introduction : Low intraocular pressure (IOP) and reduced visual acuity following glaucoma surgery have been linked to a serious complication known as hypotony maculopathy. Here, we report a case of hypotony maculopathy following glaucoma drainage implant which was successfully managed by a conservative approach utilizing oral and topical steroids, resulting in favorable outcomes. Case Illustration : A 25-year-old female with juvenile glaucoma presented with low IOP in the right eye (RE) following glaucoma drainage surgery using non-valved implant four months prior. Ophthalmic examination revealed a decrease of IOP (9mmHg to 4mmHg) and visual acuity (6/6 to 6/24). Fundus examination and optical coherence tomography (OCT) of macula was indicating hypotony maculopathy. All glaucoma medications were discontinued and the patient was given oral methylprednisolone 3x8 mg and topical prednisolone acetate three hourly for two months. Subsequent follow-up revealed an increase in IOP to 37mmHg and visual acuity improvement to 6/6. The patient was then given oral and topical antiglaucoma medications to maintain IOP control. Discussion : Hypotony and its related sequelae are more common with the non-valved drainage devices. Prompt intervention is crucial for improving visual outcomes. Treatment options include surgical and conservative approach. Closely monitored conservative therapy may also give favorable outcomes similar to surgical approach. Conclusion : In advanced cases of glaucoma, extremely low IOP is just as risky as a high IOP. Conservative therapy, including topical and oral corticosteroids, can be employed to reverse hypotony, at the expense of transient IOP rise, in corticosteroid-responsive patients. Restoring normal IOP in a timely manner may improve retinal function.
Silent Progressive Glaucoma in Encephalofacial angiomatosis (Sturge-Weber Syndrome): A Vision-Preserving Trabeculectomy: Poster Presentation - Case Report - Resident Gunardi, Triana Hardianti; Iskandar, Ferdy; Herdian, Felicia Sesi; Amanda, Lia; Priscilla, Florentina; Oktariana, Virna Dwi
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/h8wd8052

Abstract

Introduction : Encephalofacial angiomatosis, also known as Sturge-Weber Syndrome (SWS), is a rare, non- hereditary condition affecting multiple organs. Glaucoma occurs in almost 70% SWS children, more commonly when the port-wine stain involves the upper eyelid skin. Secondary glaucoma was present due to elevated venous pressure. Case Illustration : An 8-year-old boy with typical port-wine stain involving eyelid, came with recurrent painful right eye (RE) and headache in the past 3 months. He was diagnosed with SWS at 1 year and was on daily doses of carbamazepine and valproic acid for seizure control. His best visual acuity and intraocular pressure were 0.5/60 RE, 6/38 LE, 38 mmHg RE, 28 mmHg LE, respectively. Examination revealed Cup-disc-ratio (CDR) 0.9-1.0 RE and 0.5-0.6 LE. During the first three months, he showed favourable outcome with timolol and latanoprost (controlled IOP with target of <12 mmHg and markedly similar Cup-Disc Ratio). However, at 4th and 5th month visit, his IOP significantly increased despite of additional regiments, thus underwent trabeculectomy on both eyes for preserving his sight. After procedure, his IOP remained stable <12mmHg with maintained bleb, deep anterior chamber, also attached posterior segment. Discussion : Treatments of secondary glaucoma of SWS typically involved surgery with significantly lower success rate compared to Primary Congenital Glaucoma. Trabeculectomy or tube shunt surgery should be performed with caution due to risks of choroidal effusion and hemorrhages. Conclusion : Secondary glaucoma in children with SWS is common and challenging. Trabeculectomy should be pursued when the benefit outweighs the risks, even with a slim chance, to preserve the vision.
A Challenging Case of Simple Limbal Epithelial Transplantation (SLET) in Limbal Stem Cell Deficiency Following Chemical Injury: A Case Report: Poster Presentation - Case Report - Resident Amanda, Lia; Widyawati, Syska; Martha, Faraby; Zarwan, Jessica
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/ahx7p888

Abstract

Introduction : Limbal stem cell deficiency (LSCD) often arises following trauma or inflammation that hinders corneal epithelium healing, commonly caused by chemical or thermal injuries. Despite significant advancements, treating LSCD remains challenging. This case highlights a challenging case of simple limbal epithelial transplantation (SLET) in LSCD following chemical injury. Case Illustration : A 20-year-old male presented with reduced vision in left eye following an alkaline chemical injury (grade III) was diagnosed with unilateral LSCD. Upon examination, conjunctivalization of the peripheral cornea, a central corneal cicatrix, and stromal neovascularization present after previous necrotomy, tenoplasty, and amniotic membrane transplantation (AMT). The patient then underwent SLET, with limbal biopsies from the collateral eye. Four months after surgery the visual acuity improved from 3/60 to 6/15 with spectacles. However, the cornea conjunctivalization still developed despite improved visual acuity. Discussion : To effectively manage the recurrence of stem cell deficiency, other stem cell transplantation techniques are needed to manage the problem. Combining different limbal stem cell transplantation approaches can be customised to address the problem and achieve lasting results. Conclusion : Prompt diagnosis and treatment of LSCD is crucial to prevent complications and blindness. SLET is a surgical option for LSCD after chemical injury, but this report highlights a challenging case and the need for the alternatives approaches.
STRATEGI KOMUNIKASI MAHASISWA KKN DALAM MENINGKATKAN LITERASI DIGITAL MASYARAKAT DI KELURAHAN SEBELAS ILIR KOTA PALEMBANG Zahra, Syarifa; Indrianita, Nadira; Amanda, Lia; Ali, Aisyah; Yusalia, Henny
Jurnal Buana Kata: Pendidikan, Bahasa, dan Ilmu Komunikasi Vol. 3 No. 2 (2026): Jurnal Buana Kata: Pendidikan, Bahasa, dan Ilmu Komunikasi
Publisher : Laboratorium Pembelajaran Bahasa, FKIP Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/buanakata.v3i2.1773

Abstract

The Community Service Program (KKN) represents the implementation of students academic knowledge through direct engagement with society. In the context of rapid digital development, communities are required to possess adequate digital literacy skills to filter information and use technology wisely. However, in reality, many people still lack sufficient understanding of digital media, particularly in dealing with hoaxes and online fraud. This study aims to analyze the communication strategies employed by KKN students in improving digital literacy among the community in 11 Ilir Subdistrict, Palembang City. This research uses a qualitative approach with observation, interviews, and documentation techniques based on KKN activity logbooks. The results show that the communication strategies applied by students were carried out through interpersonal and participatory approaches, such as door-to-door socialization, assistance for MSMEs in using QRIS, and the use of social media as a public communication tool. The implemented programs were able to improve community understanding in filtering information and encourage the use of digital technology in daily life. Although there were several technical challenges in the field, the communication strategies were considered effective in gradually enhancing the community’s digital literacy. Kegiatan Kuliah Kerja Nyata (KKN) merupakan bentuk implementasi pengabdian mahasiswa kepada masyarakat melalui penerapan ilmu yang diperoleh selama perkuliahan. Dalam konteks perkembangan teknologi digital yang semakin pesat, masyarakat dituntut memiliki kemampuan literasi digital yang memadai agar dapat menyaring informasi serta memanfaatkan teknologi secara bijak. Namun, pada kenyataannya masih banyak masyarakat yang belum sepenuhnya memahami penggunaan media digital, khususnya dalam menghadapi hoaks dan penipuan online. Penelitian ini bertujuan untuk menganalisis strategi komunikasi mahasiswa KKN dalam meningkatkan literasi digital masyarakat di Kelurahan 11 Ilir Kota Palembang. Penelitian ini menggunakan pendekatan kualitatif dengan teknik observasi, wawancara, dan dokumentasi yang bersumber dari logbook kegiatan KKN. Hasil penelitian menunjukkan bahwa strategi komunikasi yang diterapkan mahasiswa dilakukan melalui pendekatan interpersonal dan partisipatif, seperti sosialisasi door to door, pendampingan UMKM dalam penggunaan QRIS, serta pemanfaatan media sosial sebagai sarana komunikasi publik. Program yang dilaksanakan mampu meningkatkan pemahaman masyarakat dalam memilah informasi serta mendorong pemanfaatan teknologi digital dalam kehidupan sehari-hari. Meskipun terdapat kendala teknis di lapangan, strategi komunikasi yang digunakan dinilai cukup efektif dalam meningkatkan literasi digital masyarakat secara bertahap.