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Clinical Spectrum of Orbital Cellulitis: Case Series From Subperiosteal Abscess to Life-Threatening Cavernous Sinus Thrombosis Putri Amanda; Havriza Vitresia
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 4 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i4.1242

Abstract

Background: Orbital cellulitis encompasses a range of orbital infections with varying severity. This case series highlights the diverse clinical presentations, management strategies, and outcomes of orbital cellulitis, emphasizing the importance of prompt diagnosis and treatment. Case presentation: We present two cases of orbital cellulitis with contrasting presentations. The first case involved a 16-year-old male with acute rhinosinusitis who developed severe orbital cellulitis complicated by cavernous sinus thrombosis (CST), requiring aggressive medical and surgical interventions. The second case involved a 2-month-old female with a subperiosteal abscess secondary to ethmoid and maxillary sinusitis, who responded well to medical management alone. Conclusion: Orbital cellulitis presents a wide spectrum of clinical scenarios, ranging from localized infections to life-threatening intracranial involvement. Early recognition, appropriate imaging, and timely intervention are crucial for optimizing outcomes. While CST necessitates aggressive measures, subperiosteal abscesses can often be managed medically, particularly in young children.
Penatalaksanaan Multirinosinusitis Kronis dengan Komplikasi Abses Subperiosteal Sinistra Ambriani, Desy; Irfandy, Dolly; Vitresia, Havriza
Jurnal Kesehatan Andalas Vol. 9 No. 4 (2020): Online December 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i4.1562

Abstract

Abses subperiosteal merupakan salah satu komplikasi dari rinosinusitis baik akut ataupun kronis. Beberapa faktor sangat berperan sebagai penyebab penyebaran rinosinusitis ke orbita. Diagnosis rinosinusitis kronik dengan komplikasi abses periorbita ditegakkan berdasarkan anamnesis, pemeriksaan fisik, nasoendoskopi, tomografi komputer serta Magnetic Resonance Imaging (MRI). Penatalaksanaan rinosinusitis kronis dengan komplikasi abses subperiosteal adalah pemberian medikamentosa antibiotik intravena spektrum luas atau kombinasi, dekongestan, kortikosteroid sistemik disertai dengan tindakan operatif yaitu pendekatan Bedah Sinus Endoskopi Fungsional (BSEF). Dilaporkan satu kasus rinosinusitis kronis dengan komplikasi abses subperiosteal kiri pada laki-laki umur 40 tahun dan telah dilakukan perawatan dan dilanjutkan dengan pembedahan melalui pendekatan BSEF. Rinosinusitis kronik dengan komplikasi abses subperiosteal dapat ditatalaksana dengan terapi antibiotik dan pembedahan. Keterlambatan penanganan mempengaruhi tingkat kerusakan. Penanganan dengan antibiotik yang adekuat dan BSEF memberikan prognosis yang baik pada pasien.Kata kunci: abses subperiosteal, BSEF, rinosinusitis kronik                         
Gambaran Faktor Risiko Pada Pasien Ulkus Kornea Infeksi Dan Derajat Keparahan Di Dapartemen Mata RSUP Dr. M. Djamil Padang Tahun 2020-2022 Resti, Dina; Vitresia, Havriza; Anggraini, Fika Tri; Hidayat, Muhammad; Sauma, Eldi
Jurnal Ilmu Kesehatan Indonesia Vol. 4 No. 4 (2023): Desember 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i4.1166

Abstract

Latar Belakang: Ulkus kornea adalah kematian jaringan transparan yang menyebabkan hilangnya sebagian permukaan kornea. Ulkus kornea mempunyai beberapa faktor risiko yaitu trauma mata, penggunaan obat mata tradisional, pemakaian lensa kontak, penyakit sistemik, penggunaan kortikosteroid topikal, pasca operasi mata, penyakit kelopak mata. Derajat keparahan ulkus kornea terdiri dari ringan, sedang dan berat. Objektif: Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko pasien ulkus kornea infeksi dan derajat keparahan di Poliklinik Mata RSUP Dr M Djamil Padang Tahun 2020-2022. Metode: Penelitian ini adalah penelitian deskriptif menggunakan pendekatan cross sectional, dengan cara mengambil data rekam medik pasienulkus kornea infeksi di Poliklinik Mata RSUP Dr. M. Djamil Padang tahun 2020-2022 dengan metode total sampling. Hasil: Dari 85 orang sampel penelitian ini terdapat  63 orang (74,1%) adalah laki-laki dan berada pada rentang umur 30-60 tahun yaitu 56 orang (65,9%) dengan karakteristik pekerjaan terbanyak adalah buruh atau petani yaitu 65 orang (76,5%). Faktor risiko utama ulkus kornea infeksi adalah trauma mata 55 orang (61,1%) dengan derajat keparahan terbanyak adalah derajat sedang yaitu 59 orang (65,9%). Kesimpulan: Berdasarkan karakteristik pasien ulkus kornea infeksi lebih dari separuh subjek penelitian berada pada umur 30-60 tahun, jenis kelamin sebagian besar adalah laki-laki, jenis pekerjaan terbanyak adalah buruh atau petani. Faktor risiko utama pasien ulkus kornea infeksi penelitian ini adalah trauma mata. Lebih dari separuh sampel penelitian termasuk dalam kategori derajat keparahan sedang. Kata Kunci: mata, ulkus kornea, faktor risiko, derajat keparahan
Profil Pasien Uveitis di Plokilinik Mata RSUP Dr. M. Djamil Padang Pada Tahun 2020-2022 Helery, Muhammad Arsyan; Vitresia, Havriza; Ariani, Novita; Hidayat, Muhammad; Semiarty, Rima; Arfiani Rusjdi, Dina
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 1 (2025): Maret 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i1.1337

Abstract

Uveitis is an inflammation of the middle layer of the eye, the uvea, which consists of the iris, ciliary body and choroid. Uveitis is one of the causes of ocular morbidity. Common symptoms of uveitis include red eye, eye pain and blurred vision. Patients with uveitis can experience decreased vision to blindness. Research on uveitis in Indonesia is still limited. This study aims to determine the profile of uveitis patients at the ophtalmology departement of RSUP Dr. M. Djamil Padang. This study used a descriptive research design with a retrospective approach which was carried out by observing data from the medical records of uveitis patients at the ophtalmology departement and the medical records section of RSUP DR. M. Djamil Padang period 2020-2022. The study used a total sampling technique. Patient data were analyzed univariately and data presentation in the form of frequency distribution tables. In this study, a total of 50 samples were obtained. The results of this study found out that uveitis patients mostly female (52%) and the majority in the age range 20-60 years (90%). The most common types of uveitis based on anatomical location are panuveitis (56%) and unilateral lateralization (62%). The main etiology of uveitis was infection (42%). Most of the uveitis patients had clinical manifestation of blurred vision (72%) and red eye (72%). More than half uveitis patients visus was <3/60, categorized as blindness (52%).
Performing Ocular Examinations as A Component of Self-Care For Individuals with Leprosy with The Aim of Eradicating Social Stigma and Prejudice Hendriati Hendriati; Tutty Ariani; Havriza Vitresia; Kemala Sayuti; Andrini Ariesti; Julita Julita; Qaira Anum; Satya Wydya Yenny; Rina Gustia; Gardenia Akhyar; Ennesta Asri; Indah Indria Sari; Astria Rima Rara Yuswir; Novian Novian; Rizki Dwayana; Agustin Vira; Rika Desviorita; Rendra Darma Satria
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.537-546.2024

Abstract

Leprosy is still a health problem in several countries, including Indonesia. Disability due to leprosy is a health threat for sufferers and causes quality-of-life problems that can disrupt the productivity of leprosy patients. Ocular involvement in leprosy is joint, but little data has been reported. Apart from multi-drug treatment (MDT), leprosy sufferers must also be able to carry out continuous self-care to prevent further disability. This is a collaborative activity between the Department of Ophthalmology and Dermatology Venereology of the Faculty of Medicine, the University of Andalas in Puskesmas Pauh Kamba district of Padang Pariaman. This is an advocacy activity on self-care (3M: Seeing, Examining, and Protecting) and eye examination. The activity was followed by interactive discussions and continued with a direct examination for skin abnormalities and disabilities, eye examination, and fundoscope. The activity results were obtained from 24 respondents, 11 men and 13 women. The age range is 16-59 years (67%), with the highest level of education being Elementry School graduates, which is 11 people (46%). In the self-care questionnaire of patients, 40% behaved well, and the results of eye examinations almost suffered from dry eye complaints without disabilities.
Overview of Dry Eye Severity in Diabetic Retinopathy Patients Humaira, Fatihah Annisa; Vitresia, Havriza; Noverial, Noverial
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4255

Abstract

Dry eye is often found in patients with diabetes mellitus. One of the microvascular complications of diabetes mellitus is diabetic retinopathy. Dry eye in diabetic retinopathy patients is caused by chronic hyperglycaemia which causes microvascular and nerve damage resulting in decreased tear secretion and hyperosmolarity and activates inflammatory mediators that can damage conjunctival goblet cells and decrease mucin secretion. Objective: This study aims to determine the description of dry eye severity through the OSDI scoring system and ferning test in diabetic retinopathy patients based on its degree. Method: This study uses a descriptive method with a cross sectional design. The number of samples in the study were 64 people with a diagnosis of diabetic retinopathy. The sampling technique in this study was carried out by consecutive sampling. Result: The study was conducted using the OSDI questionnaire and ferning test examination on samples that had been diagnosed with diabetic retinopathy based on predetermined inclusion and exclusion criteria. The research data were compiled using Microsoft Excel and then reviewed for completeness. Then the complete data was processed using a computer programme, namely the Statistical Package for Social Sciences (SPSS). The results obtained from this research are most patients were female (64.1%), aged 45-65 years (79.7%), diabetes mellitus duration >5 years (60.9%). The most common degree of retinopathy with dry eye was PDR (64.1%). The most common degree of dry eye and type of ferning was severe dry eye (62.5%) and type IV (59.4%) which mostly occurred in patients with PDR. Conclusions: Based on the OSDI score and ferning test in the study conducted on diabetic retinopathy patients based on the degree, all patients had dry eye (100%).
Gambaran Kelainan Refraksi di Poliklinik Mata RSUP Dr. M. Djamil Padang Tahun 2021 Dzulkifli, Dzulkifli; Hidayat, Muhammad; Liza, Rini Gusya; Vitresia, Havriza; Adrial, Adrial; Fadrian, Fadrian
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1207

Abstract

Latar belakang: Kelainan refraksi merupakan tidak tepatnya cahaya jatuh di retina yang diakibatkan panjang aksial mata serta kekuatan optik yang terganggu. Ametropia adalah kondisi cahaya tidak dapat difokuskan di retina tanpa bantuan akomodasi karena adanya kelainan refraksi pada mata. Terdapat tiga jenis kelainan refraksi, yaitu miopia, hipermetropia, serta astigmatisme. Objektif: Tujuan penelitian ini adalah untuk mengetahui gambaran kelainan refraksi di Poli Mata RSUP Dr. M. Djamil Padang. Metode: Penelitian ini merupakan penelitian deskriptif observasional melalui studi kasus dengan mengumpulkan data rekam medis pasien kelainan refraksi di Poliklinik Mata RSUP Dr. M. Djamil Padang periode 1 Januari 2021 – 31 Desember 2021 dengan mata yang didiagnosis kelainan refraksi yang memenuhi kriteria inklusi dan ekslusi sebanyak 110 pasien. Seluruh variabel dianalisis dengan analisis univariat. Hasil: Hasil penelitian menunjukkan 85 pasien didiagnosis astigmatisme, dengan 50 pasien didiagnosis miopia, serta 8 pasien didiagnosis hipermetropia. Pasien kelainan refraksi dengan kelompok usia terbanyak adalah pada rentang 10-19 tahun (31.82%) dengan mayoritas perempuan (67.27%). Gejala klinis terbanyak adalah pandangan kabur (100%). Berdasarkan tingkatannya pasien miopia terbanyak adalah miopia tinggi (70.73%), hipermetropia terbanyak adalah hipermetropia rendah (76.92%), lalu astigmatisme miopia kompositus merupakan jenis astigmatisme terbanyak (83.01%). Visus pasien kelainan refraksi sebelum dan sesudah dikoreksi terbanyak adalah kelompok mild – no visual impairment (39.54%) & (94.09%). Kesimpulan: Gambaran dari pasien kelainan refraksi pada penelitian ini rentang usia 10-19 tahun merupakan kelompok usia terbanyak serta perempuan mengalami kelainan refraksi lebih banyak dari laki-laki. Dengan miopia derajat tinggi merupakan miopia terbanyak. Hipermetropia derajat rendah merupakan yang terbanyak. Serta astigmatisme miopia kompositus merupakan kelompok astigmatisme terbanyak. Keluhan umum terbanyak adalah pandangan kabur. Kategori visus terbanyak sebelum dan sesudah dikoreksi adalah kategori mild – no visual impairment. Kata kunci: miopia, hipermetropia, astigmatisme
Multilayered-Amniotic Membrane Transplantation in Gunshot Powder Injury: A Case Report Amanda, Nitia; Havriza Vitresia
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 3 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i3.948

Abstract

Background: Amniotic membrane transplantation has been widely used to repair various ocular surface conditions, including inflammatory, infectious, traumatic, and neoplastic conditions, with satisfactory results. a case of a 34-year-old male hit by a gunpowder explosion. Case presentation: We reported a case of a 34-year-old male hit by a gunpowder explosion. The right eye was hyperemic and felt blurry after the incident. On examination of the right eye, visual acuity was 20/150, and foreign bodies and erosion were found in the cornea. The patient planned to do foreign body extraction followed by a multilayered-amniotic membrane transplantation (ML-AMT) procedure. On the first and second day of follow-up, on the right eye, the visual acuity was 1/300, palpebral edema was decreased, and subconjunctival hemorrhage was found. On the cornea, there were ML-AMT and bandage contact lenses. Conclusion: Gunshot powder injury in the eyes is quite rare. The damage that can occur ranges from corneal epithelium abrasion to perforation and rupture of the eyeball. AMT has been successfully used in the management of eye trauma with defects on the ocular surface.
Changes in Retinal Ganglion Cell (RGC) and Retinal Nerve Fiber Layer (RNFL) Thickness in Children with Type 1 Diabetes Mellitus at Dr. M. Djamil General Hospital, Padang, Indonesia lonanda, Gama Agusto; Kemala Sayuti; Havriza Vitresia; Hendriati; Andrini Ariesti; Weni Helvinda
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 8 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i8.1047

Abstract

Background: Type 1 diabetes mellitus (DM) is a chronic metabolic disorder that causes hyperglycemia and increases the risk of morbidity and mortality. Diabetic retinopathy, a microvascular complication that often occurs in DM patients, can cause visual impairment and even blindness. Regular eye examinations are important for early detection of diabetic retinopathy. Optical coherence tomography (OCT) is a non-invasive method that can be used to measure the thickness of retinal layers, including RGC and RNFL. It is thought that thinning of the retinal layer can be a sensitive biomarker in detecting diabetic retinopathy in type 1 DM patients. This study aims to determine changes in RGC and RNFL thickness in children with type 1 DM. Methods: This cross-sectional design analytical observational study was conducted at the eye polyclinic of Dr. M. Djamil General Hospital Padang in November 2023-March 2024. A total of 46 eyes from 46 people, divided into two groups: the type 1 DM group and the control group, were recruited in this study. RGC thickness was measured using AS-OCT GC-IPL thickness analysis and RNFL with optic disc RNFL thickness analysis. Data analysis was carried out using the unpaired T-test. Results: The results showed RGC depletion in the type 1 DM group (RGC 83.48 ± 3.75) compared to the control group (RGC 86.70 ± 4.87) with a value of p = 0.016 (p < 0.05). There was no statistical difference in RNFL thickness between the type 1 DM group (RNFL 102 ± 11.80) and the control group (RNFL 100.96 ± 10.97) with a value of p = 0.581 (p> 0.05). Conclusion: This study found RGC thinning in type 1 DM patients, but did not find differences in RNFL thickness between the two groups. This RGC depletion is thought to be caused by apoptosis of retinal neuronal cells due to chronic hyperglycemia. Examination of RGC thickness with OCT can be developed as an early detection of diabetic retinopathy in children with type 1 DM.
Ocular Manifestations and Risk Factors of HIV in a Single-Center Observational Study at Dr. M. Djamil General Hospital, Padang, Indonesia Rosa, Havilah Zeki; Havriza Vitresia
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 11 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i11.1111

Abstract

Background: Human immunodeficiency virus (HIV) infection is associated with various ocular manifestations, impacting visual health and quality of life. This study aimed to investigate the spectrum of ocular manifestations and their associated risk factors in HIV-positive individuals at Dr. M. Djamil General Hospital, Padang, Indonesia. Methods: This single-center observational study included HIV-positive patients presenting with ocular complaints at Dr. M. Djamil General Hospital between 2019 and 2021. Comprehensive ophthalmic examinations were conducted, and data on demographics, HIV disease stage, CD4+ T-cell count, antiretroviral therapy (ART) status, and ocular findings were collected. Statistical analysis was performed to identify associations between risk factors and specific ocular manifestations. Results: A total of 149 HIV-positive patients were included in the study, with 7 (4.7%) presenting with ocular manifestations. The most common ocular manifestation was cytomegalovirus (CMV) retinitis (57.1%), followed by retinal nerve fiber layer (RNFL) thinning (42.9%). Other manifestations included visual field disturbances and herpes zoster ophthalmicus (HZO). Low CD4+ T-cell count (<200 cells/μL) was significantly associated with CMV retinitis (p < 0.05). Conclusion: CMV retinitis and RNFL thinning were the predominant ocular manifestations in this HIV-positive cohort. Low CD4+ T-cell count emerged as a significant risk factor for CMV retinitis. Early detection and prompt management of ocular manifestations are crucial to prevent visual impairment in HIV-positive individuals.