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All Journal Buletin Udayana Mengabdi E-Jurnal Medika Udayana Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Callosum Neurology Journal : Jurnal Berkala Neurologi Bali ISM (Intisari Sains Medis) : Jurnal Kedokteran Bioscientia Medicina : Journal of Biomedicine and Translational Research Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of Global Pharma Technology Ophthalmologica Indonesiana

Anak Agung Mas Putrawati Triningrat

Bagian Ilmu Kesehatan Mata, Fakultas Kedokteran Universitas Udayana, Bali

Author-ID : 2936272

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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GAMBARAN KARAKTERISTIK PENDERITA NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY (NAION) DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR TAHUN 2018 Maura Marda Mayangsari; Anak Agung Mas P utrawati Triningrat; I Made Agus Kusumadjaja; I Putu Budhiastra
E-Jurnal Medika Udayana Vol 10 No 11 (2021): Vol 10 No 11(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i11.P15

Nonarteritic Anterior Ischemic Optic Neuropathy (NAION) merupakan suatu keadaan neuropati optik akut dengan kondisi iskemia pada nervus optikus yang sifatnya mendadak, tanpa disertai nyeri, umumnya menyerang satu mata atau unilateral dan disertai defek lapang pandang altitudinal inferior. Hingga saat ini, tatalaksana NAION yang tepat, efektif, dan bisa dijadikan standar acuan belum ditemukan dan penelitian mengenai NAION di Indonesia pun masih sangat jarang dilakukan. Penelitian ini merupakan penelitian deskriptif potong lintang (cross-sectional) dengan maksud untuk mengetahui karakteristik penderita NAION di RSUP Sanglah Denpasar pada tahun 2018. Pengumpulan data penelitian menggunakan teknik consecutive sampling dengan menggunakan data sekunder berupa catatan medis pasien yang diperoleh dari instalasi rekam medis RSUP Sanglah Denpasar. Hasil penelitian diperoleh 29 sampel penderita NAION dengan kasus terbanyak pada kelompok usia 51-60 tahun dengan rerata usia 53,69 (SB ± 7,69) tahun. Proporsi penderita berjenis kelamin pria sebanyak 15 orang (51,72%) dan wanita sebanyak 14 orang (48,28%). Kelompok penderita NAION dengan tajam penglihatan 6/6-6/30 merupakan kelompok terbanyak sejumlah 13 orang (44,83%). Sejumlah 9 dari 29 penderita (31,03%) mengalami defek lapang pandang altitudinal inferior. Seluruh pasien memiliki paling tidak 1 faktor risiko sistemik berupa hipertensi (43,24%), dislipidemia (35,14%), dan diabetes (21,62%). Rasio cup-to-disk pada penderita paling banyak dengan rasio ?0,3 sebanyak 17 orang (58,62%). Penatalaksanaan terbanyak penderita NAION adalah pengobatan neurotropik yaitu sebanyak 23 orang (48,94%). Kata kunci : NAION, karakteristik, epidemiologi

Gambaran Umum Kelainan Refraksi pada Pasien Anak Usia 6-12 Tahun di Divisi Refraksi dan Lensa Kontak Poliklinik Mata RSUP Sanglah Tahun 2014 Putu Gian Mihartari; I Wayan Eka Sutyawan; AA Mas Putrawati Triningrat
E-Jurnal Medika Udayana Vol 6 No 12 (2017): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Refractive error is one major cause of visual impairment worldwide that may affect various age groups and gender. This study aims to know the characteristics of pediatric patients aged 6-12 years with refractive error who came to Sanglah General Hospital in 2014. This study used secondary retrospective data from administration book at Eye Clinic Sanglah General Hospital and patient’s medical records that came to examined their eyes. All data that meet the criteria then analyzed descriptively. From 30 patients (60 eyes), most of them are male (53.3%) with ages 9-12 years old (63.3%). Myopia astigmatism compositus is the most common diagnosis (48.3%). Refractory errors also happened bilaterally in 96.7% patients. Uncorrected visual acuity examination had been done in all patients, >80% of them had visual acuity <6/6 and after corrected >70% of them had visual acuity <6/6. Around 83.3% of them categorized with normal vision or mild visual impairment. Anisometropia also found in 46.7% and the other 36.7% suspected amblyopia. Most pediatric patients with refractive errors in this study are male and the most common diagnosis is myopia astigmatism compositus which happen bilaterally in almost all patients. The results of this study could be applied as a basis data to other studies of refractive error in children. Keyword : pediatric, refractive errors, visual acuity, amblyopia, anisometropia

BARRIERS OPERASI KATARAK MENGGUNAKAN METODE RAPID ASSESSMENT OF AVOIDABLE BLINDNESS PADA USIA ? 50 TAHUN DI DESA BLAHBATUH, KECAMATAN BLAHBATUH, KABUPATEN GIANYAR, BALI I Gusti Ayu Ariningrat; Anak Agung Mas Putrawati Triningrat; I Wayan Eka Sutyawan
E-Jurnal Medika Udayana Vol 6 No 4 (2017): E-jurnal medika udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.152 KB)

Katarak merupakan penyebab utama kebutaan di dunia. Tingginya angka katarak dikaitkan dengan rendahnya operasi katarak yang dilakukan oleh pasien katarak. Adanya barriers dalam melakukan operasi katarak akan meningkatkan angka kebutaan akibat katarak. Tujuan penelitian ini adalah untuk mengetahui barriers operasi katarak menggunakan metode Rapid Assessment ofAvoidable Blindness (RAAB) pada usia ? 50 tahun di desa Blahbatuh, kecamatan Blahbatuh, kabupaten Gianyar.Penelitian ini merupakan penelitian cross sectional yang dilaksanakan di desa Blahbatuh, kecamatan Blahbatuh, kabupaten Gianyar menggunakan metode RAAB, mulai bulan Juli sampai September 2016. Teknik pengambilan sampel menggunakan consecutive sampling dengan total jumlah sampel yang memenuhi kriteria sebanyak 66 orang. Hasil penelitian ini dianalisis menggunakan program SPSS 21.Sebagian besar responden katarak pada penelitian ini adalah perempuan (69,7%), dengan rentang usia terbanyak adalah 70-79 tahun (51,5%). Sebagian besar tajam penglihatan responden penelitian ini adalah tidak dapat melihat 6/60, tetapi dapat melihat 3/60 dengan kategori severe visual impairment pada mata kanandan mata kiri. Barrier operasi katarak sebagian besar responden adalah “merasa tidak perlu” (59,1%). Adanya barrier tersebut terkait dengan rendahnya tingkat pendidikan masyarakat, faktor sosial, dan budaya seperti jenis kelamin, dan kehendak Tuhan. Berdasarkan hasil penelitian ini dapat disimpulkan bahwa barriers operasi katarak menggunakan metode RAAB, terbanyak adalah “merasa tidak perlu”. Sosialisasi dibutuhkan kepada masyarakat mengenai mekanisme katarak, terapi yang harus dilakukan, serta sosialisasi mengenai program jaminan kesehatan untuk meringankan biaya pengobatan.

TRANSIENT BILATERAL VISUAL LOSS PADA PASIEN DENGAN DECOMPRESSION SICKNESS TIPE II Ida Ayu Sri Indrayani; Yenita Khatania Ardjaja; Anak Agung Mas Putrawati Triningrat; Anita Devi
Callosum Neurology Vol 2 No 1 (2019): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Latar Belakang: Transient visual loss adalah hilangnya tajam penglihatan mendadak baik parsial maupun komplit pada satu atau kedua mata yang terjadi kurang dari 24 jam. Decompression sickness terjadi apabila gelembung gas (bubble) yang terbentuk pada saat tubuh mengalami penurunan tekanan ambient secara mendadak pada pembuluh darah (intravaskular), sistem muskuloskeletal, atau jaringan tubuh lainnya menimbulkan suatu gejala. Bubble di intravaskular dapat mengakibatkan obstruksi vaskular, menghambat aliran darah dan menyebabkan iskemia. Iskemia pada daerah occipital akan menyebabkan terjadinya transient bilateral visual loss. Kasus: Pasien laki-laki berusia 23 tahun dengan keluhan penglihatan kabur yang terjadi mendadak setelah pasien naik ke permukaan dari kegiatan menyelam sedalam ± 5 meter selama 1 menit. Pasien dengan riwayat menarik napas dalam dan cepat beberapa kali sebelum melakukan free diving. Tajam penglihatan kedua mata pasien saat di rumah sakit adalah 4/60. Pemeriksaan segmen anterior dan posterior kedua mata dalam batas normal. Dilakukan terapi oksigen hiperbarik. Tajam penglihatan kedua mata pasien membaik menjadi 6/6 setelah terapi. Diskusi: kasus transient bilateral visual loss pada pasien dengan iskemia occipital post free diving dicurigai disebabkan oleh adanya sumbatan intravaskular oleh bubble yang terbentuk pada decompression sickness. Diagnosis decompression sickness ditegakkan secara klinis dan dapat dipastikan bila gejala membaik setelah pemberian terapi rekompresi. Terapi oksigen hiperbarik merupakan terapi pilihan pada semua kasus dengan riwayat terpapar lingkungan hiperbarik atau kondisi unpressurized high-altitude. Mencegah terbentuknya bubble dalam tubuh adalah dengan menghindari faktor risiko terbentuknya bubble dan mematuhi cara naik ke permukaan (ascending) yang benar setelah diving. Kata Kunci: Buta Mendadak Sementara, Decompression Sickness, Penyelam

Karakteristik amplitudo akomodasi mata pada anak sekolah dasar dengan kelainan refraksi di Kabupaten Badung, Bali, Indonesia Luh Gede Anggasari Dewi; Ariesanti Tri Handayani; Ida Bagus Putra Manuaba; Anak Agung Mas Putrawati Triningrat
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Amplitude of Accommodation (AA) is the maximum amount of accommodation of a person's response when looking closely. Decreased accommodation capability indicates functional abnormalities, including refractive disorders. This study aims to determine the characteristics of accommodative amplitude in elementary school children with refractive abnormalities in Badung Regency, Bali.Methods: This study was an analytic cross-sectional observational research. Data were collected prospectively based on the results of examinations and observational records of students in four elementary schools. Data were presented in frequency, percentage, and bivariate tests. Data were analyzed by SPSS version 20 for Windows.Results: Most of the study respondents were 7 years old (25.7%), female (52.7%), not wearing glasses (91.2%), bilateral myopia correction (43.2%), and having sharp vision before correction of 0.3 (0.2-0.5) diopters. There was a significant difference in binocular eye accommodation based on the comparison of Subject AA with the Expected Value (p = 0.001). However, there was no significant difference in the comparison of students' refractive errors with the amplitude of monocular accommodation (p> 0.05).Conclusion: The measurement of monocular AA decreased with age and in this study, there was no AA result that was lower than the expected value or the minimum value according to the Hofstetteer formula. AA measurement results are not affected by refractive errors. It is necessary to screen for refractive errors early in children to reduce the number of amblyopia. Latar Belakang: Amplitudo akomodasi (AA) adalah jumlah maksimum akomodasi dari respon seseorang saat melihat dekat. Penurunan kemampuan akomodasi menunjukkan adanya kelainan fungsional antara lain berupa kelainan refraksi. Tujuan penelitian ini untuk mengetahui karakteristik amplitudo akomodatif pada anak sekolah dasar dengan kelainan refraksi di Kabupaten Badung, Bali.Metode: Penelitian ini merupakan observasional dengan pendekatan studi potong lintang analitik. Data dikumpulkan secara prospektif berdasarkan hasil pemeriksaan dan pencatatan hasil observasi pada anak-anak di empat sekolah dasar. Data ditampilkan dalam bentuk frekuensi, persentase, dan analisis bivariat. Data dianalisis dengan SPSS versi 20 untuk Windows.Hasil: Sebagian besar responden penelitian berusia 7 tahun (25,7%), berjenis kelamin perempuan (52,7%), tidak menggunakan kacamata (91,2%), koreksi kacamata myopia bilateral (43,2%), dan memiliki tajam pengelihatan sebelum koreksi sebesar 0,3 (0,2-0,5) dioptri. Terdapat perbedaan yang bermakna akomodasi mata binokular berdasarkan perbandingan AA Subjek dengan Expected Value (p=0,001). Akan tetapi tidak terdapat perbedaan bermakna pada perbandingan kelainan refraksi siswa dengan amplitudo akomodasi monokular (p>0,05).Kesimpulan: Pengukuran AA monokular menurun sesuai usia dan pada penelitian ini, tidak terdapat hasil AA yang lebih rendah dibandingkan dengan expected value maupun nilai minimal menurut formula Hofstetteer. Hasil pengukuran AA tidak dipengaruhi oleh kelainan refraksi. Perlu dilakukan skrining kelainan refraksi lebih awal pada anak-anak untuk mengurangi jumlah ambliopia.

Nodular anterior scleritis in systemic sclerosis: a case report Komang Putra Tridiyoga; Ida Ayu Ary Pramita; I Gusti Ayu Made Juliari; A. A Mas Putrawati Triningrat; I Made Agus Kusumadjaja; N.K Niti Susila
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Introduction: Scleritis is an inflammation of the sclera’s lining, characterized by cellular infiltration, collagen damage, and vascular changes. The incidence rate of scleritis accompanied by systemic disease generally is around 39% to 50%. Scleritis can be divided into two, namely anterior and posterior scleritis. Anterior scleritis can be divided into four, diffuse anterior scleritis, nodular anterior scleritis, necrotizing anterior scleritis with inflammation and without inflammation. One of the causes of nodular anterior scleritis is systemic sclerosis which is an autoimmune disease. Nodular anterior scleritis in systemic sclerosis is very rare, with an estimated prevalence rate of 4.4%.Case Description: A man, 46 years old, complaining of red, watery, painful, and visible white membrane on his right eye since two weeks ago and was referred from an ophthalmologist with scleritis on his right eye. The patient had a history of asthma and cataract surgery. Physical examination showed right eye VA was 6/45 pinhole (PH) 6/18, conjunctival and scleral injection, nodule on superior conjunctiva with yellowish-white in color. Laboratory examination showed a clinical representation of autoimmune disease, consulted to the rheumatology division, and was diagnosed with systemic sclerosis. The patient has been prescribed corticosteroids and immunosuppressant’s for the therapy, the patient's eye condition improves after.Conclusion: Systemic sclerosis with a presenting ophthalmologic complaint is a rare disease. This case illustrates that nodular anterior scleritis needs comprehensive intervention to seek the etiology and provide the treatment. This case has shown that nodular anterior scleritis with systemic sclerosis improved with corticosteroids and immunosuppressants, a typical treatment for autoimmune disease.

Clinical characteristics and demographics figures of patients with age-related macular degeneration at a tertiary-level hospital in Denpasar, Bali Bobby Kristianto; Ari Andayani; Anak Agung Mas Putrawati Triningrat; Ni Made Ari Suryathi; I Wayan Gede Jayanegara; I Gusti Ayu Ratna Suryaningrum
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Introduction: Age-Related Macular Degeneration (AMD) is a macular disease that characteristically affects the loss of central vision of the elderly. Unlike the western world, Indonesia has a relatively undocumented AMD epidemiology due to a lack of scientific attention, as indicated by few AMD publications. As a result, it is difficult to determine AMD's features and characteristics in the Indonesian population. This study aimed to evaluate AMD patients' characteristics and demographics at a tertiary hospital in Bali.Methods: This is a Cross-Sectional study. Data were collected from medical records on Sanglah General Hospital from January 2017 until December 2019. The characteristics and features were collected and analyzed. The characteristics and demo-figure were analyzed with descriptive statistics and a Chi-square test.Results: This study data consist of 172 patients, 90 (52.33 %) male and 82 (47.67 %) female. Most of the patients in the age group 66-83 years. The distribution of dry AMD showed the highest number on males, but the inverse occurs in wet AMD. Subjects had a smoking lifestyle in 50% of the patients. The smoking history more likely in dry AMD, but the inverse occurs in wet AMD. Hypertension occurs in more than half (51.16 %), with larger distribution in wet AMD. The proportion of gender, smoking history, hypertension but not age are significantly different between wet and dry AMD.Conclusion: Age-related macular degeneration is a common cause of blindness in the elderly population. This study found that the prevalence of AMD increases with age. The significant factors associated with AMD were sex, hypertension and smoking habit.

Situasi analisis pelayanan kesehatan mata di Provinsi Bali, Indonesia Anak Agung Ayu Githasari Dewi; Ni Made Ari Suryathi; Ni Made Suryanadi; I Made Agus Kusumadjaja; I Wayan Eka Sutyawan; Anak Agung Mas Putrawati Triningrat; I Wayan Gede Jayanegara
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Introduction: The prevalence of blindness in Bali based on Rapid Assessment of Avoidable Blindness (RAAB) survey in 2015 was 2%. This prevalence rate is still high according to WHO guidelines. Bali has challenges in providing eye care services. The aim of this study was to report situational analysis of the eye care in Bali.Method: This is a descriptive study with quantitative and qualitative approach. Data collection was carried out through interviews and questionnaires targeting respective stakeholders involved in the eye care services in Bali.Result: Bali consists of 9 districts with total 4,337 million people. Eye care in Bali consist of 43 hospitals, 120 primary health care (Puskesmas), 73 general ophthalmologist and subspecialists, 18 trained opthalmic nurses, and 12 refractionist. Bali has mobile eye care unit covering remotes area and a Non-Government Organization (NGO) actively contributing in community eye care service. Total number of cataract surgery in 2019 was 8.225 eyes with cataract surgical rate (CSR) was 1.896. Komite Mata Daerah (Komatda) dan health insurance for eye service and eye surgery is a form of support from the government.Conclusion: The implementation of eye care services in Bali is yet under evaluation. Things needed to consider to improve eye care services including providing better distribution of ophthalmologist to districts, and empowering voluntary local manpower as village health workers / cadres through regularly organized training. Education on blindness and preventable visual disturbances also must be carried out regularly.Pendahuluan: Prevalensi kebutaan di Bali berdasarkan survei Rapid Assessment of Avoidable Blindness (RAAB) tahun 2015 sebesar 2%. Angka prevalensi ini masih tinggi menurut pedoman WHO. Bali memiliki tantangan dalam memberikan pelayanan perawatan mata. Tujuan dari penelitian ini adalah untuk melaporkan analisis situasi perawatan mata di Bali.Metode: Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif dan kualitatif. Pengumpulan data dilakukan melalui wawancara dan kuesioner dengan sasaran masing-masing pemangku kepentingan yang terlibat dalam layanan perawatan mata di Bali.Hasil: Bali terdiri dari 9 kabupaten dengan jumlah penduduk 4.337 juta jiwa. Perawatan mata di Bali terdiri dari 43 rumah sakit, 120 Puskesmas, 73 dokter spesialis mata umum dan subspesialis, 18 perawat mata terlatih, dan 12 dokter spesialis mata. Bali memiliki unit perawatan mata keliling yang mencakup daerah terpencil dan Lembaga Swadaya Masyarakat (LSM) yang aktif berkontribusi dalam layanan perawatan mata masyarakat. Jumlah operasi katarak pada tahun 2019 sebanyak 8.225 mata dengan angka bedah katarak (CSR) sebanyak 1.896. Komite Mata Daerah (Komatda) dan jaminan kesehatan untuk pelayanan mata dan operasi mata merupakan bentuk dukungan dari pemerintah.Simpulan: Pelaksanaan pelayanan kesehatan mata di Bali masih dalam tahap evaluasi. Hal-hal yang perlu diperhatikan untuk meningkatkan pelayanan kesehatan mata antara lain penyediaan dokter spesialis mata yang lebih merata ke kabupaten, dan pemberdayaan tenaga sukarelawan lokal sebagai kader/petugas kesehatan desa melalui pelatihan yang diselenggarakan secara rutin. Edukasi tentang kebutaan dan gangguan penglihatan yang dapat dicegah juga harus dilakukan secara berkala.

NEUROMYELITIS OPTICA SPECTRUM DISORDER (NMOSD) DENGAN ANTIBODI AQP4 POSITIF Rima Febry Lesmana; Anak Agung Mas Putrawati Triningrat; Made Paramita Wijayanti; I Made Agus Kusumadjaja; Ida Ayu Sri Indrayani; Gede Kambayana
Callosum Neurology Vol 4 No 2 (2021): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29342/cnj.v4i2.138

Background: Neuromyelitis optica (NMO) is an in?ammatory demyelinating autoimmune disease of the central nervous system that most commonly affects the optic nerves and spinal cord. Seropositive antiAQP4 differentiates NMO from MS and the presence of manifestation in the postrema, brainsteam or diencephalic areas extend to NMO Spectrum Disorder (NMOSD). Case Description: A 18 years old male complain sudden vision loss on his left eye since 2 weeks ago. The examination show the visual acuity on the right eye was 6/6 and LPBP on the left eye. Positive RAPD on the left eye, funduscopy and the OCT RNFL within normal limits. Head MRI focus orbita with contrast show optic neuritis. Patient was diagnosed with left eye retrobulbar optic neuritis and ONTT therapy was given. The visual acuity improved to 1/60 then therapy change to oral steroid. Four months later, the patient suddenly got vision loss on the right eye accompanied by paraparesis. The visual acuity on the right eye was NLP and the left eye was 1/300, with mid-dilated papil. The results of the OCT RNFL show on the right eye edema papil and left eye atrophy papil. An MRI of the head focus orbital and whole spain was reexamined followed by VEP examination and an AntiAQP4 which showed an NMOSD. He was given ONTT then continued with immunosuppressants. The visual acuity of the right eye improved to 3/60 and the left eye remained 1/300. Discussion: This patient first presented with complain on the left eye with clinical and supporting symptoms suggesting an optic neuritis. The presence of a new attack on the right eye with paraparesis is a clinical feature of NMO supported by MRI results and seropositive AQP4 indicates an NMOSD. Conclusion: Establishment of diagnosis and administration of therapy quickly and precisely can reduce the severity and risk of recurrence which leads to greater disability and blindness. Key Words: Neuromyelitis Optica, Neuromyelitis Optica Spectrum Disorder, AQP4

LESI NERVUS OKULOMOTOR INVOLVED PUPIL ET CAUSA ANEURISMA PADA PASIEN DENGAN STROKE SUBARACHNOID HEMORRHAGIC DAN SYSTEMIC LUPUS ERITHEMATOSUS I Ketut Aryawan; Anak Agung Mas Putrawati Triningrat; Made Paramita Wijayanti; Ida Ayu Sri Indrayani; Pande Ketut Kurniari
Callosum Neurology Vol 4 No 2 (2021): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29342/cnj.v4i2.163

Introduction: Oculomotor nerve palsy is an pathological condition caused by microvascular injury, head injury, compression due to neoplasm or aneurysm, and also oculomotor nerve palsy can be caused by autoimmune prosses. Peripheral neuropathy is one of the clinical manifestations in patient with SLE, Oculomotor nerve palsy is one type of cranial neuropathy seen with SLE patient. Patient with SLE have a higher risk of serebrovascular event than general population. Case Illustration: Female 34 years old complained drop of the eyelid on the left eye and double vision when see with both eyes since 1 mounth before examination. Patient with history of headace and diagnosed with SLE since 2006 with regular treatment. From the examination, pupil anisocor, on the right eye pupil was 3 mm in diameter with positif direct and indirect reflex. On the left eye pupil was 6 mm with negative direct and indirect reflex. Extraocular movement on the left eye was limited except abduction movement. CT-Scan examination shows bilateral subarachnoid hemorrhage and from CT-Angiography shows dilatation of the left siphon carotid artery. Patient was diagnosed with oculomotor nerve palsy involving pupil caused by aneurysm with SAH and SLE. Discussion: Oculomotor nerve palsy mostly caused by aneurysm compression in posterior communicating artery (PCoA) and internal carotid artery (ICA). Cerebrovascular imaging, MRA and CTAngiography, can showing the aneurysm and its location. Risk of cerebrovascular event increased in patient with SLE than general population. Management patient with oculomotor nerve palsy with SLE nowadays is with pulse dose corticosteroid. Conclusion: SLE with oculomotor nerve palsy will increase risk of cerebrovascular event. Key Words : Oulomotor Nerve Palsy, Subarachnoid Hemorrhage, Systemic Lupus Erithematosus

Co-Authors Anak Agung Ayu Githasari Dewi Anak Agung Ayu Sukartini Djelantik Angelo Doniho Anita Devi Anthea Casey Ari Andayani Ariesanti Tri Handayani, Ariesanti Tri Bobby Kristianto Dharmi Lestari, Ni Putu Fransiska Lavinia Gracella Gde Ngurah Idraguna Pinatih Gede Kambayana Giovani Faustine I Gusti Ayu Ariningrat I Gusti Ayu Made Juliari I Gusti Ayu Ratna Suryaningrum I Gusti Putu Suka Aryana I Ketut Aryawan I Putu Budhiastra I Wayan Eka Sutyawan I Wayan Gede Jayanegara I Wayan Jayanegara I. N. Astika I.D. G.A.E. Putra Ida Ayu Ary Pramita Ida Ayu Sri Indrayani Ida Bagus Putra Manuaba Ida Bagus Putu Putrawan Inge Nandya Hertapanndika Junetta Airene Priskila Taba Komang Putra Tridiyoga Luh Gede Anggasari Dewi Luh Wira Pusvitasari Made Agus Kusumadjaja Made Paramita Wijayanti Made Paramita Wijayati Marcell Dion Wibowo Maura Marda Mayangsari N. K. Niti Susila, N. K. N. K.S. Diniari Ni Ketut Rai Purnami Ni Made Ari Suryathi Ni Made Suryanadi Ni Putu Dharmi Lestari Nyoman Astri Dewi Sanjiwani Pande Ketut Kurniari Putu Adhi Surya Pradana Putu Ayu Wulansari Putu Gian Mihartari Putu Giani Anabella Bestari Putri R. A.T. Kuswardhani Rengga Septivianti Rima Febry Lesmana Siska Takarai Siti Fatima Sri Kayati Widyastuti Yenita Khatania Ardjaja

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