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All Journal Majalah Kedokteran Bandung Damianus Journal of Medicine Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Jurnal Medika Hutama Cermin Dunia Kedokteran Cermin Dunia Kedokteran
Angela Shinta Dewi Amita
Departemen Ilmu Kesehatan Mata, FKIK, Universitas Katolik Indonesia Atma Jaya
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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KOMORBIDITAS PADA EPISODE REKUREN SINDROM POSNER-SCHLOSSMAN DAN NEUROPATI OPTIK KARENA ETAMBUTOL Angela Shinta Dewi Amita; Kristian Dernitra; Thendy Foraldy
Bahasa Indonesia Vol 19 No 2 (2020): Damianus : Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v19i2.1781

Abstract

Introduction: Posner-Schlossman Syndrome (PSS) or glaucomatocyclitic crisis is a rare ophthalmic disease characterized by unilateral, acute, and recurrent attacks of elevated intraocular pressure (IOP) accompanied by mild anterior chamber inflammation without any conclusive causative factor. This case report represents a concurrence of Ethambutol-induced Optic Neuropathy (EON) and recurrent episode of PSS. Although this combination rarely occurs, but it can significantly affect the prognosis of both conditions.Case: A 41-year-old woman with unilateral ocular pain and blurred vision for the last 24 hours presented with left anterior uveitis, elevated intraocular pressure 56.7 mmHg and was diagnosed with left eye PSS. Five years later she showed signs of bilateral EON after 5 months of ethambutol administration as tuberculosis treatment. Best Corrected Visual Acuity (BCVA) was (20/80 OD, 20/70 OS), with an unspecified bilateral cecocentral scotomas. After 1 month of ethambutol cessation, the patient had a recurrent episode of PSS on the left eye and worsening the visual acuity more on both eyes (20/400 OD, 20/200 OS). The patient was then treated with methylprednisolone injection, and the visual acuity starts to improve (20/100 ODS).Conclusion: Comprehensive examination to detect probable etiologies of PSS is important to prevent recurrences and possible comorbidities with other eye disease, such as EON in this case. Patients undergoing ethambutol medication should be assessed by an ophthalmologist before, during and after finished treatment to evaluate the patient’s risk factors, past medical history and progression of visual acuity during treatment.
Determination on the Success of Cataract Surgeries by Using Sight Restoration Rate (SRR) Angelo Doniho; Angela Shinta Dewi Amita; Cisca Kuswidyati; Devina Permatasari; Andrew Adiguna Halim
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 5, No 1 (2019): April
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.48 KB) | DOI: 10.22146/jpkm.35107

Abstract

The prevalence of blindness in Nusa Tenggara Timur (NTT) reaches 1.0% and the ratio of blindness to ophthalmologist reaches 1:8000. This data means NTT is a place which has vision issues. Blindness is caused by cataract. Untreated cataracts can reduce the productivity of patients and his/her caretaker for quite a long time. Cataract surgery will not only cure the patient’s blindness, but it will also improve the local economy if it is sustainable and on time. Lack of human resources, funds, and medical equipment are the major problems for performing cataract surgery in this area. The cataract surgery is performed at Elisabeth Lela Hospital. Visual acuity is performed before the surgery and 21-35 days after the surgery. The last step is calculating the Sight Restoration Rate (SRR) of all patients. Cataract surgery was conducted to 92 eyes. the SRR of all patients is 46.7%. There are four eyes (4.34%) with post-operative visual acuity <3/60.
Association between Refractive Error Types and Asthenopia in Primary School Students Vanessa Kuswanto; Felicia Kurniawan; Angela Shinta Dewi Amita
Majalah Kedokteran Bandung Vol 53, No 3 (2021)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v53n3.2236

Abstract

Refractive error is a condition in which the cornea and lens fail to focus the light, resulting in reduced visual efficiency. Twelve million children are experiencing refractive errors worldwide and uncorrected refractive errors in children have been reported to cause asthenopia. This study aimed to determine the association between the types of refractive errors and asthenopia in children. This cross-sectional study was conducted on 111 students aged 10-13 years old in a public elementary school in Indonesia, SDN Penjaringan 10, in 2019. A questionnaire was used to assess asthenopia and the Snellen Chart, trial frames, and trial lenses were used for refractive errors examination. It was demonstrated that 87.4% of respondents experienced asthenopia, and 53.2% of respondents suffered from uncorrected refractive errors, mostly due to myopia. Fisher’s exact test results showed an association between refractive errors and asthenopia (p=0.019) with all myopic students experienced asthenopia. However, there was no significant association between astigmatism and asthenopia (p=0.754). In conclusion, not all types of refractive errors are associated with asthenopia.
Retinopati Klorokuin dan Hidroksiklorokuin Ivana Beatrice Alberta; Maria Vania Tri Ekaputri; Angela Shinta Dewi Amita
Cermin Dunia Kedokteran Vol 47, No 10 (2020): Optalmologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i10.1081

Abstract

Klorokuin dan hidroksiklorokuin kerap digunakan sebagai tatalaksana berbagai penyakit autoimun, infeksi malaria, dan kini menjadi salah satu obat penanggulangan darurat Coronavirus Disease-19 (COVID-19). Kedua obat ini berpotensi sebagai antiinflamasi dan antivirus. Namun penggunaannya sering menimbulkan berbagai efek samping seperti pada jantung, saraf, saluran pencernaan, dan juga mata. Efek samping pada mata dapat berupa toksisitas retina yang dapat berakhir menjadi retinopati ireversibel. Guna menghindari cacat permanen, diperlukan pencegahan yang tepat dengan mengenali faktor risiko dan skrining, serta pemantauan ketat penggunaan obat.Chloroquine and hydroxychloroquine are often used as a treatment for autoimmune disease, malaria infection, and now become an emergency drug for Coronavirus Disease-19 (COVID-19). Both are potential anti-inflammatory and antiviral agents. However, potential various side effects to the heart, nerves, gastrointestinal tract, and also eyes must be considered. Side effects on the eyes are retinal toxicity which can end up as irreversible retinopathy. Proper prevention is needed by recognizing risk factors and screening, as well as strict monitoring of drug use.
Sudden Onset of Strabismus in Adults-Is It a Life-Threatening Sign? Angela Shinta Dewi Amita; Giovani Faustine
Cermin Dunia Kedokteran Vol 48, No 9 (2021): Nyeri Neuropatik
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v48i9.1495

Abstract

The overall incidence of strabismus is higher in adults; approximately 1% of children have strabismus, while the estimation among adults is 4% but may run as high as 5.6%. The four types of new-onset strabismus in adults most often found were paralytic, convergence insufficiency, small-angle hypertropia, and divergence insufficiency. The stroke should be suspected in the sudden onset of paralytic strabismus. The most prevalent type of manifest strabismus found on stroke survivors was exotropia. Tumors, myasthenia gravis, thyroid eye disease are common causes of gradual-onset strabismus. Thorough examinations and proper referral are needed.Insidens rata-rata strabismus lebih tinggi pada dewasa; sekitar 1% populasi anak mengalami strabismus, sedangkan perkiraan prevalensi strabismus dewasa sebesar 4%, dan dapat mencapai 5,6%. Empat tipe strabismus onset baru pada dewasa yang paling sering adalah paralitik, insufisiensi konvergen, hipertropia sudut kecil, dan insufisiensi divergen. Salah satu penyebab paralitik yang harus diwaspadai adalah stroke. Eksotropia merupakan tipe strabismus yang paling sering pada pasien post-stroke. Tumor, miastenia gravis, penyakit tiroid pada mata merupakan penyebab umum kasus strabismus onset lambat. Pemeriksaan menyeluruh dan sistem rujukan yang baik diperlukan untuk terapi yang memuaskan.
Funduskopi untuk Prognosis Preeklampsia Ferdy Iskandara; Laura Agnestasia Djunaedia; Angela Shinta Dewi Amitab; Sigit Pradono Diptoadic
Cermin Dunia Kedokteran Vol 45, No 3 (2018): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v45i3.188

Abstract

Hipertensi dalam kehamilan (HDK) merupakan masalah kesehatan yang perlu mendapat perhatian karena mengakibatkan lebih dari 25% kematian ibu di Indonesia pada tahun 2013. Pada preeklampsia – yang merupakan salah satu HDK – terjadi disfungsi endotel berbagai organ ibu hamil, termasuk organ mata. Konsekuensi tersering adalah vasospasme umum disertai kebocoran plasma yang menyebabkan iskemi retina hingga kerusakan visus permanen. Derajat kelainan retina ibu hamil berdasarkan klasifikasi Keith-Wagener-Barker berbanding lurus dengan angka kematian serta angka kecacatan penglihatan. Funduskopi sebagai salah satu sarana pelengkap dapat menjadi sarana objektif memperkirakan prognosis ibu hamil dan juga status janin.
Manifestasi SARS-COV-2 pada Mata Sidney Ganda; Monica Angelina; Angela Shinta Dewi Amita
Jurnal Medika Hutama Vol. 2 No. 02 Januari (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Coronavirus Disease (COVID-19) merupakan infeksi saluran pernapasan yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Pada awal bulan September 2020 prevalensi COVID-19 di dunia hampir mencapai 27 juta kasus. SARS-CoV-2 dapat ditemukan pada organ okular melalui inokulasi langsung, migrasi via duktus nasolakrimalis, ataupun hematogen. Manifestasi klinis pada organ okular yang telah ditemukan berupa konjungtivitis yang ditandai dengan kemosis dan hipersekresi sekret serosa berupa cairan putih bening, selain itu manifestasi lainnya berupa epifora, dry eye, sensasi benda asing, pandangan kabur, dan fotofobia. Manifestasi tersebut dapat timbul secara bervariasi pada pertengahan maupun awal perjalanan penyakit. Saat ini terapi yang diberikan berupa terapi konjungtivitis viral pada umumnya.
Sudden Onset of Strabismus in Adults-Is It a Life-Threatening Sign? Angela Shinta Dewi Amita; Giovani Faustine
Cermin Dunia Kedokteran Vol 48 No 9 (2021): Neurologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v48i9.128

Abstract

The overall incidence of strabismus is higher in adults; approximately 1% of children have strabismus, while the estimation among adults is 4% but may run as high as 5.6%. The four types of new-onset strabismus in adults most often found were paralytic, convergence insufficiency, small-angle hypertropia, and divergence insufficiency. The stroke should be suspected in the sudden onset of paralytic strabismus. The most prevalent type of manifest strabismus found on stroke survivors was exotropia. Tumors, myasthenia gravis, thyroid eye disease are common causes of gradual-onset strabismus. Thorough examinations and proper referral are needed. Insidens rata-rata strabismus lebih tinggi pada dewasa; sekitar 1% populasi anak mengalami strabismus, sedangkan perkiraan prevalensi strabismus dewasa sebesar 4%, dan dapat mencapai 5,6%. Empat tipe strabismus onset baru pada dewasa yang paling sering adalah paralitik, insufisiensi konvergen, hipertropia sudut kecil, dan insufisiensi divergen. Salah satu penyebab paralitik yang harus diwaspadai adalah stroke. Eksotropia merupakan tipe strabismus yang paling sering pada pasien post-stroke. Tumor, miastenia gravis, penyakit tiroid pada mata merupakan penyebab umum kasus strabismus onset lambat. Pemeriksaan menyeluruh dan sistem rujukan yang baik diperlukan untuk terapi yang memuaskan.
Retinopati Klorokuin dan Hidroksiklorokuin Ivana Beatrice Alberta; Maria Vania Tri Ekaputri; Angela Shinta Dewi Amita
Cermin Dunia Kedokteran Vol. 47 No. 8 (2020): Oftalmologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i8.591

Abstract

Klorokuin dan hidroksiklorokuin kerap digunakan sebagai tatalaksana berbagai penyakit autoimun, infeksi malaria, dan kini menjadi salah satu obat penanggulangan darurat Coronavirus Disease-19 (COVID-19). Kedua obat ini berpotensi sebagai antiinflamasi dan antivirus. Namun penggunaannya sering menimbulkan berbagai efek samping seperti pada jantung, saraf, saluran pencernaan, dan mata. Efek samping pada mata dapat berupa toksisitas retina yang dapat berakhir menjadi retinopati ireversibel. Guna menghindari cacat permanen, diperlukan pencegahan yang tepat dengan mengenali faktor risiko dan skrining, serta pemantauan ketat penggunaan obat. Chloroquine and hydroxychloroquine are often used as a treatment for autoimmune disease, malaria infection, and now become an emergency drug for Coronavirus Disease-19 (COVID-19). Both are potential anti-inflammatory and antiviral agents. However, potential various side effects to the heart, nerves, gastrointestinal tract, and also eyes must be considered. Side effects on the eyes are retinal toxicity which can end up as irreversible retinopathy. Proper prevention is needed by recognizing risk factors and screening, as well as strict monitoring of drug use. I
Sudden Onset of Strabismus in Adults-Is It a Life-Threatening Sign? Angela Shinta Dewi Amita; Giovani Faustine
Cermin Dunia Kedokteran Vol 48 No 9 (2021): Neurologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v48i9.128

Abstract

The overall incidence of strabismus is higher in adults; approximately 1% of children have strabismus, while the estimation among adults is 4% but may run as high as 5.6%. The four types of new-onset strabismus in adults most often found were paralytic, convergence insufficiency, small-angle hypertropia, and divergence insufficiency. The stroke should be suspected in the sudden onset of paralytic strabismus. The most prevalent type of manifest strabismus found on stroke survivors was exotropia. Tumors, myasthenia gravis, thyroid eye disease are common causes of gradual-onset strabismus. Thorough examinations and proper referral are needed. Insidens rata-rata strabismus lebih tinggi pada dewasa; sekitar 1% populasi anak mengalami strabismus, sedangkan perkiraan prevalensi strabismus dewasa sebesar 4%, dan dapat mencapai 5,6%. Empat tipe strabismus onset baru pada dewasa yang paling sering adalah paralitik, insufisiensi konvergen, hipertropia sudut kecil, dan insufisiensi divergen. Salah satu penyebab paralitik yang harus diwaspadai adalah stroke. Eksotropia merupakan tipe strabismus yang paling sering pada pasien post-stroke. Tumor, miastenia gravis, penyakit tiroid pada mata merupakan penyebab umum kasus strabismus onset lambat. Pemeriksaan menyeluruh dan sistem rujukan yang baik diperlukan untuk terapi yang memuaskan.
Co-Authors Andrew Adiguna Halim Angelo Doniho Cisca Kuswidyati Devina Permatasari Felicia Kurniawan Ferdy Iskandara Giovani Faustine Ivana Beatrice Alberta Kristian Dernitra Laura Agnestasia Djunaedia Maria Vania Tri Ekaputri Monica Angelina Sidney Ganda Sigit Pradono Diptoadic Thendy Foraldy Vanessa Kuswanto