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All Journal Jurnal SainHealth Vision Science and Eye Health Journal Ophthalmologica Indonesiana
Doemilah, Ratna
Department Of Ophtalmology, Faculty Of Medicine, Airlangga University, Surabaya
Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Vision Science and Eye Health Journal

 1 
Management of Adnexa Foreign Body: A Piece of Mica from a Broken Helmet Windya Tri Hapsari; Ratna Doemilah
Vision Science and Eye Health Journal Vol. 2 No. 1 (2022): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i1.2022.17-23

Abstract

Introduction: Adnexa foreign body is one of the classifications of extraocular foreign body. Visual prognosis depends on the zone of injury, type, and size of the foreign body and subsequent complications. Case Presentation: A 5-year-old girl came to the outpatient clinic with her parent with chief complaints of swelling and pain in the lower eyelid in the left eye after she had a motorcycle accident with her parent (single accident) five months ago. At the time, the patient was hit by a piece of mica from a broken helmet in her left eye, and the patient complained that her left eye was red swollen and that she had difficulty opening her eyes and; when the midwife then referred her to an ophthalmologist in Jember and referred to Soetomo with diagnosis conjunctival tumor in LE. Visual acuity RLE 5/5, and in the conjunctiva, there was hyperemia and foreign body like glass or mica in fornix inferior. In the CT scan, there was foreign body or corpus alienum with size 1.05 x 0.5 x 2.1 cm in cutan subcutan left inferior eyelid until ciliary body and swelling in tissue around corpus alienum. The patient was the plan to extract the foreign body. Conclusion: Adnexa foreign body is one emergency case in ophthalmology. The extraction technique depends on the object’s composition and size because it impacts the step of the operation technique.
Management of an Isolated Type I Ankyloblepharon Filiforme Adnatum (AFA) with Coloboma of the Upper Eyelid in a Newborn Mayangsari, Dian; Doemilah, Ratna
Vision Science and Eye Health Journal Vol. 3 No. 1 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i1.2023.12-16

Abstract

Introduction: Ankyloblepharon filiforme adnatum (AFA) is a rare congenital condition marked by one or more bands of tissue adhering partially or entirely to the ciliary margins of the upper and lower eyelids at the gray line. This case study illustrates the ease of treating the condition. A general ophthalmologist could do that. Case Presentation: A one-month-old infant was admitted to the outpatient clinic. Since birth, he could not open his eyes due to upper and lower eyelid adhesions. There was also a coloboma in the one-third lateral upper eyelid in the right eye. The evaluation of other body systems was normal. The infant was diagnosed with type I AFA and underwent surgery under general anesthesia. After crushing the band with the clamp, the bands of tissue were excised with the blade. The coloboma was reconstructed by applying primary closure and pentagonal shape incision, then sutured with 8-0 vicryl. The eyelids were separated with an aligned lid margin. Conclusions: Simple surgical procedures are used to treat congenital ankyloblepharon. It depends on the nature and extent of the adhesions along the lid margin. To reduce the risk of amblyopia, early treatment should be initiated immediately.
Management Reconstruction of Eyelid Kissing Nevus Permatasari, Lissa Novia; Doemilah, Ratna
Vision Science and Eye Health Journal Vol. 4 No. 1 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i1.2024.13-16

Abstract

Introduction: An unusual type of congenital nevus known as "kissing nevus" develops on one eye's upper and lower lid and becomes enormous while the eyelids are closed. Reconstruction is complex since it creates both aesthetic and functional issues. Case Presentation: A 23-year-old female patient attended our ophthalmology outpatient clinic stating that she had a painless, non-progressing black nevus covering her left upper and lower eyelid since birth. The dark brown-black, 55 mm in size, with hypertrichosis that extended to the cheek and covered about two-thirds of the left upper and lower eyelid edges. A free supraclavicular skin transplant restored the complete nevus shortly after removal. We performed canthoplasty, lateral canthopexy, and full-thickness graft procedures. Three weeks following the procedures, the result was satisfactorily proved. Through histopathological examination, intradermal nevus pigmentosus was identified. Conclusions: A secure, trustworthy, and aesthetically pleasing option for head and neck deformities reconstruction involves a free supraclavicular graft.
Co-Authors Athi Purnasari Lissa Novia Permatasari Mayangsari, Dian Okiningtyas Kun Cahyandari Permatasari, Lissa Novia RIF’AT NURFAHRI Windya Tri Hapsari Zuhria, Ismi