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Journal : Vision Science and Eye Health Journal

Comprehensive Management of Congenital Cataract in Dizygotic Twin Babies Windya Tri Hapsari; Indri Wahyuni; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 1 (2021): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (663.431 KB) | DOI: 10.20473/vsehj.v1i1.2021.17-21

Abstract

Introduction: One of the leading causes of infant blindness is cataract. The prevalence of congenital cataract has been estimated in the range between 1 and 15 per 10.000 children globally. Congenital cataract in twin babies is a rare case. This case will report the outcome of comprehensive management of congenital cataract in dizygotic twin babies. Case presentation: Eight months old dizygotic twin babies came to our clinic with the primary complaint of whitish appearance in the pupil of both eyes since birth. They were born aterm with cesarean delivery. The birth weight was 2.700 g and 3.100 g respectively. They were the fourth and fifth children in the family. There was no family history of congenital cataract. The visual acuity of both eyes was positive response to light stimuli. The cataract was bilateral and dense on both babies. Fundus reflex and TORCH examinations were negative. Ultrasonography (USG) of the retina was normal on both babies. Conclusions: Isolated congenital cataract in twin babies is an unusual condition that should be treated comprehensively. Congenital cataract may cause deprivation amblyopia, refractive amblyopia, and permanent vision impairment. Early diagnosis and quick treatment, such as surgical timing and visual rehabilitation, are critical to perform successful management. Comprehensive care is required to monitor the visual result of cataract surgery.
Ankyloblepharon Filiforme Adnatum in a Newborn Baby Girl Anggisari Danastri Dharma; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.67 KB) | DOI: 10.20473/vsehj.v1i2.2022.35-37

Abstract

Introduction: One type of congenital defect, ankyloblepharon filiforme adnatum (AFA), is characterized by a single or many strands of connective tissue connecting the upper and lower eyelids. It occurs only infrequently at the lateral or medial canthus. The eyelids normally begin to form within the fifth month of pregnancy, and they usually begin to separate entirely into an upper and lower lid by the seventh month of pregnancy. This type of tissue always originates from the grey line, which is located anterior to the meibomian gland orifices and posterior to the cilia. Case presentation: A 22-day-old female child was taken to the Surabaya Eye Clinic with a congenital eye condition. Because his top and lower eyelids were stuck together at birth, she was unable to open his eyes fully. The infant, who weighed 2.8 kg at birth, was delivered by elective caesarean section at 39 weeks gestation to a 28-year-old primigravida mother. There were no abnormalities discovered during the prenatal, intranatal, or postnatal stages. Except for iron and vitamins, the mother is not taking any medications. There was no prior history of X-ray exposure found. There was no history of congenital abnormalities or consanguinity in the patient’s family. Conclusions: Ankyloblepharon filiforme adnatum (AFA) is a rare case. Early diagnostic and comprehensive management including surgical correction should be performed promptly to minimize any risk of amblyopia, and enable full examination of the eye.
Successful Treatment of Mixed Amblyopia with Optic Nerve Hypoplasia (ONH) in an Adult Indonesian Patient Ria Indah Wahyuningtyas; Niken Indah Noerdiyani; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.102 KB) | DOI: 10.20473/vsehj.v1i3.2022.82-85

Abstract

Introduction: Amblyopia significantly contributes to low vision and blindness in adults in an Indonesian rural setting. The treatment of amblyopia, particularly anisometropic and/or strabismic amblyopia, has long been challenging for many clinicians. This study aims to report a promising result of refractive correction, occlusion therapy, and oral citicoline on mixed amblyopia with optic nerve hypoplasia in adult Indonesian patients. Case Presentation: A 20-year-old male with a chief complaint of blurry right eye since one year ago, becoming more severe lately. The patient had been strabismic since his childhood. History of using a -5 concave spherical lens on his RE, with the normal eye on his LE. Visual acuity (VA) of his RE was 3/60 and his LE was 6/30. The RE was deviated, with 30° of exotropia. Nystagmus was also found. Optical coherence tomography (OCT) examination found maculopathy and optic nerve hypoplasia in both eyes. We treated the patient with spectacles to correct the refractive error, occluded his fixing eye, and gave an oral citicoline. Conclusions: Refractive correction and occlusion therapy are still meaningful choices of therapy and have shown to be effective in treating amblyopia, combined with oral citicoline to prevent nerve cell damage. Our case of refractive correction, combined with occlusion therapy and oral citicoline on mixed amblyopia in an adult Indonesian patient, showed good results and a promising post-treatment prognosis with a decrease of exotropia degree and disappearance of nystagmus in just two months.
Comprehensive Dental Care for Children with Visual Impairment Nisrina, Shafiya Fildza; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 3 No. 2 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i2.2024.45-50

Abstract

Introduction: Children with visual impairment are more susceptible to acquiring pathologies in the oral cavity than the general population, the most prevalent of which are dental caries, inflammation of the gums, and loss of the structures that support the teeth. The oral health care needs of visually impaired children are needed. Purpose: To provide a better understanding that can guide ophthalmologists about the importance of comprehensive dental care for children with visual impairments. Review: Factors that respond to the need for oral health care in visually impaired children are lack of ability to carry out oral hygiene habits, lack of knowledge on the part of health personnel to provide services adapted to the needs of this population, absence of promotion and education programs, and lack of public policies on oral health. This article discusses the dental aspects of visual impairment, its implications for obtaining dental care, associated oral conditions, and medical complications. Conclusion: It is imperative to prioritize the implementation of preventive methods and oral health education among visually impaired children. The function of the dentist is significant in the management of children with such conditions. Ophthalmologists should collaborate with dentists who possess a strong drive to provide care for children with special needs such as visual impairment and will discover that this endeavor offers significant opportunities to be an enriching experience.
Comprehensive Surgical Approaches for Paralytic Esotropia Widayanto, Fredy; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.60-66

Abstract

Introduction: Paralytic esotropia occurs due to paralysis of the lateral rectus muscle due to sixth nerve paralysis. One of the etiologies of sixth nerve palsy is trauma. Examination and holistic management should be done in patients with sixth nerve palsy, as this condition will have a psychosocial impact on the patient. In this case series, the authors will report on the different approaches to comprehensive management in paralytic esotropia cases. Case Presentation: The first patient had 30Δ paralytic esotropia in the right eye for ten months after an accident, experiencing diplopia in the primary gaze worsening in the left gaze, with abduction limitation. He underwent a 7 mm medial rectus recession as the first step, followed by vertical rectus transposition with Foster modification after three months. This treatment successfully restored orthophoria with no diplopia in the primary gaze. The second patient developed paralytic esotropia (10) after a traffic accident one year prior, with minimal motility limitation. He underwent a 4 mm medial rectus recession, restoring binocular vision and allowing him to return to work. Conclusion: Sixth cranial nerve paralysis is the most common cause of eye-related nerve paralysis, leading to loss of lateral rectus muscle function, diplopia, and significant psychosocial impacts. Surgical treatment for chronic paralytic esotropia depends on the severity of muscle weakness, with different procedures recommended based on the ability of the lateral rectus to contract. Case studies showed that appropriate surgical interventions, such as medial rectus recession and vertical rectus transposition, effectively managed the condition and improved patient outcomes.