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Journal : Vision Science and Eye Health Journal

Management of Posterior Capsule Rupture Complication in Cataract Patient with High Myopia and Partial Thickness Macular Hole Bimanda Rizki Nurhidayat; Dicky Hermawan
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 (1145.82 KB) | DOI: 10.20473/vsehj.v1i2.2022.49-53

Abstract

Introduction: To report clinical outcome after posterior capsule rupture complication in a cataract patient with partial-thickness macular hole. Case presentation: A 49-year-old woman was presented with blurred vision of the left eye two years before admission. The blurred vision increased, accompanied by eye dazzled on light exposure. There was a history of myopia on both eyes and partial-thickness macular hole in the left eye. The left eye visual acuity was 3/60 with S-7.00 correction became 5/12 no improvement with pinhole. There was a partial-thickness macular hole on the left eye in the optical coherence tomography macula. Cataract surgery was performed with intraoperative posterior capsule rupture (PCR) complication. Follow-up had been monitored from day-1 until day-60 postoperatively. Conclusions: The decision of performing cataract surgery prior to macular hole surgery is a good decision. Any intraoperative complication such as posterior capsule rupture should be followed up closely to avoid macular hole worsening. Long-term follow-up should be done to prevent the late complication after surgery.
A Neglected Congenital Rubella Syndrome in 10-Year-Old Boy Kafin Rifqi; Dicky Hermawan
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 (466.236 KB) | DOI: 10.20473/vsehj.v1i2.2022.54-57

Abstract

Introduction: Cataract, congenital heart defect, and hearing impairment are the three most common manifestations of congenital rubella syndrome (CRS) that lead to developmental delay in the children. CRS usually present during the infant period of three months old as the median age number. Ironically, we found a 10-year-old boy who was diagnosed with CRS and there was no significant plan to improve his condition anymore because of his neglected by family. The purpose of this case report is to alert primary health workers and also ophthalmologists to do our best to prevent blindness due to cataracts in Indonesia with early detection. Case presentation: A 10-year-old boy was brought to the outpatient clinic with a chief complaint of difficulties in focusing the target in the classroom. The grandmother said that her grandson has already had a white plaque in his both eyes since he was born. The boy has also suffered from deaf-mutism. His visual acuity was hand movement and there was lens opacity in his both eyes. He also had posterior uveitis in both eyes followed by the presence of nystagmus. There was retinal detachment in ultrasonography (USG) examination. The patient has no cardiac abnormalities. Rubella infection was confirmed by the high number of IgG rubella serology. His grandmother had just brought the boy to the outpatient clinic because she never thought that the eyes needed therapy until the boy could not do his daily activities as the cataract worsen. Conclusions: The parent’s role is highly crucial for the visual outcome of patient with congenital ophthalmologic problems. Primary health worker also play a significant role in early detection that may prevent such incident. Delayed detection and management of congenital cataracts may cause permanent visual impairment and lead to patient’s poor quality of life.
Familial Congenital Aniridia with Subluxated Lens and Glaucoma Perwitasari, Birgitta Henny; Hermawan, Dicky
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.v3i1.2023.17-22

Abstract

Introduction: Congenital aniridia is a bilateral iris aplasia or hypoplasia associated with other ocular disorders. The purpose of this case report is to describe the clinical manifestation of congenital aniridia in two members of one family. Case Presentation: The first patient (mother) is a 43-year-old and the second patient (daughter) is a 12-year-old. Both patients complained of blurred vision since childhood. The visual acuity of the first patient was a positive light perception on the right eye (RE) and no light perception on the left eye (LE); the visual acuity of the second patient was 1/60 on the RE and 3/32 on the LE. Both patients had horizontal nystagmus and increased intraocular pressure (IOP) (N+1 palpation) in both eyes. Anterior segment abnormalities of both patients include aniridia with iris rudimentary and superiorly subluxated lens. The first patient also had LE corneal leukoma and RE cataract. The second patient also had right and left eye corneal conjunctivalization. Fundus examination showed no fundus reflex on the first patient and tigroid retina with foveal hypoplasia on the second patient. Eye ultrasounds of both patients showed vitreous opacity. Conclusions: Congenital aniridia primarily originates from a mutation in the paired box gene-6 (PAX6) and is associated with other ocular anomalies such as nystagmus, amblyopia, keratopathies, cataract, lens luxation, glaucoma, fovea, optic nerve hypoplasia. Patients in this case showed similar conditions between mother and daughter, however, the mother's condition was more advanced and more degenerated than the daughter's condition.