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All Journal e-CliniC Jurnal e-Biomedik JURNAL BIOMEDIK Jurnal Kedokteran Klinik Medical Scope Journal (MSJ)
Laya M. Rares
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : JURNAL BIOMEDIK

 1 
PENATALAKSANAAN DAN FOLLOW UP BERKALA PADA AMETROPIA AMBLIOPIA Rares, Laya M.
Jurnal Biomedik : JBM Vol 5, No 2 (2013): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.5.2.2013.2597

Abstract

Abstract: Amblyopia is a decline of visual acuity, unilateral or bilateral, even after a maximal correction and is not directly related to any structural disorders of the eye or posterior visual pathway. We reported the case of an 8-year-old boy with bilateral amblyopia treated with a full correction eye glass therapy. The patient underwent a general eye examination, a set of tests related to the causes of amblyopia, and an eye glass correction to obtain BCVA in both eyes. The results showed VOD 5/60 S-2.50 = C-2.50 x 180o 6/18, VOS 4/60 S-2.00 = C-2.75 X 180o 6/15, and normal intraoccular pressures of both eyes by palpation. Light reflex of ODS was normal with no RAPD. The eyeball positions were normal without any anomaly. The eyeball movements were good in all directions, while the Ishihara color blindness test showed a normal result. The spacious view was normal, and the visible image of funduscopy had no anomaly. The patient was treated wih a correction of anomaly refraction by using eyeglasses as the initial treatment. In the case that there is no significant improvement in the initial therapy, a patching therapy and a periodical follow-up in the process of the eyesight rehabilitation is suggested. Conclusion: Based on all the tests performed, the diagnosis of this patient was bilateral amblyopia. It was expected that by the resumption of wearing eyeglasses for the anomaly refraction correction and eyesight rehabilitation, and with periodical follow-ups the patient’s condition would improve. Keywords: bilateral amblyopia, anomaly refraction, full correction therapy.   Abstrak: Ambliopia adalah penurunan ketajaman penglihatan unilateral atau bilateral walaupun telah diberikan  koreksi terbaik, yang tidak berhubungan langsung dengan kelainan struktural mata ataupun jaras penglihatan posterior. Kami melaporkan kasus seorang anak laki-laki berusia 8 tahun dengan ambliopia bilateral yang telah diberikan terapi kacamata full correction. Pada kasus ini telah dilakukan pemeriksaan mata menyeluruh, serangkaian tes yang berkaitan dengan penyebab ambliopia, dan koreksi kaca mata untuk mencapai BCVA (Best Corection Visual Aquity) pada kedua mata. Hasil pemeriksaan memperihatkan VOD 5/60 S-2.50 C-2.50 x180 6/12, VOS 4/60 S-2.00 C -2.75x180 6/15, tekanan intraokuler (dengan palpasi) mata kanan dan kiri normal, RAPD (-), ortoforia, tes warna normal, serta lapang pandang normal dan segmen posterior dalam batas normal. Koreksi kelainan refraksi dengan kacamata sebagai penanganan awal dan direncanakan untuk terapi patching bila tidak terdapat kemajuan yang bermakna dari terapi awal, serta follow up berkala dalam proses rehabilitasi penglihatan. Simpulan: Berdasarkan hasil pemeriksaan yang telah dilakukan, diagnosis pada kasus ini ambliopia bilateral. Setelah terapi koreksi kelainan refraksi menggunakan kaca mata dan rehabilitasi penglihatan dengan follow up berkala diharapkan visus optimal dapat tercapai. Kata kunci: ambliopia bilateral, refraksi anomali, terapi full correction.
INDIKASI BEDAH KATARAK DI POLIKLINIK MATA BLU RSUP PROF. Dr. R.D. KANDOU MANADO Indra, Charles; Sumual, Harry J. G.; Rares, Laya M.
Jurnal Biomedik : JBM Vol 5, No 1 (2013): JURNAL BIOMEDIK : JBM Suplemen
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.5.1.2013.2634

Abstract

Abstract: According to the World Health Organization (WHO), cataracts are the leading cause of blindness and visual impairment throughout the world. Cataract surgical indications are classified into three groups: 1) visual acuity rehabilitation, 2) medical indications, and 3) cosmetic indications. This study aimed to obtain the indications for cataract surgery at the Ophthalmology Department of Prof. Dr. R.D. Kandou Hospital Manado. This was a descriptive retrospective study. Data were collected from the medical records at the Ophthalmology Department of Prof. Dr. R.D. Kandou Hospital. The results showed that there were 84 cataract patients who underwent cataract surgery from January to June 2012. Based on the indications of cataracts surgery, visual acuity rehabilitation were found in 81 cases (96.43%) and medical indications in 3 cases (3.57%). Conclusion: In these results, it was found that the most cases requiring cataract surgery were in the group: visual acuity rehabilitation. Cosmetic indication was not found in this study. Keywords: cataract, surgery, indication.    Abstrak: Berdasarkan WHO, katarak merupakan penyebab utama kebutaan dan gangguan penglihatan di dunia. Terdapat tiga kelompok indikasi bedah katarak, yaitu: 1) rehabilitasi ketajaman penglihatan, 2) indikasi medis, dan 3) indikasi kosmetik. Penelitian ini bertujuan untuk mengetahui indikasi yang mendorong dilakukannya bedah katarak di Poliklinik Mata BLU RSUP Prof. Dr. R.D. Kandou Manado. Penelitian ini bersifat deskriptif retrospektif dengan menggunakan data dari catatan medis di Poliklinik Mata BLU RSUP Prof. Dr. R.D. Kandou Manado. Hasil penelitian memperlihatkan bahwa terdapat 84 kasus bedah katarak periode Januari-Juni 2012. Berdasarkan indikasi bedah katarak terdapat 81 kasus (96,43%) dengan indikasi rehabilitasi ketajaman penglihatan dan 3 kasus (3,57%) dengan indikasi medis. Simpulan: Indikasi bedah katarak yang paling sering ditemukan di Poliklinik Mata BLU RSUP Prof. Dr. R.D. Kandou Manado ialah rehabilitasi ketajaman penglihatan. Indikasi kosmetik tidak ditemukan dalam penelitian ini. Kata kunci: katarak, indikasi, bedah.
MELANOMA KONJUNGTIVA Saerang, Josefien M.; Rares, Laya M.
Jurnal Biomedik : JBM Vol 3, No 1 (2011): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.3.1.2011.859

Abstract

Abstract: Conjunctival melanoma is a very rare tumor of the eye which can be fatal. We reported a 42-year-old female having had a black tumor in her right eye for 6 months before she was admitted to the hospital.  This tumor was neither painful, itchy, nor bleeding. The tumor was derived from a nevus. Vision of the right eye was 6/15, corrected with C=100X1050 (6/9) and vision of the left eye was 6/6. The field of vision of the right eye was limited to the lateral part; color vision test was normal; Amsler grid test was normal; pupils were isocor; and Relative Afferent Papillary Defect (RAPD) was negative. Movements of the right eye ball were normal, except for the right temporal part due to the tumor. The anterior segment of the right eye was normal. A funduscopy examination of the right eye showed that the optic papilla, retina, and macula were within normal limits. Routine blood examination, liver function, kidney function, lipid profile, clotting time, and bleeding time were within normal limits. ECG was within normal limits, and a chest X-ray showed no metastase. Based on all examinations, this patient was diagnosed as having conjunctival melanoma, associated with simple hypermetropic astigmatisme, and presbyopia. Key words: melanoma, tumor.     Abstrak: Melanoma konjungtiva merupakan jenis tumor yang sangat jarang dan dapat berakibat fatal. Kami melaporkan seorang wanita berusia 42 tahun, datang ke poliklinik mata dengan keluhan benjolan berwarna hitam di mata kanan sejak 6 bulan sebelum dirawat di rumah sakit. Benjolan tidak nyeri, tidak gatal dan tidak berdarah. Benjolan berasal dari nevus yang tumbuh semakin besar. Visus okuli dekstra (VOD) 6/15 yang dapat dikoreksi dengan kacamata C+100X105º menjadi 6/9 dan visus okuli sinistra (VOS) 6/6. Lapangan pandang okuli dekstra terbatas di lateral kanan, tes color vision dan amsler grid normal, pupil isokor, Relative Afferent Papillary Defect (RAPD) negatif. Gerakan bolamata masih dalam batas normal ke segala arah kecuali ke temporal kanan agak terhalang karena adanya tumor. Segmen anterior okuli sinistra dalam batas normal. Pada funduskopi okuli dekstra dan sinistra: papil nervus optikus, retina dan makula dalam batas normal. Laboratorium darah rutin, fungsi hati, ginjal, profil lipid, clotting time dan bleeding time dalam batas normal. Pemeriksaan EKG dalam batas normal dan X-foto toraks  tidak terdapat metastase. Pasien didiagnosis melanoma konjungtiva yang disertai astigmatisma hipermetropikus simpleks OD dan presbiopia. Kata kunci: melanoma, tumor.
Co-Authors Angelia V. Adile, Angelia V. Charles Indra Dotulong, Dean Dotulung, Abraham Dwi Ananda Thayeb George E. Jacobs Gowidjaya, Emily N. Grace Rumerung, Grace Harry J. G. Sumual Herny Poluan, Herny Indo Mamesah, Indo J. S. M. Saerang J. S.M. Saerang J.S.M. Saerang, J.S.M. Josefien M. Saerang Josefien S. M. Saerang, Josefien S. M. Juanito, Julian Jurisna Maria Pangemanan Manoppo, Rillya D. P. Merina Matheos Najoan, Imelda H. M. Nandy E. Rumondor Raty Y. P. Pou, Raty Y. P. Richard Simon Ratanna Richter, Randy Risky N. Allorerung, Risky N. Saerang, J S M Saiyang, Bella Supit, Wenny P. Tamansa, Gricia Earlene Umboh, Anne M. S. Venesia Pengan Yamin Tongku Yusuf S. Tangdilintin, Yusuf S.