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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JKKI : Jurnal Kedokteran dan Kesehatan Indonesia eJournal Kedokteran Indonesia IJRETINA - International Journal of Retina Ophthalmologica Indonesiana
Widyawati, Syska
Department Of Ophthalmology, Faculty Of Medicine Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Successful Management of Cataract in Patient With Long Anterior Zonules and Small Pupil :A Rare Case: Poster Presentation - Case Report - Ophthalmologist Pangestika, Riskha; Rhendy, Rio; Widyawati, Syska
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/e9shxj46

Abstract

Introduction : Long anterior zonules (LAZ) are rare disease with prevalence was 1–2%, characterized by zonular fibers that extend centrally leading to a small zonule-free zone (ZFZ), which raises the risk of complications during zonular cutting while continuous curvilinear capsulorhexis (CCC). This leads to two options whether to perform phacoemulsification through a small CCC within the small ZFZ or an adequately sized CCC. The objective of this study was to report challenging management of phacoemulsification surgery with LAZ eyes with small pupil Case Illustration : A 62 y.o female had visual acuity(VA) 0.7(logMAR) due to corticonuclear cataract in left eye. She had history complicated cataract surgery with secondary sulcus fixated IOL in her fellow eye. The IOP was normal, no phacodenesis and pseudoexfoliative material observed in left eye. The posterior segment was normal. The left eye observed otherwise normal in initial examination. Intraoperatively, after viscomidriasis technique the ZFZ identified in the area of 2.0-2.5 mm from central. Five millimeter CCC can be achieved in the central area and phacoemulsification with the help of CTR (Capsular Tension Ring) safely performed and one piece IOL was implanted in the bag. Discussion : On the first postoperative day, VA was improves to 0.4(logMAR), IOL central and clear corneal with minimal inflammation. One week after surgery, the VA 0.3(logMAR) and no sign of IOL decenteration. Conclusion : Phacoemulsification in eyes with LAZs can be safely performed with CTR through an adequately sized CCC without significant complications. A combination of early recognising high-risk eye, proficient skills, and surgical instruments can improve outcome.
Effects of different preparation protocols of blood serum eyedrops on corneal healing after alkali burn: Clinical evaluation and α-SMA expression Susiyanti, Made; Widyawati, Syska; Susanto, Eka; Louisa, Melva; Kania, Theresia
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 1, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss1.art9

Abstract

Background: In cases of alkali burn, blood serum eyedrops may supply protein and growth factors. A standard preparation protocol is necessary for consistency in epitheliotropic capacity. Objective: We aim to evaluate how post-alkali-burn administration of blood serum eyedrops from different preparation protocols results in different outcomes on rabbits. Methods: This randomized experimental study used three treatments: placebo, non-diluted serum, and 25% concentration serum. We analyzed the corneal haziness, neovascularization degree, histopathological examination of neovascularization scores, and alpha-smooth muscle actin (α-SMA) expression. Results: Twelve rabbits (24 eyes) were split evenly into three treatment groups. On day 14, the group receiving the 25% concentration serum had the least corneal haziness (p = 0.005). No adverse effect was observed on the treated eyes. Histopathologically, no significant difference in neovascularization scores and α-SMA expression was observed. Conclusions: Treatment using the 25% concentration serum resulted in less corneal haziness, smaller defect size, and greater healing rate. There was also no significant difference in histopathological outcomes among the three treatment groups.
Karakteristik Klinis dan Kesintasan Keratoplasti Tembus Optik di Layanan Tingkat Tersier di Indonesia: Studi Retrospektif 4 Tahun Syska Widyawati; Tjahjono D. Gondhowiardjo; Rina La Distia Nora; Yulika Harniza; Cut Putri Samira; Ivana Beatrice Alberta
Majalah Kedokteran Indonesia Vol 72 No 6 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.6-2022-785

Abstract

Introduction: Purpose, to evaluate patient demographic characteristics, indications and variables related to penetrating keratoplasty (PK) survival. Study design, this study was retrospective case series. Methods: We trace all medical records of PK patients from 2015 to 2018 in Cipto Mangunkusumo Hospital Jakarta. The traced variables were indications of surgery, corneal vascularization, previous failed graft, glaucoma after PK, and other complication. PK survival rate is shown in the Kaplan Meier curve using SPSS v20.0. Results: A total of 214 patients underwent PK (men 67.3%, woman 32,7%) with mean age of 42.11 (0-85) years were included in this study. Three most common indications of keratoplasty were corneal scar (32.7%), infectious corneal ulcer (25.5%), and failed graft (19.2%). The overall graft survival rate for PK is 61.7%. The mean graft survival time was 14.388 ± 0.580 months (95% CI; 13.252-15.524). Conclusion: The graft survival rate for penetrating optic keratoplasty was 61.7%. Establishing an appropriate early diagnosis, reasonable surgical procedures, close monitoring, and early detection of complications with proactive interventions lead to better outcomes. Further research is needed to determine the relationship between the risk factors for corneal graft failure.
Co-Authors Adriono, Gitalisa Andayani Agung Nugroho Aljufri, Nabila Amanda, Lia Amir Shidik Amir Shidik Anissa, Gisela Haza Annisa Windyani Anwar Jusuf Ari Djatikusumo Aria Kekalih Arief Wildan, Arief Arini Setiawati Aydan Jalil Rancakbudi Bondan Harmani Bondan Harmani Brenda Hayatulhaya Cut Putri Samira Dearaini Fadhli Waznan Faraby Martha Fermitaliansyah, Muhammad Keyvan HANIFAH RAHMANI NURSANTI Herdanti Rahma Putri Ivana Beatrice Alberta Julie Dewi Barliana Kania, Theresia Laksmita, Yulinda Arty Levina Chandra Khoe M. Dio Syaputra Made Susiyanti Mahyuddin, Mutmainah Martha, Faraby Maulia Fitra Purnama Maulia Fitra Purnama Maulidinia, Ayang Rashelda Melva Louisa Muhammad Keyvan Fermitaliansyah Mutmainah Mahyuddin Nadya Safira Nursakina, Yosilia Oktariani, Virna Dwi Pangestika, Rishka Pangestika, Riskha Petra, Dany Pintary, Marsha Rayfa Presialia, Athira Rancakbudi, Aydan J. Rhendy, Rio Rina La Distia Nora Rosa Syahruzad Sadikin, Irma Suwandi Safira, Nadya Setyawati Budiningsih Siregar, Astrid Mariam Khairani Soefiandi Soedarman Susanto, Eka Susantono, Diannisa Susantono, Diannisa Paramitha Syahruzad, Rosa Tjahjono D. Gondhowiardjo Tri Rahayu Virna Dwi Oktarina Waznan, Fadhli Widya Anandita Witjaksono, Anissa Nindhyatriayu Yulika Harniza Zarwan, Jessica