Eddyanto Eddyanto
Department Of Ophthalmology, Faculty Of Medicine, Airlangga University Soetomo Hospital, Surabaya, East Java

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Experience of Sutured Limbal Stem Cell Conjunctival Autograft after Pterygium Excision Eddyanto Eddyanto; Ismi Z; Fazarrahmah Fazarrahmah; Windi IR
Majalah Oftalmologi Indonesia Vol 41 No 2 (2015): Ophthalmologica Indonesiana
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/journal.v41i2.26

Abstract

Background: To know the effectiveness of sutured limbal stem cell conjunctival autograft after pterygium excision in order to avoid recurrencies. Method: This is a prospective study of limbal stem cell conjunctival autograft after pterygium excision during December 2011 until April 2012. Type of operation were pterygium excision followed by cojunctival limbal stem cell autograft. Follow up be conducted at day 1, 1 week, 1 and 3 month post operatively. The recurrence rate was evaluated using Portable PASW statistics 18 software. Result: Twenty cases of pterygium had been operated. Ten cases could be evaluated 3 months. Three males and 7 females, average age was 50.2 ± 10.55 year, range 38-72. 2cases were pre existing recurrence pterygium. BCVA pre operation range 1.00 - 0.1. BCVA post operation range 1.00 – 0.20. One of 10 cases was recurrence after this study, the BCVA decrease and need repeated excision and limbal stem cell conjunctival autograft. There is no statistically significant correlation of the type of pterygium pre and recurrence post operatively. Moderate association was noted between BCVA pre operation and recurrence rate post operatively. Very strong association was noted between age of these patient and recurrence post operatively. There is a significantly differrence of BCVA before and after operations. Conclusion: Sutured limbal stem cell conjunctival autograft after pterygium excision in order to avoid recurrencies was effective 3 months after operation. The recurrence rate is 10%. This study need more samples and comparring group with other technique in order to know this tehnique is better than other or not. Keywords: Ocular surface disorder, corneal conjunctivalisation, pterygium excision, limbal stem cell transplantation
Correlation between Axial Length with Central Corneal Thickness and Degree of Myopia Riska Andriani; Eddyanto Eddyanto
Majalah Oftalmologi Indonesia Vol 42 No 3 (2016): Ophthalmologica Indonesiana
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/journal.v42i3.105

Abstract

Background: The axial length (AL) elongation of the eyeball is the characteristc of myopia. If this is the result of general growth, one might expect the cornea to have grown to be thicker than normal. If instead the myopic eye is larger due to a mechanism of stretching, one would expect the cornea to be thinner than normal. Several studies to determine the relationship of central corneal thickness (CCT) and the AL have reported different results. This study aims to investigate the association between AL with CCT and degree of myopia. Methods: It was a cross sectional study, involved 60 eyes of 32 myopic subjects. Axial length was measured using an A-scan ultrasound, CCT was measured with an ultrasonic pachymeter, and refractive errors was measured with trial and error method.Results: Thirty-two patients (60 eyes) were recruited for the study. The age of patients ranged from 21 to 47 years old, with a mean of 27.6±7.58 years. The mean axial length was 23.98±0.81 mm and the mean CCT was 535.98±26.95 μm. There were 44 eyes with low myopia, 13 eyes with moderate myopia, and 3 eyes with high myopia. The analysis of covariance (Ancova) was used to verified correlation between AL and CCT (p=0.704). The Spearman’s correlation analysis was used to verified correlation between AL and degree of myopia (p=0.001). Conclusion: There was no correlation between AL and CCT. There was a significant positive correlation between AL and degree of myopia.  Keywords: AL, CCT, degree of myopia  Â