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All Journal Ophthalmologica Indonesiana
Elvioza Elvioza
Department of Ophthalmology, Universitas Indonesia
Health Professions Medicine & Pharmacology Public Health

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Clinical Characteristics and Outcome of Laser Photocoagulation for The Treatment of Retinal Hole/Break in Preventing Retinal Detachment at Jakarta Eye Centre (2011-2015) Supanji Supanji; Waldensius Girsang; Soedarman Sjamsoe; Elvioza Elvioza
Majalah Oftalmologi Indonesia Vol 43 No 1 (2017): 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.v43i1.146

Abstract

Background: It is almost a consistent recognition that the retinal detachment associated with retinal hole/breaks accounts for some cases of retinal detachments. However, the treatment of retinal hole/breaks without retinal detachment remains controversial. This retrospective study is designed to evaluate the prophylactic effect of laser photocoagulation for the treatment of retinal hole/breaks in order to prevent retinal detachment. Method: Eighty nine eyes of 85 patients with retinal hole/breaks were included in this study. Data is taken from medical record with the requirement of full follow-up for a year. They all were treated with laser photocoagulation around the hole/breaks margin. The average visual acuity of before and after treatment was compared. Furthermore, the laser photocoagulation characteristic (wavelength, power, spot size, exposure time) is measured. Results: The success rate of laser photocoagulation to prevent retinal detachment was 96.6% (86/89). The progression rate to retinal detachment was account for only 3.4% (3/89) of patient getting the laser photocoagulation treatment. The average best corrected visual acuity (BCVA) at 1 year follow up was 0.91 + 0.16, while the average BCVA before photocoagulation was 0.93 + 0.12. The average amount of laser to treat was 638.1 + 443.99 in range of 56 – 1863 spot and the laser photocoagulation is done on the day of diagnosis for 96.6% cases. Conclusion: Photocoagulation reduce the rate of retinal detachment of retinal hole/breaks without the impairment of visual acuity outcome. Therefore, laser photocoagulation is relatively an effective and safe method for the treatment of retinal hole/breaks to prevent retinal detachment.
Pneumatic Retinopexy in Rhegmatogenous Retinal Detachment : Case Series Fauzan Teuku Banta; Ari Djatikusumo; Elvioza Elvioza; Gitalisa Andayani; Anggun Rama Yudhanta; Mario Marbungaran Hutapea; Andi Arus Victor
Majalah Oftalmologi Indonesia Vol 45 No 2 (2019): 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.v45i2.184

Abstract

In the case of rhegmatogenous retinal detachment (RRD), pneumatic retinopexy is an alternative choice besides scleral buckling and pars plana vitrectomy. This case series describes two cases of RRD with superotemporal tear treated succesfully with pneumatic retinopexy. The expandable gas used in this study was 0.4 cc perfluoropropane (C3F8) gas, patient’s head is immediately positioned face down (prone), then slowly turned into an upright position in accordance with the tear for 1-3 days. Laser retinopexy using an argon laser is performed after the retina is properly reattached. Ten months after pneumatic retinopexy, the VA of RE in case I remained at 6/18 with reattached retina. At four weeks, VA of RE in case II was at 3/60 with reattached retina. VA of both cases was relatively satisfactory with retinal reattachment in a single procedure. The anatomical and functional success of pneumatic retinopexy is related to macular status before surgery, retinal detachment area, phakic status, or the presence of PVR and high myopia.
Co-Authors Andayani, Gitalisa Andi Arus Victor Anggun Rama Yudhanta Ari Djatikusumo Fauzan Teuku Banta Mario Marbungaran Hutapea Soedarman Sjamsoe Supanji Supanji Waldensius Girsang