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All Journal Majalah Kedokteran Medicinus : Jurnal Kedokteran Sriwijaya Journal of Ophthalmology eJournal Kedokteran Indonesia IJRETINA - International Journal of Retina Ophthalmologica Indonesiana
Ari Djatikusumo
Department Of Ophthalmology, Faculty Of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Intravitreal Bevacizumab In Diabetic Macular Edema At RSUP Cipto Mangunkusumo in 2017 Andi Arus Victor; Masniah Masniah; Ari Djatikusumo; Elvioza Elvioza; Gitalisa Andayani Adriono; Anggun Rama Yudantha; Mario Marbungaran Hutapea
International Journal of Retina Vol 2 No 2 (2019): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2019.vol002.iss002.70

Abstract

Introduction: Diabetic Macular Edema (DME) is a manifestation of diabetic retinopathy and is the most common cause of vision loss in diabetics. The incidence of DME has a tendency to increase, concomitant with the prevalence of diabetes globally by more than 50% from 2000 to 2030. This study aims to evaluate the proportion of central macular thickness (CMT) improvement and visual acuity in DME patients treated with intravitreal bevacizumab (IVB) injection. Methods: This study is a retrospective descriptive study. The study was conducted in the Department of Ophthalmology at RSUP Cipto Mangunkusumo (RSCM) Jakarta. Data were obtained from the medical records of all diabetic retinopathy patients with macular edema who were treated with IVB at RSCM Kirana Vitreoretina Polyclinic on January – December 2017. Results: Of the 44 subjects, improvement in best corrected visual acuity (BCVA) occurred in 24 (54.54%) subjects at the first-month evaluation and 19 (43.18%) subjects at the third-month evaluation. CMT decreased in 37 (84.41%) subjects at the first-month evaluation and 35 (81.81%) subjects at the third-month evaluation. Conclusion: Visual acuity improvement and central macular thickness reduction 3 months after IVB injection. These results strengthen IVB injection to be an alternative to adjuvant therapy in DME. Keywords: Diabetic Macular Edema, Intravitreal Bevacizumab Injection
Management of Penetrating Eye Injury with Intraocular Foreign Body Andi Cleveriawan Arvi Putra; Andi Arus Victor; Elvioza Elvioza; Ari Djatikusumo; Gita Lisa Andayani; Anggun Ramayundanta
Majalah Oftalmologi Indonesia Vol 41 No 1 (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.v41i1.1

Abstract

Background: To report the importance of vitrectomy procedure in penetrating eye injury with retain intraocular foreign body (IOFB) at the proper time. Methods: An observational case report. A 17-year-old man came to hospital and was diagnosed aspenetrating eye injury with retain intraocular foreign body of the left eye. The visual acuity of the left eyewas only 2 meters finger counting. Immediate surgery of scleral buckling, vitrectomy, intraocular foreignbody removal and intravitreal vancomycin-ceftazidime injection were performed on the next day. Results: There were metallic IOFB, retinal vasculitis and focal retinitis seen when vitrectomy wasperformed. One month after vitrectomy, the visual acuity of the left eye has improved to 6/12 with correction. Conclusion: Proper and prompt management of penetrating eye injury could contribute in preserving agood anatomical and functional result. In the existence of IOFB, vitrectomy should be done promptly inthe first surgical window to gain a better resultKeywords: penetrating eye injury; intraocular foreign body
The Challenges in Managing Proliferative Diabetic Retinopathy with Neovascular Glaucoma Putri A Idham; Elvioza Elvioza; Andi Arus Victor; Gitalisa Andayani; Ari Djatikusumo; Anggun Ramayudatha
Majalah Oftalmologi Indonesia Vol 41 No 1 (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.v41i1.3

Abstract

Background: The aim of this study is to emphasize the importance of close monitoring of the disease progression, minimize late complication, and knowing the important parameters of succesful treatment.Methods: A 52 years old woman with proliferative diabetic retinopathy was referred to Vitreoretina division. Patient came with chief complaint blurry vision of the left eye. Patien was diagnosed with diabetes melitus type 2 since 10 months ago. At ophthalmological examination, there was iris neovascularization on the left eye. Due to this finding, patient was given treatment for the proliferative diabetic retinopathy and neovascular glaucoma.Results: The patient undewent intravitreal injection of bevacizumab and Kehki Meta implant surgery after panretinal photocoagulation laser. Neovascularization of the iris was regressed and the intraocular pressure was controlled.Conclusion: This patient underwent laser panretinal photocoagulation, bevacizumab injection and Keiki Mehta implant surgery. The result was good. The neovascularization was regressed. Closed monitoring should be continued to evaluate the progression of the disease and control the intraocular pressure to prevent further visual loss. Keywords: Proliferative diabetic retinopathy, neovascular glaucoma, diabetic macular edema
Medium Duration Threshold Patterned Laser Photo­ coagulation for Panretinal Photocoagulation Habsyiyah Habsyiyah; Elvioza Elvioza; Andi Arus Victor; Ari Djatikusumo; Gitalisa Andayani; Anggun Rama Yudantha
Majalah Oftalmologi Indonesia Vol 41 No 1 (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.v41i1.8

Abstract

Background: Laser photocoagulation is a crucial therapy for numerous retinal diseases. Laser can be delivered with different machines and modalities (slit lamp, endolaser, indirect laser) at different wavelengths (532 to 812 nm) with varying parameters (power, spot size, duration, number of spots). New developments using semi automatic pattern delivery of retinal laser burns which use smaller amounts of energy and shorter duration have been reported. This literature review is conducted to review various published article that reported efficacy, safety, and duration of medium duration threshold patterned (MDTP) laser photocoagulation.Methods: This literature review was conducted from the Pubmed (NLM) database and Ophsource using the keyword panretinal photocoagulation, and Pascal or medium threshold or short exposure. The inculsion criteria of this review were all of studies which reported the use of medium duration threshold patterned which was applied as panretinal photocoagulation (PRP).Results: Parameter used in MDTP laser were as follow, spot size was between 200 to 400 μm, duration was 20-30 ms, and average laser power was more than 200 to 630 mV. Compare to standard laser treatment, power used in MDTP laser were higher.Conclusion: Medium duration threshold patterned laser photo-coagulation is as effective as conventional laser. MDTP laser can preserve the retinal sensitivity/visual field, also offers less pain and discomfort and safe to perform full scatter PRP in single sitting Keywords: medium duration threshold patterned laser; panretinal photocoagulation
Various Tamponade in Surgery for Retinal Detachment Associated with Proliferative Vitreoretinopathy Faraby Martha; Andi A Victor; Elvioza Elvioza; Ari Djatikusumo; Gitalisa A Andayani; Anggun R Yudantha
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.v41i2.24

Abstract

Background: To review the literature and report relative efficacy and safety of various tamponade agents used with surgery for rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) regarding functional success rate, anatomical success rate, and adverse effects. Methods: We searched articles from PubMed and Clinical Key database starting from the year of 1990 to November 2014. Information needed from all articles were extracted into data extraction sheet. We reviewed the efficacy of both tamponade agents regarding the postoperative visual acuity, macular attachment, and adverse effect. Results: Eight articles were included after fulfilling inclusion and exclusion criteria. Our analysis showed all studies shows an increasing visual acuity and percentage of macular attachment postoperatively of all type tamponade agents. Functional and anatomical success rate of Sulfur hexafluoride gas (SF6) was high in study with PVR stage B or less (94-98%). In patient with complex or recurrent RD associated with PVR, silicone oil had a better functional success (51% vs 32.5%) and better anatomical success (80% vs 60%) than SF6 gas. The anatomical success rate also higher in C3F8 than in SF6 group (73.9% vs 57.5% respectively). Functional and anatomical success rate of HSO as tamponade was high in patients with a severe PVR located mainly in the inferior quadrants (92.3%).Conclusion: As tamponade agents, C3F8 and silicone oil appear to have more visual and anatomic advantages over SF6 in participants with complex or recurrent RD associated with PVR. Silicone oil was better than C3F8 gas to obtain final visual and anatomic successs in patient with recurrent RD associated with higher grade PVR. Heavy silicone oil would be useful in particular cases complicated by recurrent inferior RD with PVR. Retinal redetachment, glaucoma, cataract, hypotony and keratopathy were reported in both gases and silicone group. Keywords: Tamponade in retinal detachment surgery, SF6, C3F8, silicon oil, and heavy silicone oil
Comparison of Laser Photocoagulation Using 810 nm with 20 ms and 100 ms Duration on the Progression of Neovascularization in Proliferative Diabetic Retinopathy Muhammad Yusran; Elvioza Elvioza; Ari Djatikusumo; Rossalyn Sandra Andrisa
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.v41i2.29

Abstract

Background: The aim of this study was to compare the effectiveness of laser photocoagulation 810- nm with 20 ms and 100 ms duration to prevent the progression of proliferative diabetic retinopathy. Method: This study was prospective double blind randomized clinical trial. Twenty-eight participants who met the inclusion criteria divided into two groups to undergo laser photocoagulation by using 810 nm lasers. One group received 100 ms duration and the other received 20 ms duration. Grade 3 burns with a 200 μm spot sized were placed with both parameters. The progression of PDR was evaluated in two months follow up by using seven fields’ fundus photographs. Fluence, power and visual acuity were compared in this study. Result: Twenty five subjects completed the two months follow up. The proportion of non-progressive PDR in 100 ms group was 75.0% and in 20 ms was 76.9% (p=1.000). The power in 20 ms group increased twice than 100 ms group (1000 vs. 500 mW; p=0.000). The median fluence in 20 ms group was less than 100 ms group (6.36 vs. 15.91 J/cm2; p=0.000). Improvement of visual acuity in 20 ms and 100 ms was comparable (23.1% vs. 33,3%; p=1.000). Conclusion: The 20 ms duration showed similar result in preventing the progression of PDR compared to 100 ms duration. Keywords: Proliferative diabetic retinopathy, laser photocoagulation, diode 810 nm
The Effect of Prophylactic Nepafenac 0.1% Eye Drops on Macular Changes after Phacoemulsification in Non- Proliferative Diabetic Retinopathy Patients Using Spectral Domain Optical Coherence Tomography (SD-OCT) Soefiandi Soedarman; Ari Djatikusumo; Syska Widyawati; Arini Setiawati
Majalah Oftalmologi Indonesia Vol 41 No 3 (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.v41i3.45

Abstract

Background: To evaluate the effect of prophylactic nepafenac eye drops on macular thickness changes after phacoemulsification surgery in mild to moderate NPDR patients. Method: This study is an open label randomized clinical trial. Thirty-six subjects who met the inclusion criteria underwent phacoemulsification. One group (18 subjects) were given nepafenac 0.1% eye drops and the rest were given placebo. Foveal thickness was measured by SD-OCT before surgery and the fourth week after phacoemulsification. Best corrected visual acuity (BCVA) and degree of inflammation in the anterior chamber were also being assessed. Result: There was a statistically significant increase foveal thickness in the placebo group 4 weeks after phacoemulsification (p=0.022). Clinically, percentage degree of inflammation in anterior chamber in placebo group was higher than nepafenac group (38.9% : 5.6%) but not significantly different between 2 groups (p=0.27). Nepafenac group achieved clinically better BCVA than the placebo group 4 weeks after phacoemulsification, although statistically there was no significant difference between 2 groups (p=0.991). Conclusion: Nepafenac 0.1% eye drops could prevent foveal thickening 4 weeks after phacoemulsification in mild to moderate NPDR patients. Clinically, nepafenac 0.1% eye drops could decrease the risk of inflammation in the anterior chamber, risk of CME, and vision deterioration although did not reach statistically significant. Keywords: Nepafenac, macular thickness, phacoemulsification, retinopathy diabetic
Comparison between Intravitreal Bevacizumab and Triamcinolone Acetonide in Management of Diabetic Macular Edema Simon A Siregar; Elvioza Elvioza; Andi A Victor; Ari Djatikusumo; Gitalisa A Andayani; Anggun R Yudantha
Majalah Oftalmologi Indonesia Vol 42 No 1 (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.v42i1.61

Abstract

Background: To critically evaluate the efficacy and safety profile of intravitreal bevacizumab (IVB)compared to intravitreal triamcinolone acetonide (IVTA) in patients with diabetic macular edema(DME).Methods: We searched publication related to diabetic macular edema managed by bevacizumab andtriamcinolone acteonide through systematic search of database in a period of January 2002 untilOctober 2013. Information needed from all articles were extracted into a data extraction sheet. Wereviewed the efficacy of both treatment in decreasing central macular thickness (CMT), improvementof visual acuity and the adverse effects following the injection.Results: Twelve articles were included after fulfilling inclusion and exclusion cirteria. Our analysisshowed single IVTA injection were more effective in decreasing CMT and improving visual acuity at1 week to 3 months. There were no significant improvement of CMT in multiple injection of IVTAcompared to multiple injection of IVB.Conclusion: A single intravitreal injection of IVTA appears to offer certain short-term advantagesover IVB for the management of patients with diabetic macular edema, particularly with regard toCMT. Keywords: intravitreal, triamcinolone acetonide, bevacizumab, diabetic macular edema
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.
Vitrektomi dengan Anestesi Lokal pada Ablasio Retina Rhegmatogen di Rumah Sakit Cipto Mangunkusumo Andhika Guna Dharma; Ari Djatikusumo; Elvioza Elvioza; Gitalisa Andayani Adriono; Anggun Rama Yudantha; Mario Marbungaran Hutapea; Andi Arus Victor
Majalah Oftalmologi Indonesia Vol 46 No 2 (2020): 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.v46i2.100090

Abstract

Latar Belakang: Vitrektomi pada ablasio retina dapat dilakukan dengan anestesi umum maupun anestesi lokal. Anestesi lokal kerap dipilih atas keunggulannya dalam efisiensi waktu dan biaya. Tujuan: Memaparkan tingkat keberhasilan anatomi dan fungsional vitrektomi dengan anestesi lokal pada ablasio retina rhegmatogen di Divisi Vitreoretina RSCM-FKUI. Metode: Penelusuran retrospektif pada 42 pasien ablasio retina rhegmatogen yang dilakukan vitrektomi dengan anestesi lokal di RSCM-FKUI pada Januari 2017 – Juni 2017.Hasil: Terjadi peningkatan tajam penglihatan pada enam bulan pasca vitrektomi dengan anestesi lokal yaitu visus ?1/60 dari 55% menjadi 77%. Kondisi retina menempel pasca tindakan operasi vitrektomi dengan anestesi lokal sebanyak 93%. Kesimpulan: Tingkat keberhasilan fungsional sebesar 77% dan keberhasilan anatomis 93%.
Co-Authors Adriono, Gitalisa Andayani Agustiawan, Referano Ali, Reyno Satria Andhika Guna Dharma Andi A Victor Andi A Victor Andi A.Victor Andi Arus Victor Andi Cleveriawan Arvi Putra Anggun R Yudantha Anggun R Yudantha Anggun R. Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudantha Anggun Rama Yudhanta Anggun Ramayudatha Anggun Ramayundanta Anna Rozaliyani Ardhia, Seruni Hanna Ari Andayani Arief S. Kartasasmita Arini Setiawati Arini Setiawati Arini Setiawati Augiani, Amani Sakinah Ayuningtyas, Sita Paramita Burhana Mawarasti Christella Caroline Dearaini Dewiputri, Salmarezka Dharma, Andhika Guna Eko Hadi Waluyojati Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza Elvioza, Elvioza Elyas Aditya Faraby Martha Faresa Hilda Fauzan Teuku Banta Filza Amara Kamila Harlena Firmansyah, M Gita Lisa Andayani Gitalisa Andajani Gitalisa Handayani Gladys Kusumowidagdo Habsyiyah Habsyiyah Harley, Ohisa Herdian, Felicia Sesih Hutapea, Mario Marbungaran Ichsan, Andi M Ikhwan Rinaldi Irawati, Yunia Isfyanto, Isfyanto Iskandar, Erwin Iskandar, Ferdy Joedo Prihartono Julie Dewi Barliana Karniela Ayuni Putri Kusumowidagdo, Gladys Leonedine, Tengku Viona Zohra Levina Chandra Khoe Lisnawati Rachmadi Lukman Edwar Lumintang, Agnesstacia Vania M Yusran Maria Marietta Bali Larasati Mario M. Hutapea Mario Mabuaran Hutapea Mario Marbungaran Hutapea Mario Marbungaran Hutapea Mario Marbungaran Hutapea Mario Marbungaran Hutapea Mario Marbungaran Hutapea Mario Marbungaran Hutapea Mario Marbungaran Hutapea Mario Marbungaran Hutapea Marsha Rayfa Pintary Martin Hertanto Masniah Masniah Mawarasti, Burhana Michael Hartono Mohamad Sidik Mohamad Sidik Nadhira, Andi Marsa Nadia Artha Dewi Nashrul Ihsan Noviana Kurniasari Vivin Oktariana, Virna Dwi Pambudy, Indra Maharddhika Pratiwi, Rianti Wulandari Puranto Budi Susetyo Pusaka, Semerdanta Putri A Idham Regina Ivanovna Rio Rhendy Rossalyn Sandra Andrisa Salmarezka Dewiputri Sampurna, Kirana Samsul Rizal Ziaulhak Sembiring, Sindy Boru Sidik, Mohamad Simon A Siregar Sita Paramita Ayuningtyas Sjahreza, Emil Sjahreza, Emil Fahrinandi Soefiandi Soedarman Suryoadji, Kemal Akbar Susilo, Teguh Syntia Nusanti Taim, Abisyifa Rahma Triwijayanti Triwijayanti Triwijayanti, Triwijayanti Triyoga, Ichsan Fauzi Umar Mardianto UTAMI, ALIA NESSA Widyawati, Syska Wirawan Adikusuma Wiyogo, Widya Artini Yudanta, Anggun Rama Yudantha, Anggun R. Yudantha, Anggun Rama Yudhanta, Anggun Rama Yustiarini, Ima