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Blind Painful Eye Revealing Spontaneously Regressed Retinoblastoma in Young Patient Hadijah Hadijah; Halimah Pagarra; Suliati P. Amir; Andi Pratiwi
Majalah Oftalmologi Indonesia Vol 47 No 2 (2021): 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.v47i2.100298

Abstract

Purpose: Spontaneous regression is a rare but well-known feature of retinoblastoma, which is predicted in approximately 2 of every 100 cases. Unilateral, unifocal spontaneous regression of retinoblastoma is infrequent; bilateral multifocal spontaneous regression of retinoblastoma is even more extraordinary. In many of the previously reported cases, the eye (or eyes) containing the spontaneously regressed tumor has been phthisical and blind. Herein, we describe the case of a young woman with unilateral, spontaneously regressed retinoblastoma (RB), with inflamed, blind, and phthisis in the left eye as an uncommon presentation of spontaneously regressed retinoblastoma Methods: This is a case report: An 18-year-old woman came to the outpatient clinic with a chief complaint of pain in the left eye since 1 month prior and a history of dysfunctional “cat’s” eye since childhood. Results: Exotropia and atrophy bulbi was noticed in the left eye. Anterior segment examination revealed signs of inflammation including conjunctival hyperemia, shallow anterior chamber, rubeosis iridis, and posterior synechia with white “chalky” mass suggestive calcification. B-scan ultrasonography showed a point like lesion and solitary solid intraocular mass with calcification in vitreus. Orbital computed tomography scan (CT-Scan) showed atrophy of the left eye with intraocular calcification without optic nerve and extraocular muscle involvement. Enucleation and histopathology examination were done and revealed undifferentiated retinoblastoma beyond the sign of metastasis in other parts of the eye. Conclusion: Blind painful eye may present as the main feature of spontaneously regressed retinoblastoma that possibly caused by an inflammatory reaction.
Complication and Management of Diabetic Retinopathy Vivi Cahyani; Suliati P. Amir; Hanna Aulia Namirah
The International Journal of Medical Science and Health Research Vol. 15 No. 6 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/knn9mr40

Abstract

Background: Diabetic retinopathy (DR) is a common microvascular complication of diabetes mellitus that remains a leading cause of preventable blindness worldwide. Chronic hyperglycemia leads to retinal microangiopathy, resulting in progressive damage that may culminate in serious complications. As DR advances, especially into the proliferative stage (PDR), patients may experience vitreous hemorrhage (VH), diabetic macular edema (DME), or tractional retinal detachment (TRD). Methods: This study is a literature review of ten scientific articles published between 2015 and 2024, focusing on the complications and management of DR. Results: The literature highlights that the primary treatment modalities for DR include panretinal photocoagulation (PRP), intravitreal anti-VEGF injections, and vitrectomy. PRP is commonly used for high-risk PDR, anti-VEGF for DME or active neovascularization, and vitrectomy for advanced cases with VH or TRD. Management decisions are highly dependent on the stage of DR and the presence of complications. Conclusion: The management of DR should be adapted to the severity and type of complication. Early diagnosis and timely intervention are crucial to prevent vision loss.
Identification of the 10 Most Common Diseases in Primary Care Facilities for the Period January 2024 - December 2024 at the Faculty of Medicine Educational Facilities Shafa Camilia Umar; Marliyanti Nur Rahmah Akib; Asrini Safitri; Suliati P. Amir; Sulmiawati, Sulmiawati
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Health services are basically aimed at carrying out prevention and treatment efforts for a disease, including medical services based on the basis of individual relationships between doctors and patients who need healing for their illnesses. This study was conducted with the aim of knowing the 10 most common diseases in primary care facilities for the period January 2024 - December 2024 at the UMI medical faculty educational facility. Furthermore, this study uses a qualitative research type with a descriptive research design, using secondary data obtained from medical records, the sampling technique used in this study is the total sampling technique. And the data analysis technique uses univariate analysis techniques carried out by induction, namely by drawing general conclusions based on research that has been done at the beginning. The results of the study stated that the 10 most common diseases were obtained in all health centers that are educational facilities for the UMI medical faculty. With cases of non-communicable diseases. Non-communicable diseases include hypertension (25.91%), non-insulin DM (11.21%), diabetes mellitus (9.3%), gastritis (4.46%), myalgia (3.28%), and dermatitis (3.13%). Meanwhile, the infectious diseases listed are common cold (14.05%), acute rhinitis (13.82%), ARI (9.06%), and cough (5.76%).
UNUSUAL CASE OF A METAL FOREIGN OBJECT IN ORBITOCRANIAL INJURY: UNLOCKING THE MACCARTY KEYHOLE Rahman, Fadiah Gazzani; Pratiwi, Andi; Halimah Pagarra; Suliati P. Amir
Majalah Oftalmologi Indonesia Vol 51 No 2 (2025): 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.v51i2.101859

Abstract

Introduction. Penetrating orbitocranial injuries are quite rare but very fatal if left untreated. Various metal objects have been reported as foreign bodies that have penetrated the orbit. However, unusual objects such as motorcycle locks have never been reported before. Case Illustration. A 14-year-old boy was brought to the emergency room with a motorcycle lock embedded in his left temporal region. Examination of the left eye showed decreased vision, clear serous ciliary secretions, conjunctival hyperemia, chemosis, and relative afferent pupillary defect. Investigations using a 3D Head MSCT Scan revealed the presence of a metal object that penetrates the left optic nerve, the rectus lateralis muscle, and the frontal process of the left zygoma bone in the left temporal region, which is located around the MacCarty keyhole. The operation in the form of exploration and foreign object removal was then carried out in collaboration with the neurosurgeon. No postoperative complications were reported, but the patient had restricted movement of the left eye. Discussion. Penetrating orbitocranial injury should be treated as an emergency. Diagnosis should include comprehensive ophthalmological and neurological examinations. CT Scan continues to be the best cranial imaging technique. In this case, the motorcycle lock penetration was around the MacCarty keyhole, a structure that is frequently used to enter both the orbit and the frontal fossa, which located 7 mm superior and 5 mm posterior to the frontozygomatic suture. An appropriate surgical strategy is mandatory for removing the object because it may lead to serious consequences, including cerebral, infectious, vascular complications, and even death. Conclusion. Metal foreign objects such as motorcycle lock was considered unusual, particulary when it unlock an important landmark such as MacCarty keyhole. This case emphasizes the significance of a surgical strategy based on accurate anatomical tracking.
Changes In Astigmatism Before and After Pterygium Surgery at The Jec Orbita Makassar Eye Clinic From 2021 to 2023 Hafsah, Waode; Suliati P. Amir; Hanna Aulia Namirah; Sri Irmandha Kusumawardani; Nur Aulia
Jurnal Kedokteran Universitas Palangka Raya Vol 13 No 2 (2025): Jurnal Kedokteran Universitas Palangka Raya
Publisher : Fakultas Kedokteran, Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37304/jkupr.v13i2.21013

Abstract

Pterygium is an abnormal growth of the conjunctiva onto the cornea that often causes astigmatism and impairs vision. Exposure to ultraviolet (UV) rays is a major risk factor. This study aims to analyze changes in astigmatism in pterygium patients who underwent surgery at the JEC Orbita Eye Clinic in Makassar between 2021 and 2023. An analytical observational study with a cohort approach was used to measure changes in astigmatism before and after surgery. The study sample consisted of 26 patients with pterygium who had complete medical records. Data were collected from medical records and analyzed using the Wilcoxon test. The results showed that the majority of patients (53.8%) had mild astigmatism before surgery. After surgery, most patients (53.8%) still had mild astigmatism, with some patients experiencing a significant decrease. The Wilcoxon test showed a significant difference between astigmatism before and after surgery, indicating a significant improvement in most patients. The conclusion of this study shows that pterygium surgery has a significant effect on reducing astigmatism in patients. Although the majority of patients experienced visual improvement after surgery, some patients still showed high astigmatism. The size of the pterygium and the surgical technique play an important role in postoperative results
FAKTOR-FAKTOR YANG MEMPENGARUHI KETEPATAN WAKTU KEHADIRAN MAHASISWA PADA JAM PERTAMA DI FAKULTAS KEDOKTERAN UNIVERSITAS MUSLIM INDONESIA Luthfiah Amelia Artjan; Andi Millaty Halifah Dirgahayu Lantara; Suliati P. Amir; Shulhana Mochtar; Muhammad Wirasto Ismail
Medika Alkhairaat: Jurnal Penelitian Kedokteran dan Kesehatan Vol 7 No 03 (2025): Desember
Publisher : Fakultas Kedokteran Universitas Alkhairaat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31970/ma.v7i03.349

Abstract

ABSTRAK Kehadiran mahasiswa secara tepat waktu dalam perkuliahan pagi memiliki peran penting dalam menjamin efektivitas proses pembelajaran, khususnya pada pendidikan kedokteran yang menuntut kedisiplinan tinggi, beban akademik besar, dan kesiapan mental yang optimal. Namun, keterlambatan mahasiswa masih menjadi permasalahan yang sering terjadi, dipengaruhi oleh berbagai faktor internal dan eksternal. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi ketepatan waktu kehadiran mahasiswa pada jam kuliah pertama di Fakultas Kedokteran Universitas Muslim Indonesia. Penelitian ini menggunakan pendekatan kuantitatif dengan desain potong lintang (cross-sectional). Sampel terdiri dari 197 mahasiswa preklinik angkatan 2022 yang dipilih melalui teknik quota sampling. Instrumen yang digunakan berupa kuesioner terstruktur yang mencakup enam variabel: motivasi belajar, kualitas tidur, minat terhadap mata kuliah (faktor internal), serta metode pengajaran dosen, faktor cuaca, dan lingkungan perkuliahan (faktor eksternal). Data dianalisis menggunakan uji regresi linier berganda dengan bantuan SPSS. Hasil penelitian menunjukkan bahwa motivasi belajar (p = 0,045) dan minat terhadap mata kuliah (p = 0,010) berpengaruh positif signifikan terhadap kehadiran mahasiswa, sementara metode pengajaran dosen (p = 0,005) dan lingkungan perkuliahan (p < 0,001) berpengaruh negatif signifikan. Kualitas tidur dan faktor cuaca tidak menunjukkan pengaruh yang signifikan. Model ini menjelaskan 48,7% variasi dalam kehadiran (R² = 0,487). Hasil ini menunjukkan bahwa ketepatan waktu kehadiran lebih dipengaruhi oleh faktor psikologis dan pedagogis daripada faktor lingkungan fisik atau fisiologis. ABSTRACT Punctual student attendance during early morning lectures plays a vital role in ensuring the effectiveness of learning, particularly in medical education, which demands high levels of discipline, academic workload, and mental readiness. However, student tardiness remains a common issue, influenced by various internal and external factors. This study aimed to analyze the factors affecting the punctuality of students’ attendance in the first lecture session at the Faculty of Medicine, Universitas Muslim Indonesia. A cross-sectional quantitative design was used with a total sample of 197 pre-clinical students from the 2022 cohort, selected through quota sampling. Data were collected using structured questionnaires covering six independent variables: internal factors (learning motivation, sleep quality, and subject interest) and external factors (teaching methods, weather conditions, and learning environment). Data were analyzed using multiple linear regression with SPSS software. The results showed that learning motivation (p = 0.045) and interest in the subject (p = 0.010) had a positive and significant effect on student attendance. Conversely, teaching methods (p = 0.005) and the classroom environment (p < 0.001) had a significant negative effect. Sleep quality (p = 0.257) and weather (p = 0.776) were not statistically significant. The regression model explained 48.7% of the variation in attendance (R² = 0.487). These results show that punctuality in attendance is more influenced by learning motivation and interest in the course than by physical or physiological environmental factors.