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All Journal Jurnal EduHealth Ophthalmologica Indonesiana The International Journal of Medical Science and Health Research
Suliati P. Amir
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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

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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.
Co-Authors Andi Pratiwi Asrini Safitri Hadijah Hadijah Halimah Pagarra Hanna Aulia Namirah Marliyanti Nur Rahmah Akib Pratiwi, Andi Rahman, Fadiah Gazzani Shafa Camilia Umar Sulmiawati, Sulmiawati Vivi Cahyani