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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.
The Mode of Delivery and Length of Stay among Pregnant Women with Heart Disease in Makassar Tri Saputra, Hasdianto; Nurdin, Azizah; Andi Tihardimanto; Dachlia Sri Sakti; Darussalam; Andi Pratiwi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. 1 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.I1.2025.39-46

Abstract

Background: The cardiovascular system undergoes physiological and pathological changes due to pregnancy. Heart disease is the leading cause of maternal morbidity and mortality during pregnancy. Pregnancy-related complications are common in mothers, approximately 1-4% of cases. In most countries in the world, including Indonesia, the number of cases and prevalence of heart disease complicating pregnancy is low. Objectives: This study focuses on the relationship of heart disease in pregnancy with the mode of delivery and length of stay among pregnant women in Dr. Wahidin Sudirohusodo Hospital 2017-2022. Methods: This cross-sectional study was conducted on 124 pregnant women who were determined through a purposive sampling method and carried out in October 2023 - December 2024 at Dr. Wahidin Sudirohusodo Hospital using secondary data, namely medical records of patients diagnosed with heart disease in pregnancy. Data analysis was performed univariately and bivariately using the chi-square comparative test. Results: Correlation between variables was analyzed using chi-square comparison test and a significant correlation was obtained for heart disease in pregnancy with mode of delivery (p-value; 0.001 <0.05), and length of stay (p-value; 0.000) Conclusion: There is a significant relationship between heart disease in pregnancy with mode of delivery and length of stay in laboring women at Dr. Wahidin Sudirohusodo Hospital Makassar. The severity of heart disease in pregnant women can affect the mode of delivery, so counseling before delivery is very important, it is expected to determine the right choice of delivery to reduce the risk of morbidity, mortality and length of stay in mothers.
3-Snip Punctoplasty with Silicone Tube Implantation: A Simple Procedure For Punctal Disorders R Wattimena, Aisyah Amelia Zulkarnaen; Andi Pratiwi; Pagarra, Halimah; Suliati P Amir; Syukriah Sofyan
Majalah Oftalmologi Indonesia Vol 52 No 1 (2026): 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/oi.v52i1.101872

Abstract

Introduction: Punctal or canalicular atresia is a rare disorder in which an intact epithelial layer covers the punctum, impairing tear drainage and causing epiphora, especially in lower punctal atresia. Less frequently, canalicular atresia occurs. Standard management involves probing, irrigation, and silicone tube insertion. Case Report: In two cases, an 8-year-old and a 30-year-old female presented with lifelong tearing and discharge from the left eye. Ophthalmic examination revealed imperforate superior and inferior lacrimal puncta, and the Dye Disappearance Test (DDT) confirmed reduced tear drainage, leading to a diagnosis of punctal atresia. In a third case, a 40-year-old female experienced a painful, red lump on the right medial lower eyelid over a three-month period. Palpation produced yellowish discharge, and examination revealed a hyperemic mass with granulomas around the punctum, consistent with chronic canaliculitis. All three patients underwent a 3-snip punctoplasty with silicone tube implantation using a round-tip pigtail probe. Discussion: The 3-snip procedure is a minimally invasive and effective treatment for punctal disorders. It involves one basal cut and two vertical incisions along the canaliculus. Although canaliculotomy with curettage can lead to fistula formation, the use of a silicone tube helps prevent this complication. At the three-month follow-up, all patients demonstrated functional tear drainage and normal DDT results. Conclusion: The 3-snip procedure with silicone tube implantation offers favorable functional and cosmetic outcomes. It is a simple and viable option for ophthalmologists in resource-limited settings, ensuring improvement in tear drainage without symptom recurrence.