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All Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vision Science and Eye Health Journal
Nurwasis Nurwasis
Department Of Ophthalmology, Faculty Of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Effectiveness of Medication, Surgery, and Combination Therapy to Decrease Intraocular Pressure on Glaucoma Outpatient at Outpatient Ophthalmic Clinic Dr. Soetomo General Hospital Surabaya in January – December 2017 Muhammad Bagas Pratista; Nurwasis Nurwasis; Kusuma Eko Purwantari; Indri Wahyuni
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 13 No. 2 (2022): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V13I22022.67-72

Abstract

Highlights:1. Combination of medication and surgery on glaucoma had the least post-therapy intraocular pressure.2. There was no significant difference in the efficacy of drugs, surgeries, and combination of both therapies for glaucoma intraocular pressure reduction. AbstractIntroduction: Glaucoma leads to blindness in its end stage. Quality of life drops as visual field loss as progressive optic nerve damage since high intraocular pressure elevation. Glaucoma treatment focused on aqueous humor regulation, thus the intraocular pressure is maintained at normal.Methods: This was a retrospective analytical study using secondary data gathered from medical records as total sampling data. The sample was determined by the purposive non-probability technique. The mean of intraocular pressure after therapies was defined as the dependent variable while the independent variable was the type of therapy.Results: Combined therapy (16.00 ± 6.77 mmHg) had the least post-therapy intraocular pressure. The statistical test indicated no significant difference in the effectiveness of medication, surgery, and combination therapy for glaucoma intraocular pressure reduction.Conclusion: There was no prominent difference in the efficacy of drugs, surgeries, and combined therapies for glaucoma intraocular pressure reduction.
Visual Outcome of Phacoemulsification at Griya Husada Eye Center, Madiun, Indonesia Astrid Feriza; Nurwasis Nurwasis; Sukoto Sukoto
Vision Science and Eye Health Journal Vol. 2 No. 1 (2022): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i1.2022.24-28

Abstract

Introduction: Sight is one of the most important senses that absorbs more than 80% of visual information. However, visual disturbances are common, ranging from mild to severe disturbances that can lead to blindness. A cataract is the leading cause of blindness in Indonesia; it is accountable for 77.7% of all blindness. Phacoemulsification is a new ECCE technique in which cloudy or cataractous lenses are removed through a 2-3 mm incision with no sutures. The advantages of this small incision are faster visual recovery, minimal astigmatic induction due to surgery, and minimal postoperative complications and inflammation. Purpose: This study aimed to measure visual outcomes in senile cataract patients after phacoemulsification surgery at Griya Husada Eye Center, Madiun, Indonesia. Methods: A Retrospective study was carried out among senile cataract patients who had phacoemulsification surgery at Griya Husada Eye Center, Madiun, Indonesia between January and May 2021. The best corrected visual acuity (BCVA) was recorded on the fourteenth day. Results: From 292 patients, postoperative visual acuity in the good category (6/6 - 6/18) was 94.9%, in the moderate category (<6/18 - 6/60) was 1.7%, and in the poor category (<6/60) was 3.4%. Conclusions: Postoperative visual acuity with phacoemulsification at Griya Husada Eye Center, Madiun, Indonesia showed satisfactory results and met World Health Organization’s (WHO) standards.
Difficulties of Cataract Surgery in Lens-Induced Glaucoma Due to Subluxated Cataract Meidiana Devira Aristanti; Nurwasis; Jamaluddin
Vision Science and Eye Health Journal Vol. 2 No. 3 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i3.2023.57-62

Abstract

Introduction: Cataract is a disease of the eye in which the normal clear lens has opacified and obscured the passage of light. A mature cataract occurs when the lens is opacified. Lens subluxation is a condition when the crystalline lens is not in its anatomical position that can result in decreased anterior chamber depth. It is a potentially high risk of developing pupillary block, leading to lens-induced glaucoma (secondary angle closure glaucoma). In this case, the definitive therapy is lens extraction, which is challenging for cataract surgeons. This case report aims to expose the difficulties of cataract surgery in lens-induced glaucoma due to subluxated cataract. Case Presentation: A 56-year-old male presented with unable to see in his right eye, followed by foggy vision, glare when seeing the light, and a history of an acute glaucoma attack. His right best corrected visual acuity (BCVA) was 1/300, and the intraocular pressure (IOP) was 5 mmHg on therapy with glaucoma medications. Slit lamp examination of the right eye showed a shallow anterior chamber, irradiated iris, mid-dilated pupil, completely cloudy lens, and a capsular instability around 12 to 6 clock hours (180°/2 quadrant). This patient was diagnosed with mature cataract and lens-induced glaucoma due to subluxated mature cataract and was given glaucoma medications also underwent phacoemulsification (PE) along with Intraocular lens (IOL) and capsular tension ring implantation due to the lens instability and excessive lens movement. Conclusions: Cataract surgery for subluxated mature cataract and lens-induced glaucoma is challenging because of the shallow anterior chamber, capsular instability, and excessive lens movement. A thorough diagnosis, preoperative evaluation, postoperative monitoring, and evaluation are essential for safe cataract surgery, reducing the risk of complications and achieving a good result.
Co-Authors Astrid Feriza Indri Wahyuni Jamaluddin Kusuma Eko Purwantari Meidiana Devira Aristanti Muhammad Bagas Pratista Sukoto Sukoto