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All Journal Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Grimaldi Ihsan
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Education Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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Good Outcome In Open Globe Injury With Intraocular Foreign Body Rahayu Widhyasti; Made Indra Widyanatha; Arief S. Kartasasmita; Erwin Iskandar; Rova Virgana; Grimaldi Ihsan
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.61

Abstract

Introduction: Intraocular foreign body (IOFB) represents the second most common cause of open globe injury (OGI) and critical ophthalmic emergency that requires urgent diagnosis and treatment to prevent blindness. It can cause direct damage via entry into the eye and causing future damage. The immediate pars plana vitrectomy (PPV) surgery in post-traumatic endophthalmitis is beneficial for optimizing visual prognosis. Case report: A 55-year-old male patient came to the Emergency Room tertiary referral hospital with chief complaints of blurry vision, pain, and red-eye in his right eye 3 days before admission. The patient’s right eye was hit by a fragment of the sickle knife while mowing the grass in the yard without protective eyeglasses. Painful on his right eye is getting worse accompanied by lacrimation. The patient went to Tertiary Eye Hospital because of his complaints getting worse. The patient was diagnosed with Open Globe Injury Type C grade D pupil B zone 1, suspect early endophthalmitis, traumatic cataract of the right eye, and hypertension. Pars plana vitrectomy, vitreous tap, antibiotic intravitreal injection (with Ceftazidime and Vancomycin), IOFB extraction, explore, corneal scraping on the wound, cultural resistance, primary hecting of the cornea were done. The visual acuity improves and the infection was resolved. Conclusion : One of the most common traumas in ophthalmology is IOFB and it is considered an emergency condition. Proper ophthalmology examination and appropriate ancillary testing should be done to reveal this condition. Good management will give a good result of the patient’s visual prognosis.
Immediate Vs Delayed Vitrectomy for The Management of Vitreous Hemorrhage Due to Proliferative Diabetic Retinopathy Vina Karina Apriyani; Grimaldi Ihsan; Rova Virgana; Iwan Sovani
Majalah Oftalmologi Indonesia Vol 48 No 2 (2022): 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.v48i2.100666

Abstract

Introduction: Surgical approach in vitreous hemorrhage (VH) secondary to diabetic retinopathy remains the procedure of choice for non-clearing VH. However, the most appropriate timing of vitrectomy is yet to be defined. With improvements in surgical techniques, it is reasonable to operate on such patients that have no spontaneous improvement. Objective: To compare the characteristics between groups of patients who underwent immediate and delayed vitrectomy for the management of vitreous hemorrhage due to proliferative diabetic retinopathy (PDR). Methods: Retrospective review of 35 patients who underwent vitrectomy for VH secondary to PDR. Patients were excluded if they had prior vitrectomy, follow up < 1 month post-operatively, other retinal pathology, VH secondary to other causes, uveitis, or advanced glaucoma. Primary outcome was visual acuity in patients receiving immediate (< 30 days) versus delayed (> 30 days) vitrectomy. Secondary analyses included post-surgical complications. Results: 35 eyes were included, 13 eyes had immediate vitrectomy while 22 eyes had delayed vitrectomy. There was no difference between the groups in terms of age, gender, diabetes control, or diabetes duration. Pre-operative and final visual acuities were evaluated, including 7 days, 30-days and 3-months in both Groups. Complications within 3 months were dominantly seen in the delayed vitrectomy Group. Conclusion: Immediate vitrectomy for VH due to PDR decreases time spent with vision loss, and decreases post-surgical complications. Modern vitrectomy surgery is safe and may be considered earlier in VH management.
Co-Authors Arief S. Kartasasmita Erwin Iskandar Iwan Sovani Made Indra Widyanatha Rahayu Widhyasti Rova Virgana Vina Karina Apriyani