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All Journal Ophthalmologica Indonesiana
Anny Sulistiyowati
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Health Professions Medicine & Pharmacology Public Health

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The Visual Rehabilitation of Bilateral Posterior Lens Luxation In Children: A Case Report Yunneke Renna Xaverina; Anny Sulistiyowati; Lely Retno Wulandari
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.v48i2.100668

Abstract

Introduction: Dislocated lens can be subluxated (partial) or luxated (complete), which can cause visual impairment in children. Conservative visual rehabilitation is an option for luxated lens treatment. Purpose: This study reports the possibility for visual rehabilitation of bilateral of bilateral luxated lens in children. Case Report: A 3-year-old boy came to the outpatient clinic of Dr. Saiful Anwar General Hospital with complaints of blurred vision on both eyes. The child would always bring objects close to his eyes since the past year. There was no history of ocular injury nor development disorder. Uncorrected visual acuities with LEA symbol on both right and left eyes were 6/114. The best-corrected visual acuity (BCVA) of the right eye was 6/45 and left eye was 6/9 with both S+11.00. Iridodonesis and aphakic lenses were found during slit-lamp examination of both eyes. The intraocular pressures were 14.2 mmHg on the right eye and 17.3 mmHg on the left eye. The lenses were seen in the vitreous cavities during funduscopy and ultrasonography examination. After 1 month of using spectacles, the BCVA of the right eye was 6/18 and that of the left eye was 6/18 with the binocular BCVA was 6/15. Lensectomy with pars plana vitrectomy was planned to prevent complication. Conclusion: Conservative visual rehabilitation is important to prevent amblyopia in children with luxated lenses and surgical treatment is needed to prevent complication. In this patient, aphakic spectacles were given for visual rehabilitation pending operative treatment.
INTRAOCULAR PRESSURE (IOP) IN CHILDREN WITH DEVELOPMENTAL DISABILITIES IN MALANG; WHICH TYPE OF DISABILITY IS MOST AT RISK? Oral Presentation - Observational Study - Resident YURIKE MANDRASARI; Lely Retno Wulandari; Nanda Wahyu Anandita; Anny Sulistiyowati
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/67b5nb71

Abstract

Abstract Introduction & Objectives : Visual disabilities are the highest percentage of disabilities affecting children under five years old at about 0.17%. Childhood glaucoma affects over 300,000 children worldwide. 6.8% of Cerebral palsy children have high IOP. Developmental disabilities children require services to manage eye development. There is not much data on their eye examinations, especially IOP. This study aimed to know IOP values in children with developmental disabilities based on the type of disabilities in Malang. Methods : We measured IOP on 233 children with developmental disabilities, 6-19 years old, in 8 special education elementary schools, divided into 6 groups based on the types, namely autism, cerebral palsy, physical impairment, intellectual impairment, deafness and speech impairment, and others (with informed consent). IOP measurement using Icare Tonometer TA03, then categorized into 2 groups, normal and high IOP. Observation period 2019-2020. Results : Tonometer measurement can be done in 320 eyes of 163 children, with mean age of 11.14 years old. The mean value of IOP was 18.62 mmHg, the lowest was 9.5 mmHg, and the highest was 31.1 mmHg (SD± 3.39). Eyes with normal lOP are 245 eyes (76.6.%) mostly from intellectual impairment and high IOP are 75 eyes (23.4.%) mostly from deafness and speech impairment. Conclusion : There is a significant difference between IOP and type of developmental disability in children. Children with deafness and speech impairment have higher IOP than others, since they have high risk of ocular problems. IOP are influenced by outflow facility, aqueous humor production rate, episcleral venous pressure and uveoscleral flow rate.
Co-Authors Lely Retno W Wahyu Anandita, Nanda Yunneke Renna Xaverina Yurike Mandrasari