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All Journal Jurnal Cahaya Mandalika Ophthalmologica Indonesiana
Dini Dharmawidiarini
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Humanities Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health

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VISUAL OUTCOMES AND COMPLICATIONS OF IRIS-CLAW INTRAOCULAR LENS IMPLANTATION IN APHAKIC EYES WITH INADEQUATE CAPSULAR SUPPORT Faiz Nurboston Fauzi; Dini Dharmawidiarini; Farida Moenir; Sahata PH Napitupulu
Majalah Oftalmologi Indonesia Vol 49 No 1 (2023): 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.v49i1.100592

Abstract

Introduction: Aphakia with inadequate capsular support remains a challenge for ophthalmologist. Although there is no consensus on the best method for this case, many studies have been reported using iris claw intraocular lens for secondary implantation. Objective: To evaluate the various indications, visual outcomes, and complications of iris claw intraocular lens in aphakic eyes. Methods : This retrospective case study was conducted in Undaan Eye Hospital, Surabaya, collecting data from medical records with a total of 188 eyes of 186 patients between May 2017 and April 2020, that were rehabilitated with prepupillary and retropupillary fixation of an iris claw lens. Patients were followed-up to 9 months for visual acuity and complications. Results: The most common cause of aphakia was subluxation of lens (spontaneous, trauma or congenital) in 90 of the 188 eyes (47.3%). The mean follow-up was 3 months (range :1-9 month). Most patient had the best preoperative BCVA (0-0.50 logMAR) 63%, ranging 0-2.47 logMAR with a mean of 0.72 logMAR. At final follow up, of the total patients, 72.9 % had the BCVA of 0-0.5 logMAR, with a mean of 0.37 logMAR. Complication included secondary glaucoma 2.12%, uveitis 1.06 %, iridodyalisis 1.06 %, and bullous keratopathy 1.06%. Conclusion: iris claw IOL implantation is a safe and effective method of rehabilitating aphakic eye with inadequate capsular support.
Managing Iris Cysts with Surgical Excision: A Case Series: Poster Presentation - Case Series - Ophthalmologist Sitorus, Tigor Santoso; Afifah, Azzahra; Dini Dharmawidiarini; Farida Moenir; Napitupulu, Sanata PH
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/bba0bz36

Abstract

Introduction : Iris cysts are uncommon iris tumors. Primary iris cysts are congenital and usually not detected until late into the first or second decade of life. Secondary iris cysts have history of trauma or intraocular surgery. Small and asymptomatic iris cysts should be monitored, whereas larger cysts require treatment as they cause complications. Case Illustration : Case 1 a 17-year-old teenager had blurred vision without prior intraocular trauma or surgery. Anterior segment examination of the left eye revealed an oval, light brown, and semi-translucent cyst. Case 2 a 15-year-old girl had blurred vision and enlarging white spot in right eye with history of penetrating ocular trauma. Patient had undergone immediate penetrating repair followed by combination of pupilloplasty and cataract surgery. Anterior segment examination of the right eye showed corneal scar and cystic lesion. Both cysts extended to corneal endothelium and were managed surgically. Discussion : Larger cysts, especially with complications, require cyst aspiration, laser therapy, injections of antiproliferative agents, or surgery. We decided to surgically aspirate and excised iris walls to remove both iris cysts which were vital to achieve good result. Post-operative periods were uneventful with no significant inflammatory reactions associated with the procedure. Conclusion : Different modalities, with varying degrees of success, have been reported for the treatment of iris cysts. Surgical intervention remains the last option which can give a good functional outcome with minimal inflammatory complications, especially when less invasive options do not seem feasible due to the extensive nature of the cyst.
PROFIL PENDERITA FAKOEMULSIFIKASI KATARAK SENILIS DI RSUD SIMPANG LIMA GUMUL KEDIRI PERIODE JULI SAMPAI DESEMBER 2022 Wahyu Afif Mufida; Noor Areza Adhi Pratama; Dini Dharmawidiarini
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 3 (2023): Jurnal Cahaya Mandalika
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i3.1866

Abstract

Introduction: Cataract is defined as the opacity of the lens that causes a progressive decrease in visual acuity. Cataract is the leading cause of blindness worldwide. East Java has the highest prevalence of blindness in Indonesia, with cataracts being the main cause. Purpose: To determine the characteristics of senile cataract phacoemulsification patients at Simpang Lima Gumul General Hospital, Kediri, from July 2022 to December 2022. Methods: This study used a descriptive retrospective method with a total sampling of medical record data. There were 89 medical records that met the criteria, and then the frequency distribution for each variable was calculated. Results: Of the 89 patients, 38 (42.7%) males and 51 (57.3%) females had phacoemulsification procedures, the majority were 60–69 years old 48 patients (48.3%). Most of them came with senile cataract grade 3 in 35 patients (39,3%), which occurred bilaterally in 48 patients (53.9%). The highest education level was Elementary School 54 patients (60.7%) and farmers 30 people (33.7%). 45 patients (50.6%) had a history of comorbidities such as hypertension 35 people (39.3%), diabetes mellitus 21 people (23.6%), history of other eye diseases 3 people (3.4%), and other diseases 15 people (16.9%). Uncorrected visual acuity <3/60 in 52 people (58.4%). Conclusion: Most of the characteristics obtained included senile cataract grade 3, bilaterally, female, highest education was Elementary School, farmer, having comorbidities, and coming with blindness.
Co-Authors Afifah, Azzahra Faiz Nurboston Fauzi Farida Moenir Napitupulu, Sanata PH Noor Areza Adhi Pratama Sahata PH Napitupulu Sitorus, Tigor Santoso Wahyu Afif Mufida