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Vania Widyadhari Damayanti
Universitas Lampung
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Acute Blepharitis: Diagnose and Management Vania Widyadhari Damayanti; Rani Himayani
Medula Vol 13 No 4.1 (2023): Medula - Edisi Spesial (Special Sense)
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i4.1.718

Abstract

Blepharitis is an eye disorder that indicates inflammation at the edges of the palpebrae. Blepharitis can be divided into acute and chronic. Causes of acute blepharitis include bacterial, viral, or allergic reactions. Clinical manifestations that may appear include itching, burning, crusting, tearing, blurred vision, and foreign body sensation. No special diagnostic tests are needed other than a history and physical examination. Management in dealing with acute blepharitis is by keeping the eyes clean, warm and wet compresses, administering antibiotic ointments, administering topical corticosteroids. A diet that increases omega-3s and reduces omega-6s can also help with blepharitis symptoms. Food sources that contain omega-3s include sprouts, breast milk, and certain fish oils. Meanwhile food sources of omega-6 are meat, eggs, poultry, cereals, avocados, sunflower oil, corn oil, cottonseed oil, linseed oil, vegetable oils, margarine, sunflower seeds, pumpkin seeds, walnut seeds, soybeans, cashews, and other nuts.
Diagnosis Klinis dan Tatalaksana Rawat Jalan pada Abses Peritonsil Sinistra: Sebuah Laporan Kasus Vania Widyadhari Damayanti; Mukhlis Imanto
Medula Vol 17 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v17i1.2006

Abstract

Peritonsillar abscess is the most common complication of acute tonsillitis and is characterized by the accumulation of pus within the peritonsillar space. If left untreated, it may lead to serious complications, making early recognition and appropriate management essential. In patients with characteristic clinical findings, the diagnosis can often be established based on history taking and physical examination without additional investigations. This case report describes the clinical diagnosis and outpatient management of a left-sided peritonsillar abscess in a 46-year-old man presenting with a two-week history of left neck swelling, progressive sore throat, odynophagia, dysphagia, trismus, hot potato voice, hypersalivation, and fever. Oropharyngeal examination revealed an erythematous and bulging left peritonsillar swelling, causing medial displacement of the left tonsil and rightward deviation of the uvula. A clinical diagnosis of left peritonsillar abscess was established. Although hospitalization was recommended, the patient declined admission and was managed as an outpatient with oral cefixime, metronidazole, methylprednisolone, and paracetamol. Comprehensive education was provided regarding adequate rest, hydration, oral hygiene, smoking cessation, medication adherence, and recognition of warning signs requiring immediate medical attention. Outpatient treatment was considered appropriate because the patient had no evidence of airway compromise, dehydration, sepsis, significant comorbidities, or inability to tolerate oral medication. This case highlights that peritonsillar abscess can be accurately diagnosed clinically and that carefully selected patients may be safely managed on an outpatient basis with appropriate follow-up and patient education to minimize the risk of complications.  
Co-Authors Mukhlis Imanto Rani Himayani