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Nd:YAG Laser Hialoidotomi sebagai Tatalaksana Perdarahan Premakular Subhialoid pada Pasien Leukemia Anak: Laporan Kasus Ade J. Nursalim; Vera Sumual; Andrew Citra; Elbetty Simanjuntak; Christian Komaling; Stevanus Loho
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.51336

Abstract

Abstract: Premacular subhyaloid is a condition that results in a severe decrease in visual acuity, especially if it occurs in the area around the macula. This subhyaloid premacular hemorrages often occurs in acute lymphoblastic leukemia. Nd:YAG laser hyaloidotomy is a non-invasive therapy option to treat this condition. We reported a case of a 15-year-old boy who came with a complaint of blurred right eye. The patient had a history of acute lymphoblastic leukemia. Visual acuity was 1/60 in the right eye and 6/9 in the left eye. A dome-shaped subhyaloid hemorrhage was found in the right eye and then was treated with Nd:YAG laser hyaloidotomy. The results of therapy were seen in improvement of vision after one week of therapy. In conclusion, Nd:YAG laser hyaloidotomy is a non-invasive procedure that is relatively safe, and improvement of vision can be observed in a short time, in this case, within one week. Keywords: Nd:YAG laser; hyaloidotomy; subhyaloid premacular hemorrages; acute lymphoblastic leukemia   Abstrak: Perdarahan premakular subhialoid merupakan kondisi yang mengakibatkan turunnya tajam penglihatan yang hebat terutama jika terjadi di daerah sekitar makula. Perdarahan premakular subhialoid ini sering terjadi pada leukemia limfoblastik akut. Nd:YAG laser hialoidotomi merupakan salah satu terapi non invasif untuk mengatasi keadaan perdarahan ini. Kami melaporkan kasus seorang anak laki-laki berusia 15 tahun dengan keluhan mata kanan kabur mendadak. Pasien dengan riwayat leukemia limfoblastik akut. Tajam penglihatan 1/60 pada mata kanan dan 6/9 pada mata kiri. Ditemukan perdarahan subhialoid berbentuk kubah pada mata kanan dan dilakukan terapi Nd:YAG laser hialoidotomi. Hasil terapi memperlihatkan perbaikan tajam penglihatan setelah satu minggu terapi. Simpulan kasus ini ialah terapi Nd:YAG laser hialoidotomi merupakan prosedur non- invasif yang relatif aman dan perbaikan tajam penglihatan dapat terlihat dalam waktu singkat yaitu dalam kurun waktu satu minggu Kata kunci: Nd:YAG laser hialoidotomi; perdarahan premakular subhialoid; leukemia limfoblastik akut
Topical Lidocaine Gel Versus Tetracaine Eye Drops for Panretinal Photo-coagulation in Proliferative Diabetic Retinopathy Ade J. Nursalim; Vera Sumual; Andrew Chietra; Christian Komaling; Stevanus Loho; Ardelia E. Wulur
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.51380

Abstract

Panretinal photocoagulation (PRP) is a treatment for proliferative diabetic retinopathy (PDR). The procedure needs anesthetic agent to overcome the pain. Two widely used anesthetic agents are used in this study which are tetracaine 0.5% eyedrops and lidocaine 2% gel. This study aimed to compare the effectivity and efficacy of both anesthetic agents. A prospective randomized controlled trial was done to 40 eyes divided into two groups, group A was treated with tetracaine 0.5% eyedrop and group B with lidocaine 2% gel. Pain score was obtained subjectively from the patient and recorded during four stages of procedure. The results showed that the mean age was 56.5 years in Group A and 53.20 years in group B. Average procedure duration was 8.7 minutes in group A and 9.35 minutes in group B. Average 5 minutes pain level was 3.05 and 2.10 in group A and B consecutively. Average 10 minutes pain level was 2.65 and 2.45 in group A and B consecutively. Average during procedure pain level was 2.70 and 3.40 in group A and Group B, and average post procedure pain level was 1.20 in Group A and 1.55 in Group B. There was no significant difference between both groups’ parameters. In conclusion, the use of both agents is interchangeable and shows no differences in efficacy and effectivity. Keywords: panretinal photocoagulation; proliferative diabetic retinopathy; anesthetic agent; tetracaine; lidocaine