Article Per Year (5 Year)
p-Index From 2020 - 2025
1.756
P-Index
This Author published in this journals
All Journal Majalah Kedokteran Bandung Althea Medical Journal Nusantara Medical Science Journal Indonesian Journal of Medicine Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) International Journal of Retina Jurnal Medika Malahayati Sehat Masada Narra J IJRETINA - International Journal of Retina Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Arief S. Kartasasmita
Department Of Ophthalmology, Faculty Of Medicine, Padjadjaran University Cicendo National Eye Center, Bandung, West Java
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 32 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 32 Documents
Search

 1   2   3   4 
Ocular Manifestations of Aplastic Anemia: Rare Case of Anemic Retinopathy Juanarta, Pieter; Ihsan, Grimaldi; Iskandar, Erwin; Kartasasmita, Arief; Virgana, Rova; Indra, Made
International Journal of Retina Vol 8 No 1 (2025): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2025.vol008.iss001.280

Abstract

Incidence of aplastic anemia was 1-2 cases per million population per years, and showed higher rate in Asia and 10-25 years old. Anemic retinopathy can occur in 28% of patient with severe anemia, especially if accompanied by thrombocytopenia. Most cases were asymptomatic, however decrease visual acuity were also commonly found caused by haemorrhage and Macular edema. A 65 years old female patient came with blurry vision ten days prior admission accompanied with loss of consciousness, recurrent bleeding from nose, gum, and bluish discoloration in her extremities four years ago. Visual acuity was 1/60 on the right eye and 0.4 log on the left eye. Funduscopic examination showed vitreous haemorrhage, dot blot, hard exudate, and tortuosity of vein. Laboratory Examination showed anemia and thrombocytopenia, and peripheral blood morphology showed normochromic anisopoikilocytosis caused by chronic disease. She was scheduled to underwent anti VEGF and showed improvement in her visual acuity after injection. Fundoscopic examination later shows sub-hyaloid haemorrhage, dot blot, hard exudate, and tortuosity of vein. She was scheduled to undergo pars plana vitrectomy and were consulted to internal medicine. Aplastic anemia is a rare disease that usually asymptomatic, thus causing late intervention and a high mortality rate. Early manifestation can be seen in retinal structure as anemic retinopathy thus ophthalmologist have valuable impact in early detection of this disease. Haemorrhage overlying the macula and macular edema is the most common cause of visual impairment. Anti VEGF treatment, transfusion of blood component, and immunosuppressive therapy is needed to prevent complication and increase patient survival rate. Patient visual acuity usually imporved after early transfusion and anti VEGF injection, however delayed intervention may cause irreversible vision loss.
A Rare Case Of Retinal Arterial Microaneurysm: Clinical Features And Diagnostic Insights Yuna, Uray Nabila; Ihsan, Grimaldi; Virgana, Rova; Kartasasmita, Arief S.; Iskandar, Erwin; Widyanatha, Made Indra
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.773

Abstract

Background: In Retinal Arterial Macroaneurysms (RAM), the central retinal artery suffers from acquired focal hypertension. Clinical manifestations of the disease are diverse and easily misdiagnosed. Several imaging modalities may be used in order to confirm the diagnosis of RAM. This article aims to describe the clinical features and method of diagnosis of an uncommon case of retinal artery microaneurysm. Case report: A 57-year-old woman presented with a progressive loss of vision in her right eye months prior. Visual acuity in the right eye was 0.8 log 13. Upon funduscopic inspection of the right eye, firm exudates with low tortuosity and submacular hemorrhage were observed. The right eye’s OCTA revealed a localized expansion and significant constriction with twisted blood vessels on the reverse side of the deformed vessel, while the OCT of the macula revealed submacular hemorrhage. The patient was diagnosed with ruptured retinal Arterial Macroaneurysm or Macular Telangiectasia Type I and Retinopathy Hypertensive Grade II of both eyes, No Diabetic Retinopathy of both eyes with Diabetes Mellitus and Hypertension. The right eye of the patient received concentrated laser photocoagulation and an intravitreal injection of anti-VEGF. Conclusion: RAM is an acquired vascular disease defined by restricted, fusiform, or saccular dilation in the first three arteries of the main retinal artery. Retinal microaneurysms can be diagnosed with various imaging modalities. Ram may be treated with intravitreal anti-VEGF drugs, combination therapy, or laser photocoagulation.
Co-Authors A M Ichsan Andayani, Gitalisa Andhika Guna Dharma Andi M Ichsan Andika Prahasta Anita Deborah Anwar Ari Andayani Ari Djatikusumo Chalid Kurniawan Dainty Maternity Deni K Sunjaya Desrina Dewi Marhaeni Diah Herawati Dinan S Bratakoesoma Dwijayanti, Sindi Elvioza Elvioza Emil Sjahreza Endang Sri Wahyuni Erni Mayor Erwin Iskandar Erwin Iskandar Farid Husin Farid Husin Fauziah Hayati Feti Karfiati Memed Firda Muthia Elsyanty Gabriella Graziani Grimaldi Ihsan Grimaldi Ihsan Habibah S. Muhiddin Hadyana Sukandar Harley, Ohisa Ihsan , Grimaldi Ihsan, Grimaldi Ihsan, Grimaldi Ima Yustiarini Indra, Made Iskandar, Erwin Iwan Sovani Iwan Sovani Juanarta, Pieter Juliati Juliati Juliati, Juliati Kurniawan, Chalid Laila Wahyuni M Firmansyah Made Indra Widyanatha Maimun Syukri, Maimun Marliana Rahma Marsha Rayfa Pintary Martin Hertanto Maya Sari Mayang Rini Mega Wulan Purnama Sari Metita, Mirza Mia Purnama Mirza Metita Nadia Artha Dewi Nauli, Rizki Rahma Nurul Aini Ohisa Harley Oktarina Sri Iriani Pintary, Marsha Rayfa Ponpon S Idjradinata Ponpon S Idjradinata Prettyla Yollamanda Purnama Sari, Mega Wulan Purnama, Mia Rahayu Widhyasti Referano Agustiawan Rizki Rahma Nauli Ronny Lesmana Rova Virgana Rova Virgana Setiawan . Setyohadji, Bambang Sindi Dwijayanti Sindy Boru Sembiring Susiarno, Hadi Teguh Susilo Tjahjono D. Gondhowiardjo Vita Murniati Tarawan Widyanatha, Made Indra Yollamanda, Prettyla Yuna, Uray Nabila Zaini, Lia M.