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Karmelita Satari
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Health Professions Medicine & Pharmacology Public Health

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Microperimetric Acoustic Biofeedback Training (MABFT) in Macular Dystrophy: A Case Report: Poster Presentation - Case Report - Ophthalmologist KARMELITA SATARI; Elfa Ali Idrus; Fikri Barran
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: 10.35749/450hg883

Abstract

Introduction : Microperimetry (MP3) measures local retinal sensitivity for retinal functional assessment and uses the result for a biofeedback training exam for low vision patients. It can relocate the preferred retinal locus to the most sensitive area from central visual field diseases. This paper is to report the MABFT effect on reading speed and visual acuity in young, low-vision macular dystrophy patients. Case Illustration : A 34-year-old Caucasian male has been diagnosed with macular dystrophy since childhood. He has difficulties reading and recognizing small items at school because of his central visual field defect. He has MABFT six times a week and reading practice at home. His best corrected visual acuity improved from 1.1 to 1.0 logMAR and his reading speed from 20 to 30 wpm with spectacles. His right eye fixation became worse, but the left eye remained unstable. Clinically, it is still not significant for the patient. His near-visual acuity remains the same. Discussion : Conclusion : Microperimetric Acoustic Biofeedback Training increases reading speed and visual acuity in low vision macular dystrophy patients.
Rigid Gas Permeable (RGP) as Keratoconus Management After Corneal Collagen Cross-Linking (CXL) Procedure: a Case Report: Poster Presentation - Case Report - Resident Miranti Laras Ayu Sanusi; Karmelita Satari; Joan Sherlone Hutabarat; Ine Renata Musa; Susanti Natalya Sirait
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/qskp3p95

Abstract

Introduction : Rigid Gas Permeable (RGP) contact lenses are the mainstay for keratoconus patients and widely used. This case report presents RGP as a management for keratoconus after Corneal Collagen Cross- Linking (CXL) procedure. Case Illustration : A 22-year-old woman diagnosed with keratoconus since eight months ago, came for vision correction. She had CXL performed on both eyes. Ophthalmologic examination revealed uncorrected visual acuity of 0.63 in the right eye (RE) and 0.08 in the left eye (LE). Her best-corrected visual acuity (BCVA) was 1.0 in the RE with -0.75 D and 0.125 in the LE with -2.00 D. Anterior segment examination of the RE was unremarkable, but the LE has Vogt’s striae and Munson's sign (Figure 1). Corneal topography for the LE showed K1 64.7D/5.2 mm, K2 68.7D/4.9 mm, and Kmean 66.7D/5.1 mm. She was fitted with trial lens of BC 5.40 and the fit was loose. She then fitted with a BC of 5.50 mm showed a good fit result. RGP contact lenses were prescribed with S -8.50, BC 5.50, and 8.6 mm diameter for her LE and combined with spectacle for her RE. Her over-refraction BCVA of the LE was 0.9. Discussion : The management goals are to improve the patient’s visual acuity and to decrease the progression. The visual acuity of this patient improved after RGP fitting. Conclusion : The combination of CXL procedure and the use of RGP effective to increase visual acuity, regularity of corneal surface, and patient satisfaction. Keratoconus should be monitored regularly to avoid possible progressivity.
Co-Authors Elfa Ali Idrus Fikri Barran Ine Renata Musa Joan Sherlone Hutabarat Miranti Laras Ayu Sanusi Susanti Natalya Sirait