Claim Missing Document
Check
Articles

Found 3 Documents
Search

Successful probing of Congenital Nasolacrimal Duct Obstruction on 11 years old child: A case report: Poster Presentation - Case Report - Ophthalmologist SUTJIPTO; Mohammad Haikal Bakry
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/mbx4jv02

Abstract

Introduction : Congenital nasolacrimal duct obstruction (CNLDO) is a common cause of epiphora in infants; its prevalence rate of 5% to 20%, although only 2–6% will need intervention. The pathogenesis involves an imperforate membrane of the nasolacrimal duct but it may involve bony abnormalities and narrowing of the lacrimal drainage system. Case Illustration : An 11-year-old boy came to the hospital with complaints of a watery and excreted eye since he was born. On the dye disappearance test the result is +4. The patient was decided to have probing procedures. There was positive dye flow in the nasolacrimal duct after probing and irrigation with saline and dye. One week after the probing procedure, dye disappearance test was performed and the result is negative. Patients also no longer complain of watery and sticky eyes. Discussion : The management of CNLDO remains controversial. Probing can be used as a primary treatment for children <36 months of age, where success rate of 78–93% can be achieved. For older children success rate is even less. Studies on older children between 25 and 60 months have shown failure rates as high as 28%. The prevalence of complex obstruction in children between 49 and 60 months was 43% with a success rate of only 33% on probing. Conclusion : Appropriate time for probing the CNLDO is still under debate. The high success rate of probing in patients older than 2 years old confirm that the first intervention could be probing before considering complex intervention.
Successful probing of Congenital Nasolacrimal Duct Obstruction on 11 years old child: A case report: Poster Presentation - Case Report - Ophthalmologist SUTJIPTO; Mohammad Haikal Bakry
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/rw9hgf60

Abstract

Introduction : Congenital nasolacrimal duct obstruction (CNLDO) is a common cause of epiphora in infants; its prevalence rate of 5% to 20%, although only 2–6% will need intervention. The pathogenesis involves an imperforate membrane of the nasolacrimal duct but it may involve bony abnormalities and narrowing of the lacrimal drainage system. Case Illustration : An 11-year-old boy came to the hospital with complaints of a watery and excreted eye since he was born. On the dye disappearance test the result is +4. The patient was decided to have probing procedures. There was positive dye flow in the nasolacrimal duct after probing and irrigation with saline and dye. One week after the probing procedure, dye disappearance test was performed and the result is negative. Patients also no longer complain of watery and sticky eyes. Discussion : The management of CNLDO remains controversial. Probing can be used as a primary treatment for children <36 months of age, where success rate of 78–93% can be achieved. For older children success rate is even less. Studies on older children between 25 and 60 months have shown failure rates as high as 28%. The prevalence of complex obstruction in children between 49 and 60 months was 43% with a success rate of only 33% on probing. Conclusion : Appropriate time for probing the CNLDO is still under debate. The high success rate of probing in patients older than 2 years old confirm that the first intervention could be probing before considering complex intervention.
Retinoblastoma: Masalah dan hambatan dalam mendiagnosis Mohammad Haikal Bakry; Riana Rahmadhany
Jurnal Biomedika dan Kesehatan Vol 2 No 4 (2019)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2019.v2.162-168

Abstract

Retinoblastoma adalah keganasan intraokular yang paling sering dialami oleh neonatus dan anak-anak, dengan insidens terjadinya yaitu 1 per 15.000-20.000 kelahiran dan sekitar 3% dari total keganasan yang terjadi pada anak. Diagnosis dan penanganan retinoblastoma yang terlambat terjadi di negara-negara berkembang termasuk Indonesia mengakibatkan terjadinya metastasis ekstraokular, kehilangan penglihatan dan kematian. Pada negara-negara berkembang, kira-kira setengah populasi anak yang terdiagnosis retinoblastoma meninggal, diduga karena baru terdiagnosis saat stadium penyakit yang sudah lanjut, sementara hanya 3-4% anak yang terdiagnosis di negara maju (Amerika dan Eropa) meninggal karena lebih awal dalam mendiagnosis dan penatalaksaan yang lebih komprehensif. Retinoblastoma adalah keganasan intraokular yang paling sering dialami oleh neonatus dan anak-anak, dengan insidens terjadinya yaitu 1 per 15.000-20.000 kelahiran dan sekitar 3% dari total keganasan yang terjadi pada anak. Diagnosis dan penanganan retinoblastoma yang terlambat terjadi di negara-negara berkembang termasuk Indonesia mengakibatkan terjadinya metastasis ekstraokular, kehilangan penglihatan dan kematian. Pada negara-negara berkembang, kira-kira setengah populasi anak yang terdiagnosis retinoblastoma meninggal, diduga karena baru terdiagnosis saat stadium penyakit yang sudah lanjut, sementara hanya 3-4% anak yang terdiagnosis di negara maju (Amerika dan Eropa) meninggal karena lebih awal dalam mendiagnosis dan penatalaksaan yang lebih komprehensif.Adanya hambatan dalam mendiagnosis secara dini pada negara berkembang dikarenakan belum baiknya sistem asuransi kesehatan, kurangnya komunikasi dan kerjasama pihak- pihak yang terlibat, masih terbatasnya peralatan penunjang diagnosis dan kurang efisiennya sistem rujukan. Hambatan lain termasuk faktor pendidikan, kultural dan ekonomi.Pemberian penanganan yang optimal pada retinoblastoma adalah suatu hal yang kompleks dan memerlukan sebuah tim yang terdiri dari berbagai macam bidang dan disiplin ilmu. Namun pembentukan tim yang seperti itu tentu saja akan menghadapi berbagai macam tantangan khususnya pada keadaan dan daerah yang memiliki sumber daya yang terbatas.