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A CASE REPORT OF WOODEN STICK IMPALEMENT AND PALPEBRAL RUPTURE : ORBITAL PENETRATION TRAUMA: Poster Presentation - Case Report - Resident NOVIAN ADI SAPUTRA; MARDIJAS EFENDI; HENDRIANTI
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/rqpexw51

Abstract

Introduction : Orbital penetration trauma is a severe injury caused by the penetration of a foreign object into the orbit of the eye. It is a potentially life threatening condition that can cause significant damage to the surrounding structures, including the eye, the optic nerve, and the brain. Case Illustration : 49 y.o M came with The left eye was impaled by a wooden stick 12 hours before entering the hospital, causing pain, bleeding, and loss of vision.Visual acuity of the left eye was no light perception, extensive palpebral rupture, and left eye movement was limited in all directions. The CT scan of left orbit was orbital floor fracture, hypodense lesion in the left retrobulbar oculi which appeared to obliterate the left optic nerve, and orbital floor fracture.He underwent surgery for the removal of the wood and underwent a wide palpebral reconstruction. . Discussion : The severity of orbital penetration trauma can vary depending on several factors, including the size and shape of the penetrating object. In some cases, the injury may be relatively minor and only result in minor bruising and swelling around the eye. However, more severe cases can cause significant damage to the eye itself, including rupture of the eyeball or damage to the optic nerve. Conclusion : Orbital penetration trauma treatments typically involves immediate medical attention to assess the extent of the injury and determine the best course of action. In some cases, surgery may be required to repair the damage and prevent further complications.
CICATRICIAL ECTROPION REPAIR DUE TO TRAUMA : A CASE REPORT: Poster Presentation - Case Report - Resident Rino Agustian Praja; Hendrianti; Mardijas Efendi
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/qngcjx67

Abstract

Introduction : Cicatricial ectropion is a complication that can occur after trauma. Scar tissue formation causes anterior lamellae shortening (skin and orbicularis muscle), resulting in outward lid margins rotation. Case Illustration : A 16 y.o male patient came with complaints of the left upper and lower eyelids folding outwards since 3 months ago after trauma, watery eye. Examination VOD 20/20, VOS 20/50. Scar on the superior and inferior lids, the inferior lid margin is folded out, inferior tarsal conjunctiva is visible, lagophthalmus 4 mm, fissure palpebral vertical (FPV) 12 mm, margin reflex distance (MRD) 1 = 4 mm, MRD2 = 8 mm, fissure palpebral horizontal (FPH) 30 mm, conjunctival injection. Corneal (macular) scars central-peripherally at 3-6 o'clock. Patient was diagnosed with cicatrical ectropion with left eye corneal scar and ectropion repair was performed with full-thickness skin graft from retroarticular. One week and six weeks after surgery, FPV improved to 10 mm, MRD1 = 4, MRD2 = 6 mm, FPH 30 mm, and lagophthalmos 2 mm became 1 mm. Discussion : Cicatricial ectropion is usually treated in 3 procedures: release vertical scar traction, horizontal lid tightening, repair anterior lamella can be done with full-thickness skin graft. horizontal lid tightening in this case not carried out because of no laxity. Conclusion : Scar traction release and repair anterior lamella with full-thickness skin graft from retroauricular was choice in this case because extensive defect and ectropion grade 3. After surgery anatomical structure of the lids and looks better aesthetically.
A Rare Embryological Phenomenon: Kissing Nevus Incidence and Clinical Features: Poster Presentation - Observational Study - Resident atika syafendra; mardijas efendi; hendrianti
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: 10.35749/71gks843

Abstract

Introduction & Objectives : Kissing nevus is a condition where the nevus extends up to the lid margins, its edges touch or “kiss” when the eyelids are closed. Although commonly presenting at birth, there have been cases where it appeared in later life. This occurs due to a rare embryological phenomenon and thus only 30 cases have been reported worldwide until 2020. Meanwhile in M Djamil Hospital Padang we found 4 cases during 2020-2022. This paper is aim to present this so called rare cases in a modest way Methods : This is a descriptive study related to kissing nevus cases in M Djamil Hospital Padang during 2020-2022. We diagnosed it clinically based on ophthalmology examination. The data were collected into master table and being analyzed. We put patient’s identity (name, age, and gender), nevus location, size, gross anatomy of the nevus and surgical procedure Results : Four patients were discussed in this study. Most of the patients (75%) is a woman. We found more cases in the first 2 decades of life (50%). The predilection location is at the temporal eyelid (50%), it’s size is equal, both (10-19 mm and 20-29 mm) is 50%. In study we only found a melanotic lesion (100%). Most of the patient were treated with excision biopsy + skin flap (75%) Conclusion : The prevalence of kissing nevus in M Djamil Hospital is high. Kissing nevus mostly suffered by young women, most cases affected temporal eyelid, the size 10-29 mm so that skin flap is the most suitable surgical procedure
Co-Authors atika syafendra MARDIJAS EFENDI NOVIAN ADI SAPUTRA Rino Agustian Praja