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Marcellina
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Proptosis in Adult Onset of Unilateral High Myopia Patient : A Case Report: Poster Presentation - Case Report - General practitioner Marcellina; Yoseph Siahaan
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: 10.35749/4bgtpf45

Abstract

Introduction : Unilateral high myopia is an uncommon refractive condition, because two eyes typically grow bilaterally by the same amount and resulting in symmetric myopia. Proptosis can appeared due to high axial length in myopia. Case Illustration : A 41-year-old female patient complain protruding eyeball in her left eye, gradually decrease vision, eye discomfort, and headache in her left eye since last year. There was no family history of eye disease, trauma or mass. On examination, her left eye was proptotic 3mm, best corrected visual acquity (BCVA) was 6/21 with -10.00 Sphere, and high intraocular pressure 23 mmhg. Her right eye BCVA 6/6 with -2.75 Sphere, other within normal limits. Her fundus examination showed features of high myopia and B-scan ultrasonographic showed different in axial lengths in both eyes. Orbita computerized tomography non contrast confirmed enlarge globe to posterior and proptotic in left eye. Discussion : Unilateral high myopia developing in adult onset is a rare case. It appears to be a progressive condition that have a variable age of onset. Amblyopic eye, high intraocular pressure and proptosis demonstrated as the symptoms of unilateral high myopia in this patient. Left eye proptosis confirmed by CT orbita appears secondary due to elongation anteroposterior of the globe / changesin axial components of the eye. Conclusion : High myopia can be a consideration of proptotic eye beside of mass/ tumor. Several studies to investigate patients with unilateral high myopia should be done to know the etiology and progression of the disease, thus can achieve good treatment and visual outcomes for patient.
Orbital Tumor Misdiagnosed as Optic Neuritis in Rheumatoid Arthritis Patient: A Case Report: Poster Presentation - Case Report - General practitioner Marcellina; Maria L. Susyono
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: 10.35749/5amqaa95

Abstract

Abstract Introduction : Unilateral blurred vision and optic nerve swelling are the two most common signs of optic neuritis (ON). However, ON is rarely reported in patients with rheumatoid arthritis (RA), thus necessitating further diagnostic workup. Case Illustration : A 42-year-old woman visited our hospital with strabismus and progressive loss of vision in her left eye since three months ago. She had been treated with pulse dose steroid for suspected ON. She had been diagnosed with RA over five years and treated with immunomodulatory medication. Left eye examination revealed best corrected visual acuity of 20/50, proptosis, esotropia with painless limitation in temporal movement. Afferent pupillary defect (RAPD) and optic nerve swelling were present. OCT assessment revealed reduction in RNFL thickness. Further magnetic resonance imaging (MRI) investigation revealed a 2.35 x 2.6 x 1.8 cm mass in the left intraconal retrobulbar, in proximity to the medial optic nerve, which suggests a case of orbital Schwanoma. Excisional biopsy was performed and revealed a benign tumor. Discussion : Intraconal tumor may falsely be diagnosed as an optic neuritis in autoimmune patient. Neuro- ophthalmologic symptoms of systemic inflammatory in the optic nerve includes unilateral acute visual loss and pain in eye movement. Signs of ON includes RAPD, disc edema, and corresponding visual field defect. MRI of the optic nerve can assist diagnostic workup. Conclusion : The exact diagnosis of rheumatoid arthritis-associated ocular manifestations is challenging. Imaging using MRI might be needed to provide clarity in the diagnosis.
Peran Masyarakat Desa Sei Lendir dalam Menjaga Lingkungan Sesuai Aturan Hukum yang Berlaku: Pengabdian Emiel Salim Siregar; Muliana Putri; Marcellina; Puteri Leida Harahap; Josua Robinsar Tamba; Syasya Khairunia Syibra
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 3 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 3 (Januari 202
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i3.5045

Abstract

Penyuluhan mengenai peran masyarakat dalam menjaga lingkungan merupakan langkah krusial untuk meningkatkan kesadaran hukum warga terhadap kelestarian alam. Aktivitas ini bertujuan memberikan wawasan dan pengetahuan kepada masyarakat Desa Sei Lendir mengenai pentingnya menjaga lingkungan sesuai aturan hukum yang berlaku. Metode pelaksanaan meliputi observasi lapangan, audiensi dengan perangkat desa, serta penyampaian materi penyuluhan hukum dan diskusi interaktif. Hasil pengabdian menunjukkan adanya antusiasme yang tinggi dari masyarakat, yang terlihat dari banyaknya pertanyaan yang diajukan, serta peningkatan pemahaman mengenai kewajiban hukum dalam menjaga lingkungan. Sinergi antara akademisi dan masyarakat menjadi faktor kunci dalam mewujudkan Desa Sei Lendir yang bersih, sehat, dan lestari sesuai amanat Undang-Undang Nomor 32 Tahun 2009.
Co-Authors Emiel Salim Siregar Josua Robinsar Tamba Maria L. Susyono Muliana Putri Puteri Leida Harahap Syasya Khairunia Syibra Yoseph Siahaan