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ADISTI LUKMAN
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Hybrid Contact Lenses in Children: a Case Series: Poster Presentation - Case Series - Ophthalmologist ADISTI LUKMAN
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/x8y5t382

Abstract

Introduction : Refractive errors in children have experienced a significant increase in recent years. Contact lenses are a therapeutic option when spectacles can no longer provide maximum results. One of the most advanced design than suitable for children is Hybrid Contact Lenses (HCL). HCL feature a Rigid Gas Permeable (RGP) center surrounded by a soft ridge or skirt. This design enable the hard center to provide clear vision while the soft skirt offers the comfort and ease of a soft lens. However, this type of contact lens has not been widely used in Indonesia. Case Illustration : Three patients were prescribed HCL to correct their high refractive errors and amblyopia; 1. 5 years old female: OD: S-14.50 C-3.25x180 6/24 OS: S-12.5 C-3.50x10 6/24; 2. 5 years old female with anisometropia: OD: S-6.00 C-2.50x180 6/12 OS: S-0.75 C-2.000x170 6/6; 3. 8 years old male with pseudophakic eyes: OD: S-9.00 C-2.00x180 6/30 OS: S-8.00 C-2.00x175 6/30. Visual Acuity after 1 month of HCL average from 6/9 to 6/6 both eyes (BE). Discussion : In this study, we can notice several advantages of using HCL. The main outcome are significantly increased visual acuity and reduced amblyopia. HCL also has a higher comfort level compare to RGP Lenses, the soft hydrogel skirt really help the neophyte patient to ease their initial adaptation. Conclusion : Contact lenses are a mainstay of optical correction options for children with special refractive needs. Due to it's design and comfort, HCL is one of the most suitable contact lenses for children. Therefore, socialization and further introduction about this contact lens is needed.
Improving Low Vision through Bioptic Telescope: A Case Series: Poster Presentation - Case Series - Ophthalmologist ADISTI LUKMAN
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/p7102r88

Abstract

Introduction : Low vision (LV) is a condition when a person have binocular visual acuity of less than 6/18 to light perception, or a visual field of less than 10 degrees from the point of fixation, even after treatment and/or standard refractive correction. In Indonesia, it is known that the number of LV patients is around 4.8% of all blindness. Bioptics telescope is handsfree magnifying lenses, attached to the spectacles, used to enhance moderate to distant vision for patients with severely damaged eyesight. However, the use of this device is still uncommon in Indonesia. Case Illustration : Bioptic Telescope prescribed to 3 patients, adaptation time were less than 48 hours. The 1st patient, 11 years old male with chorioretinitis toxoplasmosis, initial visual acuity (VA) 6/60 both eyes improved to 6/18 both eyes, and able to write/type 30 words per minutes. The 2nd patient, 18 years old male with Familial Exudative Vitreoretinopathy, initial VA 1/60 Right Eye (RE) & 1/300 Left Eye (LE) improved to 6/18 RE, and able to write/type 10 words per 2 minutes. The 3rd patient, 25 years old female with congenital visual impairment, initial VA NLP RE & 6/60 LE improved to 6/24 LE, and able to write/type 20 words per minute. Discussion : Conclusion : This study reports the initial experience with bioptic telescope in low vision patients. This device proven to significantly increase visual acuity with short adaptation time and learning curve to watch, read, write, and type. The ability to escalate patient's quality of life makes bioptic telescope superior from other (hand-held) telescope
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