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All Journal Ophthalmologica Indonesiana Journal of Ophthalmology
Arief Akhdestira
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Management Strategies of Ocular Alkaline Chemical Injury: Poster Presentation - Case Report - Resident Nadia Ayu Destianti; Patrioka Muslima; Elfa Ali Idrus; Arief Akhdestira; Angga Fajriansyah
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/nq0p9c02

Abstract

Introduction : Ocular chemical burns are true ophthalmic emergencies that can cause permanent corneal and intraocular damage leading to visual impairment or even blindness. When a case of chemical trauma occurs, immediate and appropriate management should be done. Case Illustration : A 24-year-old man came to Cicendo Eye Hospital with complaints of blurry eyes accompanied by burning and watery eyes after being doused with a bucket of cement mortar two weeks earlier. Ophthalmologic examination obtained visual acuity for the right eye 1/300 and left eye was 1/60. The anterior segment of both eyes showed corneal edema, conjunctivalization, persistent epithelial defects, limbal ischemia, and punctate epithelial erosion. There was an ulcer and thinning of the corneal layer in left eye. He was diagnosed with alkaline chemical injury Dua's classification grade VI on the right eye and grade V on the left eye (Figure 1). The patient then underwent a keratectomy, conjunctival resection, and amniotic membrane transplantation procedure. On the seventh day postoperatively, symptoms and clinical features improved with the visual acuity of both eyes improved to 1/60 (Figure 2). Discussion : Amniotic membrane graft was performed in late reparative phase which aims to preserve the surface of the corneal epithelium and prevent corneal perforation and inflammation. Conjunctival resection was performed to prevent neovascularization of the amniotic membrane. Conclusion : Management of ocular burn injury requires an immediate and comprehensive treatment to achieve good result. In this case successful treatment was achieved by improvement of visual acuity and no complication occured.
Karakteristik Pasien Keratitis Herpes Simpleks Di PMN RS Mata Cicendo Periode Januari 2021-Desember 2021 Sitti Fitriani; Elfa Ali; Angga Fajriansyah; Arief Akhdestira; Patriotika M
RS Mata Makassar: Journal of Ophthalmology Vol. 1 No. 1 (2024): Journal of Ophthalmology
Publisher : RS Mata Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63670/mata.v1i1.3

Abstract

Purpose : To describe characteristics of the patients herpes simpleks keratitis (HSK) at the National Eye Center Cicendo Eye Hospital Methods : Descriptive-retrospective study was obtained on electronic medical records from January to December 2021 at the National Eye Center Cicendo Eye Hospital Result : From total 121 patients (134 eyes) in this study, there were 60.3% male and 39.7% female. Patients mainly in the age group of 41-50 (30.6%). Bilateral HSK was found in 10.74% in present study. Type of HSK consist of epithelial in 31 eyes, non necrotizing stromal in 38 eyes, necrotizing stromal in 26 eyes, endotheliitis in 9 eyes, keratouveitis in 16 eyes, and neurotropik keratopathy in 14 eyes. Most of patients had visual acuity < 3/60, 44.03% and 37.31% early and last visit, respectively. 12.69% reccurance rate with the highest reccurance in stromal keratitis. Laboratory results showed that the most patients with Immunoglobulin G (IgG) (+) Immunoglobulin M (IgM) (-) anti HSV-1 were detected in 24 patients (19.83%). The treatment was acyclovir ointment, oral acyclovir,corticosteroid eyedrop and antibiotic eyedrop depend on type of HSK. Surgery was performed on 18 eyes, 9 eyes underwent amnion membran transplantation (AMT) patch graft, 8 eyes take lenticule+AMT patch graft and 1 eye reported takes evisceration. Conclusions : Majority type of HSK type were stromal keratitis followed by epithelial keratitis, neurotropik keratopathy, keratouveitis and endotheliitis. Reccurrance of HSK is common. Treatment depends on type of HSK and certain clinical conditions require surgery. Keywords : Herpes simplex keratitis, Characteristics, HSV-1
Co-Authors Angga Fajriansyah Elfa Ali Elfa Ali Idrus Nadia Ayu Destianti Patrioka Muslima Patriotika M Sitti Fitriani