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Characteristics of Patients with Eyelid Laceration in Kariadi General Hospital Semarang: Oral Presentation - Observational Study - Resident ADERIESTA PADMASTRIMAYA; RAJA ERINDA
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: 10.35749/3h3m9r64

Abstract

Abstract Introduction & Objectives : Eyelid laceration is one of the most common ocular injuries with complications. This study examines patient characteristics with eyelid lacerations at Kariadi General Hospital Semarang. Methods : An observational study used medical records data from April 2019 to January 2023. Age, gender, eyelids, grading, area of laceration, mechanism of trauma and injury, canthal and canalicular involvement, associated injury, and surgery were recorded. Results : From 75 patients, lacerations were more common in men (56, 75%) and ages 16-<50 years (43, 57%). Lacerations occurred in right lower (21, 28%), right upper (17, 23%), right upper and lower (16, 21%), left lower (9, 12%), left upper (8, 11%), and left upper and lower (4, 5%) eyelids. They were mainly medial (52, 69%), lateral (12, 16%), and central (7, 9%). Full-thickness lacerations (58, 77%) outnumbered lamellar thickness (17, 23%). Blunt trauma (63, 84%) was the main mechanism, with motor vehicle accidents leading 30 (40%). Canthal involvement was absent in 41 cases (55%), medial in 29 (39%), and lateral in 5 (7%). Canalicular involvement was absent in 39 cases (52%) and present in 36 (48%). The three most frequent of associated injury of the patients was 16 (21%) subconjunctival bleeding, 12 (16%) orbital hematom, 9 (12%) conjunctival laceration. All patients underwent surgery, with eyelid repair most common (32, 43%). Conclusion : Eyelid lacerations mainly involved right lower eyelid, medial region, and are full-thickness. Blunt trauma, particularly motor vehicle accidents, was the main cause. Most cases lack canthal or canalicular involvement. Eyelid repair was the most frequent choice of surgery.
Clinicopathological Characteristics and Predictive Clinical Features of Lacrimal Gland Lesions Eriska, Yossi; Raja Erinda; Trilaksana Nugroho
Majalah Oftalmologi Indonesia Vol 52 No 1 (2026): Ophthalmologica Indonesiana
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/oi.v52i1.102093

Abstract

Introduction: Lacrimal gland tumors encompass a wide spectrum of benign, malignant and inflammatory conditions. Understanding the clinico-demographic profile and histopathological findings is crucial for early detection, determining appropriate treatment strategies and improving patient outcomes. Methods: This was a retrospective observational study of patient with lacrimal gland lesions diagnosed at the Reconstructive Oculoplastic and Oncology department at a tertiary care hospital in Central Java. Thirty-nine patients with biopsy-proven lesions between January 2021 and December 2024 were included. Clinical characteristics including age, sex, laterality, symptom duration, proptosis, lagophthalmos, and ocular motility restriction were evaluated. Histopathological diagnoses were categorized into benign, malignant, and inflammatory lesions. Statistical analyses were performed to assess associations between clinical variables, sex, and tumor classification. Results: A total 47 eyes of 39 patients were retrospectively reviewed. The mean age of patients was 46.15 ± 20.27 years (range 2–76), with 48.7% male and 51.3% female. Malignant tumors were more frequent in patients older than 60 years (69.2%), while benign tumors were more common in patients aged 40–59 years (60.0%). Histopathological analysis demonstrated that lymphoid and inflammatory disorders were the most common lesions. Inflammatory disorders consisted of dacryoadenitis and systemic inflammatory disease (sarcoidosis). Proptosis and shorter symptom duration were significantly associated with malignancy, whereas bilateral involvement was significantly associated with inflammatory disorders. No statistically significant difference in tumor classification was observed between male and female patients. Conclusion: Lymphoid and inflammatory disorders were the most prevalent lacrimal gland lesions. Identifying clinical markers such as proptosis, symptom duration, laterality can assist in early malignancy detection and guide management decisions effectively. This study is limited by its retrospective design, single-center setting, and small sample size, which may introduce selection bias and limit generaizability.