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Maharani, Ratih Natasha
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Journal : Ophthalmologica Indonesiana

 1 
BILATERAL CONGENITAL MYDRIASIS WITH ACCOMPANYING MIXED DEVELOPMENTAL DELAY Wulandari, Fadhilah Putri; Akib, Marliyanti N.; Maharani, Ratih Natasha; Patong, Rani Yunita
Majalah Oftalmologi Indonesia Vol 49 No S1 (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/mws1q537

Abstract

Introduction: Congenital bilateral mydriasis is a rare condition characterized by fixed dilated pupils unresponsive to light. It may occur associated with cardiovascular syndrome, gastrointestinal malformation, or developmental delay. Referred causes in comprehensive differential diagnosis for congenital mydriasis include alterations in ocular structures, ocular innervation alterations and others secondary to trauma, infection, or topical medication. Case Illustration: A 10 months-old boy presented to the hospital with large pupils in both eyes since birth. He has a persistent pupillary membrane with 9 mm diameter of pupil and unable to respond to light in both eyes. The pupillary response test using pilocarpine solution 0.1% showed no difference in diameter of pupils. Comprehensive pediatric examination revealed developmental delay. Computed tomography and laboratory result (laboratory blood count, toxoplasmosis, and cytomegalovirus) within normal limit. After eight months follow up, no significant change in pupil size or light responsiveness was found. Discussion: Comprehensive examination of anterior to posterior segments of the eyes is imperative on the lookout for underdiagnosed diseases. Clinical assessment remains vital for guiding investigations. Observation is required to detect the presence of certain systemic abnormalities that frequently do not manifest at birth. Conclusion: Congenital mydriasis can be diagnosed quickly in ordinary conditions, but it can be quite challenging when it presents as a coincidental finding of other spectrum diseases. It is important to perform a comprehensive general and eye examination to rule out any serious condition related to it. Keyword: Bilateral congenital mydriasis, dilated pupil, mixed developmental delay, pediatric ophthalmology
SURGICAL OUTCOME OF MUSCLE TRANSPLANTATION AS A MONOCULAR SURGERY FOR LARGE ANGLE STRABISMUS Puspita, Ika; Patong, Rani Yunita; Marlyanti Nur Rahmah; Maharani, Ratih Natasha
Majalah Oftalmologi Indonesia Vol 49 No S1 (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: 10.35749/3b75em22

Abstract

Introduction: The management of large-angle strabismus can be difficult for surgeons, and successful outcomes may require multiple surgeries. However, modern surgical techniques aim to achieve desired results with a single operation. Muscle transplantation is one such technique that increases the effective muscle length, allowing for a large correction in a one-stage surgery. Objective: To report the outcome of muscle transplantation surgery in large-angle strabismus. Case Illustration: Three patients presented with large-angle strabismus, of which two cases showed >50∆ ET and one case had >50∆XT. All patients had normal anterior and posterior segment findings and underwent muscle transplantation under general anaesthesia. The first and second cases showed good alignment post-surgery, with no limitations in ocular motility in all gaze directions and improved visual acuity. However, none of the cases achieved stereoscopic vision due to chronic strabismus. In the third case, improvement in the primary position was observed two weeks post-operative, but ocular motility still had limitations. Conclusion: Muscle transplantation is a good option to correct large-angle strabismus, specifically in the unilateral case in a single procedure.
Co-Authors Aisyah, Windy Nurul Akib, Marliyanti N. Akib, Marliyanti Nur Rahma Akib, Marlyanti N. Akib, Marlyanti Nur Rahmah Amaliah M, A. Alya Amien, A.Farida Amir, Suliati P. Andi Tenri Sanna Anoez , Azizah Ardiansyah Paputungan, Muhammad Arifuddin, Andi Tenri Sanna Assagaf, Munjia Atjo, M Farizan Aulia, Aulia Chaeruni, Aulia Darma, Sidrah Darussalam, Andi Husni Esa Fadhillah Khalid, Nur Fauziah, Andi Safa Fendy Dwimartyono Habsad, Dina Izaida Harahap, Muh. Wirawan Hastiah, Hastiah Hidayat, Muh Fadli Ika Puspita, Ika Irsandy, Febie Irwan, Andi Alamanda Jafar, Muh. Alfian Jayanti, Usna Karim, Marzelina Lantara, Andi Millaty Halifah Dirgahayu M, A Alya Amaliah MARLYANTI NUR RAHMAH Maulidya, Dhinda Lunizar Namirah, Hanna Aulia Novriansyah, Zulfikri Khalil Nurmadilla, Nesyana Nursandi, Kurnia P. Amir, Suliati Patong, Rani Yunita Rahadatul Aisy, Andi Ariqah Rahmah Akib, Marliyanti Nur Risal, Sri Rifca Redjeki Safitri, Asrini Sapada, Andi Sesarina Tenri Ola Septiani, Clara Sodiqah, Yani Sofyan, Syukriyah Sommeng, Faisal Sri Irmandha K Sukardi, Muh Ikhsan Umar, Sittii Suleha Usman, Adinda Zahra Utami, Dian Fahmi Wulandari, Fadhilah Putri Zulfahmidah, Zulfahmidah