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Transvaginal Ultrasound as an Indicator of Preterm Birth Wibisono, Jacobus Jeno; Onasis, Serena; Nikendari, Sri Mulyani Rana; Andhika, Aryasena; Wibisono, Maria Georgina
Medicinus Vol 12, No 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v10i3.7039

Preterm Birth is delivery that occurs when the mother's gestational age is 20-36 weeks starting from the first day of the last menstrual period with a fetal weight still below 2500 grams. In preterm birth there are regular uterine contractions that cause thinning or dilation of the cervix before 36 weeks of gestation is complete. Approximately 50% of sequelae that occur in children are due to preterm birth. It is known that cervical dilatation in pregnant women is associated with preterm birth, so there are several screening methods that are used to predict preterm birth, including cervical length examination. Transvaginal ultrasound examination is a safe method of examination to measure cervical length objectively. Cervical length less than or equal to 25 mm or cervical dilatation 70% to 100% are expected to have preterm birth.

Lower Lid Entropion in a 78-year-old Female: A Case Repor Irma, Josiah; Onasis, Serena; Permatasari, Nivia
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 2 (2022): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v4i2.31

Introduction: Entropion is a malposition of the eyelids in which the eyelid margin folds inward and causes irritation to the eye. It can be caused by congenital, spastic, cicatricial and involutional entropion. Involutional entropion affects 10.6% in group over the age of 60, especially in Asian races as compared to Caucasian races.1 It can have adverse effect on the eye such as trichiasis in which the eyelashes protrudes inwards towards the eyeball, leading to persistent erosions of punctate epithelium, pannus formation or ulcers. Definitive treatment for entropion is surgical intervention when feasible, such as the Jones procedure. The prognosis of corrective surgical intervention is highly correlated to the successfulness of the surgery and wound healing process of the patient, thus needing highly accurate and cautious procedure.2 Methods: This case report was taken from the Eye Clinic of Rumah Sakit Umum Siloam, in February 2022. Results: A 78 years-old female presented with complaints of discomfort, foreign body sensation, irritation, itching, and glare in both eyes since 1 year ago. She had a history of cataract surgery 3 years ago. Conclusions: Anamnesis and ophthalmological examinations results lead to suspected glaucoma, involution entropion ODS and pseudophakia ODS. Blepharoplasty was performed on the patient with appropriate surgical and therapeutic techniques. The post-operative examination showed results indicating a good prognosis in this patient.

EMPTY SELLA SYNDROME: THE GREAT IMITATOR OF VISUAL COMPLAINTS Irma, Josiah; Onasis, Serena; Rizki, Dr.Saraswati; Ketaren, Dr.Retno; Budimulia, Patricia
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.47

Introduction: Empty Sella Syndrome is a rare condition of sella turcica malformation, resulting in pituitary gland shrinkage. It may manifest as neurological symptoms, endocrine disorders, visual disturbances, or even incidental findings during imaging. However, patients rarely come with typical complaints thus an extended course and review of this case is needed to prompt suspicion and aid in the diagnosis of ESS. Case Presentation: A 45-year-old woman with cephalgia, bitemporal hemianopia, previous transient bilateral visual loss, and foggy vision. A history of ovarian cancer was noted. Physical examination showed myopic astigmatism ocular dextra sinistra (ODS) with increased intraocular pressure and bitemporal hemianopia ODS. Posterior chamber examinations were within normal limits. Optical coherence tomography showed nasal retinal nerve fiber layer ODS being the thinnest among the rest, although still within normal limits. Neurological examinations also suggested the presence of central vertigo. This subsequently resulted in a suspicion of space-occupying lesion chiasmal compression through metastasis. Discussion: MRI revealed an empty sella turcica. A laboratory examination was then ordered and showed normal endocrinology results. The diagnosis of Primary Empty Sella Syndrome with ocular hypertension was established. The patient was prescribed timolol, codeine, and dexamethasone. A month later during her follow-up, the patient did not show improvement and was suggested to do an MRI with contrast, however, this patient was lost to follow-up. Conclusion: This case report highlighted the manifestation to raise suspicion and aid in the diagnosis of ESS for an optimal and improved diagnosis and treatment of ESS.

Transvaginal Ultrasound as an Indicator of Preterm Birth Wibisono, Jacobus Jeno; Onasis, Serena; Nikendari, Sri Mulyani Rana; Andhika, Aryasena; Wibisono, Maria Georgina
Medicinus Vol. 12 No. 2 (2023): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v10i3.7039

Preterm Birth is delivery that occurs when the mother's gestational age is 20-36 weeks starting from the first day of the last menstrual period with a fetal weight still below 2500 grams. In preterm birth there are regular uterine contractions that cause thinning or dilation of the cervix before 36 weeks of gestation is complete. Approximately 50% of sequelae that occur in children are due to preterm birth. It is known that cervical dilatation in pregnant women is associated with preterm birth, so there are several screening methods that are used to predict preterm birth, including cervical length examination. Transvaginal ultrasound examination is a safe method of examination to measure cervical length objectively. Cervical length less than or equal to 25 mm or cervical dilatation 70% to 100% are expected to have preterm birth.

Does Duration of Wearing Face Masks Cause Dry Eye Disease Among Medical Students in Indonesia: A Cross Sectional Study Angelius, Chelsie; Irma, Josiah; Onasis, Serena; Rizki, Saraswati Anindita; Budimulia, Patricia; Salim, Jonathan; Lesmana, Maria Vashti Zerlinda
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 7 No 2 (2025): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v7i2.86

Introduction: During the COVID-19 pandemic, infection control protocols required universal mask use. At the same time, increased reports of dry eye symptoms emerged. Prior studies showed inconsistent results. This study aims to clarify the association, hypothesizing that prolonged mask wearing is linked to a higher risk of dry eye disease. Methods: This study is an analytical comparative cross-sectional study. The purposive sampling technique was used to collect samples. To diagnose dry eye disease, the Ocular Surface Disease Index (OSDI) questionnaire was used. The cut off score we used is >12 points in OSDI. Two categories were established to assess mask usage duration: <6 hours or ≥ 6 hours per day. Data were collected in January 2023 from 278 respondent medical students in Tangerang, Indonesia. Bivariate chi-square data analysis was performed using SPSS 25.0 software. Discussion: 82 respondents (29.5%) experienced dry eye disease, and 221 respondents (79.5%) used masks for ≥ 6 hours during effective working days along the week. No significant relationship was found between both variables. (OR = 0,883; 95% CI: 0.471-1.658; p = 0.669). Results: There was no association between using masks for a longer period of time to dry eye disease.

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