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All Journal Heca Journal of Applied Sciences Indonesian Journal of Case Reports Grimsa Journal of Science Engineering and Technology
Toshniwal, Navneet Shamsundar
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Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Earth & Planetary Sciences Engineering Health Professions Medicine & Pharmacology Neuroscience Physics Public Health

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The Complexity of Handling Posterior Subcapsular Cataract Case Imelda, Eva; Siti Rain Jannah; Sarra Mutiara Adev; Toshniwal, Navneet Shamsundar
Heca Journal of Applied Sciences Vol. 1 No. 1 (2023): June 2023
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/hjas.v1i1.13

Abstract

Cataracts or “katarrhakies” in Greek means waterfall. This term is used because the vision in cataract patients is described as a closed waterfall due to the clouding of the lens. PSCs (posterior subcapsular cataracts) might cause symptoms within months. and can cause worse visual disturbances compared to other types of senile cataracts. A 63-year-old man came to the Department of Ophthalmology at RSUD Dr. Zainoel Abidin with a chief complaint of blurry vision in both eyes since two years ago and felt more severe in the left eye. The patient also complained of difficulty seeing an object and reading at close range. On physical examination, a cloudy lens was found in the central posterior part of his both eyes the iris shadow test of both eyes was positive. The patient was diagnosed with posterior subcapsular cataract oculus dexter and sinister (ODS). The patient was planned to undergo phacoemulsification and intraocular lens (IOL) implantation in his left eye. The patient came back in the next couple weeks after surgery and it shows that his left eye visual acuity was 20/20 and the ocular anatomy was in good condition. Nowadays, phacoemulsification is still the first choice in PSC therapy. This type of cataract is difficult to treat because the cataract is still thin and the lens is mostly transparent, but it often causes glare and vision impairment which can interfere with daily activities.
Hippobroma longiflora L Leaves as a Natural Inhibitor of Cataract Progression: A Comprehensive Study Integrating Ethanol Extract, HPLC, and Molecular Docking Approaches Imelda, Eva; Fitria, Ulfa; Mutia, Ulmiza Putri; Syahrul, Syahrul; Sari, Masitha Dewi; Adev, Sarra Mutiara; Adev, Alya Mutiara; Zakiaturrahmi, Zakiaturrahmi; Toshniwal, Navneet Shamsundar
Grimsa Journal of Science Engineering and Technology Vol. 1 No. 2 (2023): December 2023
Publisher : Graha Primera Saintifika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61975/gjset.v1i2.10

Abstract

Cataract remains the highest preventable cause of blindness in the world. The H. longiflora plant (Hippobroma longiflora L) is a plant that has empirically been widely used to treat a variety of eye diseases including cataract. This plant has high antioxidant activity due to its high phenolic and flavonoid content. The H. longiflora plant was extracted using an ethanol solvent and its compound content was analyzed using GCMS and phytochemistry analysis. The extracts obtained were tested with TPC, TFC, antioxidants and quercetine compound with HPLC. From phytochemical and GCMS analysis, it was found that triterpenoid compounds were not found in the sample, and the compound 1-Isobutyl-2,5-dimethyl-4-phenyl-piperidin-4-ol was the most abundant (37.77%), as well as 4-Penten-1-ol, 5-phenyl-3-pperidino (1,30%) were the least abundant in the ethanol extract of the H. longiflora leaves extract. The total phenolic, flavonoid and HPLC results of quercetin were 139.21 mg GAE/g; 11.48 mg QE/G and 0.009 mg/G. Meanwhile, in an antioxidant activity test, it was found that the ethanol extract of the H. longiflora leaves has very strong antioxidants. This finding revealed the potential of ethanol extracts of H. longiflora leaves as a cataract inhibitor through its process as an antioxidant.
Challenges in Hypermature Senile Cataract with Intracapsular Cataract Extraction for Wide Zonular Dehiscence: A Case Study Imelda, Eva; Jannah, Raudhatul; Jannah, Siti Rain; Adev, Sarra Mutiara; Toshniwal, Navneet Shamsundar
Indonesian Journal of Case Reports Vol. 1 No. 1 (2023): August 2023
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v1i1.70

Abstract

A cataract is a condition characterized by clouding of the eye's lens. Senile cataracts progress through four stages: incipient, immature, mature, and hypermature. These stages are determined by the degree of lens cloudiness and the extent of lens mass involvement. In the hypermature stage, the entire lens capsule becomes wrinkled, and its contents become either solid and wrinkled or soft and liquid. An 83-year-old female patient presented to the Department of Ophthalmology at RSUD dr. Zainoel Abidin Banda Aceh with a gradual decrease in vision over the past four years. Ophthalmological examination using a slit lamp revealed cloudiness throughout the lens mass, a brownish-white lens color, wrinkling of the anterior capsule, and visible zonular dehiscence at approximately 90 degrees. The patient's left eye pressure measured 23 mmHg. A surgical plan for Intracapsular Cataract Extraction (ICCE) was made. Despite the surgery, the patient's visual function remained poor. Consequently, a second surgery for IOL insertion was scheduled six weeks after the initial procedure. The patient's visual function is anticipated to improve following the second IOL insertion surgery.
From Bright to Brightness: Mastering the Management of Bilateral Congenital Cataracts Imelda, Eva; Nuzhatuddin, Fatimah; Jannah, Siti Rain; Adev, Sarra Mutiara; Adev, Alya Mutiara; Toshniwal, Navneet Shamsundar
Indonesian Journal of Case Reports Vol. 1 No. 2 (2023): December 2023
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v1i2.97

Abstract

Congenital cataract is the leading cause of vision loss in newborns and children, and it is caused by an opacity of the eye's lens that occurs at birth or within the first few months of life. Congenital cataracts may develop as unilateral or bilateral. Around 50% of cases of it are considered as idiopathic. A 4-month-old boy was brought by his parents to the Department of Pediatric Ophthalmology and Strabismus in RSUD dr. Zainoel Abidin Banda Aceh with a chief complaint of a white spot on the patient’s right eye. The spot had appeared since birth and became more visible when he was 2 months old. The patient's overall condition was good. Both eyes' visual acuity was blink reflex. The ocular pressure in both eyes was normal. An ophthalmologic examination revealed a fully clouded right eye lens and aphakia in the left eye. The patient had undergone cataract surgery on his left eye on September 6th, 2023. He was diagnosed with Congenital Cataract Oculus Dexter (OD) and Aphakia Oculus Sinister (OS) before surgery. The patient underwent right eye cataract surgery with aspiration irrigation (AI), Primary Posterior Capsulotomy (PPC), and Anterior Vitrectomy (AV) without Intraocular Lens (IOL) implantation within the next two weeks.  Following the surgery, the patient's visual function improved to fix and follow the object, the pupils looked round in both eyes, aphakia, and no membrane development. The patient was prescribed glasses for optical rehabilitation.
Strategies for Preserving Vision in Secondary Glaucoma Post Congenital Cataract Surgery Imelda, Eva; Gianty, Jauza Aqilla; Adev, Alya Mutiara; Toshniwal, Navneet Shamsundar
Indonesian Journal of Case Reports Vol. 1 No. 2 (2023): December 2023
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v1i2.127

Abstract

Congenital cataract is an eye disorder in the form of impaired lens transparency due to cloudiness that appears at birth or immediately after birth. Post-congenital cataract surgery requires regular monitoring to prevent complications that can reduce visual function. Therefore, this case report aims to describe the incidence of secondary glaucoma in patients with aphakia after congenital cataract surgery with uncontrolled post-operative monitoring regularly. A 4-year-old boy patient was brought by his parents with complaints of reappearance of white spots in the left eye which had become increasingly widespread in the last 2-3 months. Complaints accompanied by a feeling of glare in bright places. The patient's parents said the patient could not focus on seeing objects around him. The patient had a history of congenital cataract surgery in both eyes 2 years ago and did not have routine follow-up after cataract surgery. Congenital cataract is a lens clouding that can occur unilaterally or bilaterally when the child is born or immediately after birth. If monitoring is not carried out routinely, the most common condition that occurs in aphakic after congenital cataract surgery is secondary glaucoma. Regular monitoring after congenital cataract surgery is necessary to achieve successful management and prevent complications.
Unilateral Congenital Cataracts: Best Practices and Case Studies for Effective Management Imelda, Eva; Sari, Cut Refida; Toshniwal, Navneet Shamsundar
Indonesian Journal of Case Reports Vol. 2 No. 1 (2024): June 2024
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v2i1.175

Abstract

Congenital cataract is a clouding of the eye lens in children, which contributes to blindness in 5% to 20% of children throughout the world. Cataracts can occur unilaterally or bilaterally and can vary in size, morphology, and degree of opacification. This report aims to comprehensively diagnose and treat unilateral cataracts and provide optical rehabilitation. A 3-month-old baby boy was brought by his family with complaints of a white spot on the right eye, which the family had known about since the patient was one month old. The patient was diagnosed with a congenital cataract and underwent surgery, which included aspiration irrigation, primary posterior capsulotomy, and anterior vitrectomy under general anesthesia. The use of glasses is chosen as optical rehabilitation. Collaborative management is also done with pediatric specialists, ENT, and pediatric cardiology. It was concluded that congenital cataract management aims to prevent amblyopia by clearing it as soon as possible (Clear Visual Axis) and optical rehabilitation (Clear Retinal Image) to improve the vision prognosis.
Through a Hazy Lens: A Teen’s Surprising Struggle with Juvenile Cataracts Imelda, Eva; Jannah, Siti Rain; Annisa, Thyfa; Adev, Sarra Mutiara; Toshniwal, Navneet Shamsundar
Indonesian Journal of Case Reports Vol. 2 No. 2 (2024): December 2024
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v2i2.250

Abstract

A juvenile cataract is a condition in which the eye's lens gets cloudy, affecting children and teenagers and considerably impairing vision. It accounts for approximately 5% to 20% of childhood blindness worldwide. A 16-year-old male patient came with his parents to the Pediatric Ophthalmology and Strabismus Department of RSUD dr. Zainoel Abidin with complaints of blurred vision in both eyes. The patient admitted that his visual acuity was deteriorating, and he had difficulty seeing the blackboard when the teacher explained it at school. There were no factors that aggravated or relieved the patient's complaints. The ophthalmologic examination showed the visual acuity of both eyes was 6/30, and the bilateral lenses were opaque. The patient was diagnosed with juvenile cataract oculi dextra et sinistra. Subsequently, the patient was planned for aspiration irrigation with intraocular lens (IOL) insertion in both eyes, membranectomy, primary posterior capsulectomy (PPC), and anterior vitrectomy (AV). Following the surgery, the visual acuity of both his eyes was improved to 6/7 and 6/10. The patient was also prescribed oral and topical antibiotics and topical anti-inflammatories to prevent infection and persistent inflammation after surgery. After surgery, the patient was also planned for optical rehabilitation one month postoperatively by being prescribed glasses with the best correction of 6/6 in both eyes.
Co-Authors Adev, Alya Mutiara Adev, Sarra Mutiara Annisa, Thyfa Fitria, Ulfa Gianty, Jauza Aqilla Imelda, Eva Jannah, Siti Rain Mutia, Ulmiza Putri Nuzhatuddin, Fatimah Raudhatul Jannah Sari, Cut Refida Sari, Masitha Dewi Sarra Mutiara Adev Siti Rain Jannah Syahrul Syahrul Zakiaturrahmi, Zakiaturrahmi