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All Journal Jurnal Kedokteran Anatomica (Anatomica Medical Journal) Ophthalmologica Indonesiana
Iskandar, Raden Fitri Fatimah
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Dentistry Health Professions Medicine & Pharmacology Neuroscience Public Health

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Menyibak Fuchs' Endothelial Corneal Dystrophy sebagai Penyebab Edema Kornea Iskandar, Raden Fitri Fatimah; Idrus, Elfa Ali; Fajriansyah, Angga
ANATOMICA MEDICAL JOURNAL | AMJ Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v7i2.17752

Abstract

Abstrak: Kornea melindungi permukaan okular terhadap paparan eksternal dan patogen. Struktur kornea memiliki regulasi sehingga kejernihan dan fungsinya tetap terjaga. Jumlah sel endotel yang memadai menyebabkan fungsi optimal dari epitel dan stroma, berfungsi bersama dalam homeostasis dan kejernihan. Tujuan laporan kasus ini adalah untuk menyajikan kasus pasien dengan distrofi kornea Fuchs dan membahas terkait beberapa etiologi edema kornea. Laporan kasus: Pasien laki-laki 79 tahun dirujuk dengan keluhan utama buram dan nyeri pada mata kiri. Pasien sebelumnya telah diobati dengan terapi anti-virus karena sebelumnya diagnosis dengan keratitis Herpes Simpleks Virus. Pemeriksaan oftalmologi menunjukkan adanya guttae pada lapisan endotel kornea mata kanan serta edema pada mata kiri. Pasien menjalani pemeriksaan dengan specular microscope dan Optical Coherence Tomography segmen anterior untuk melihat detil anatomi kornea. Pasien didiagnosis dengan Fuchs’ endothelial corneal dystrophy; pasien mendapat terapi obat tetes mata hypertonic agent dan bandage contact lens. Pada waktu kontrol satu minggu berikutnya terjadi peningkatan tajam penglihatan. Diskusi: Kornea yang edema dapat disebabkan oleh beberapa sebab. Gambaran klinis masing-masing etiologi dapat tumpang tindih. Kesimpulan: Fuchs’ Endothelial Corneal Dystrophy ditandai dengan adanya kehilangan sel endotel yang progresif, pada dekade ke 5 kehidupan. Gambaran khas berupa guttata pada endotel dan penebalan membran Descemet’s, sehingga terjadi edema, nyeri dan penurunan tajam penglihatan. Terapi diberikan sesuai derajat keparahan.Kata Kunci: kornea, edema kornea, distrofi, Fuchs’s
ND:YAG Laser Vitreolysis as The Management of Occluded Tube After Glaucoma Drainage Device Implantation (GDD): Poster Presentation - Case Report - Resident Iskandar, Raden Fitri Fatimah; Gustianty, Elsa; Umbara, Sonie; Prahasta, Andhika; Rifada, R. Maula
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: 10.35749/1drs8325

Abstract

Introduction : Glaucoma Drainage Devices (GDD) implantation surgery can be an alternative therapy for patients with uncontrolled IOP after trabeculectomy. However, tube occlusion is a common complication of GDD implantation. Management of tube occlusion can be done using laser or with surgery. This case presents the management of vitreous occlusion of tube implant using ND:YAG laser-vitreolysis. Case Illustration : A 63 year-old male patient came with chief complaint of pain in his right eye. The patient had a history of cataract surgery on the right eye and was diagnosed with glaucoma. An examination showed IOP in the right eye was increased, vitreous in COA and lens was aphakic with posterior capsule rupture. The patient had undergone trabeculectomy, but IOP remained high, so an Aurolab Aqueous Drainage Implant (AADI) GDD implantation was performed. However, six weeks after the procedure, the IOP still increased, and an examination revealed vitreous occlusion of the GDD tube (Figure 1) . The patient underwent Zeiss ND-YAG laser-vitreolysis on his right eye (Figure 2) with laser spot size of 50?m and power of 2.1 MJ. Post laser IOP was decreased. Discussion : GDD implantation is a surgical option for primary or secondary therapy, but tube occlusion can cause implantation failure. Laser-vitreolysis is a non- invasive modality to treat tube occlusion caused by vitreous. Conclusion : GDD occlusion can occur due to various etiologies, but laser-vitreolysis is a non-invasive treatment option aimed at restoring tube patency and aqueous outflow.
Co-Authors Elsa Gustianty Fajriansyah, Angga Idrus, Elfa Ali Prahasta, Andhika Rifada, R. Maula Umbara, Sonie