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All Journal Indonesian Journal of Case Reports Grimsa Journal of Science Engineering and Technology
Jannah, Siti Rain
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Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Engineering Health Professions Medicine & Pharmacology Neuroscience Physics Public Health

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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.
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.
Early Intervention in Unilateral Retinoblastoma: A 2-Year-Old’s Journey Through Enucleation and Evidence-Based Care Imelda, Eva; Adev, Sarra Mutiara; Jannah, Siti Rain; Toshniwal, Nikhil
Indonesian Journal of Case Reports Vol. 3 No. 1 (2025): June 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i1.290

Abstract

Retinoblastoma is a neoplasm that arises from the retina and is frequently observed in pediatric patients, with a high degree of morbidity, particularly in underdeveloped nations. The classification of this tumor is based on its spread (intraocular and extraocular) and location (unilateral, bilateral, trilateral, and quadrilateral). Unilateral retinoblastoma is the most prevalent form, accounting for 60–70% of cases. A 2-year-old female patient was brought to the Eye Clinic of the Pediatric and Strabismus Department of Dr. Zainoel Abidin Regional Hospital by her parents with a complaint of a white spot in the center of her left eye, accompanied by decreased visual acuity for 3 months. A subsequent examination, using ultrasound (USG), revealed a mass at the base of the retina, accompanied by calcification and infiltration into the vitreous. An orbital scan revealed intraocular calcification, exclusively in the left eye. The patient was diagnosed with unilateral leukocoria OS et causa retinoblastoma grade E. Subsequent treatment plans included OS enucleation and EUA (Examination Under Anesthesia) procedures. Following the EUA procedure, no mass was identified in the right eye. An anatomical pathology examination revealed no spread to the optic nerve; therefore, chemotherapy was not given.
Managing the Maze: Advanced Approaches to Pediatric Cataract Complications Imelda, Eva; Jannah, Siti Rain; Adev, Sarra Mutiara; Toshniwal, Nikhil
Grimsa Journal of Science Engineering and Technology Vol. 3 No. 1 (2025): April 2025
Publisher : Graha Primera Saintifika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61975/gjset.v3i1.80

Abstract

Complicated cataract is a condition characterized by opacification of the crystalline lens due to intraocular diseases, particularly inflammatory conditions and other abnormalities. It often affects younger age groups, leading to visual impairment that typically requires surgical intervention. A 3-year-old girl presented with complaints of white spots in both eyes for one week. Following a physical examination and ultrasonography, she was diagnosed with bilateral complicated cataracts. The patient was scheduled for procedures including synechiolysis and irrigation-aspiration. However, due to intraoperative complications, additional procedures were necessary. Postoperatively, the patient was treated with antibiotic and anti-inflammatory medications and underwent optical rehabilitation using spectacles. This case highlights the management of pediatric cataracts and the challenges involved, with particular focus on postoperative optical rehabilitation to prevent amblyopia. Prompt and appropriate treatment of cataracts in children is crucial to clear the visual axis and restore a clear retinal image, thereby preventing the development of amblyopia.
Co-Authors Adev, Alya Mutiara Adev, Sarra Mutiara Annisa, Thyfa Imelda, Eva Nuzhatuddin, Fatimah Raudhatul Jannah Toshniwal, Navneet Shamsundar Toshniwal, Nikhil