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Karakteristik Klinis Pasien Laserasi Kelopak Mata Akibat Trauma di Pusat Mata Nasional Rumah Sakit Mata Cicendo Riza, Afdal; Kartiwa, Raden Angga
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.v4i2.32

Abstract

Introduction : Trauma of eyelids due to sharp object, blunt object, road traffic accidents etc. are the major causes resulting in injuries to eyelids. A good identification and prompt treatment can improve the outcome of palpebral laceration.  Purpose : To describe clinical characteristics of eyelids laceration due to trauma without involvement of lacrimal system and other orbital Methods : A retrospective descriptive cross sectional  study was conducted. Data is taken from medical records of patients diagnosed as eyelid laceration from January 2016 to November 2020. Age, gender, laterality, first reference, place, onset, cause, site of trauma, depth, outcome, complication and System for Peri-Ocular Trauma (SPOT) classification was reviewed. Results : This study comprised of total 157 patients. Most of them were males 119 (75.80%) with median of age 24. The main mechanism of injury was direct trauma 88 (56.05%). The location where the injury occured was road side accidents 81 (51.59%). Superior eyelid was the most affected 96 (61.15%). Subcutaneus tissue as wound base 68 (43.31%) and affected to margin of eyelid 36 (22.92%). Hypertropic scar was the most complication found in 40 (25.47%). The most common SPOT  type injury were  Type IA. Conclusion : Eyelids laceration due to trauma is common in male productive age, mainly affecting superior palpebra, mostly because of road side accidents. Hypertropic scar was most complication beside traumatic ptosis, lagophthalmos and lid margin notching. The SPOT classification can simplify a recording of palpebral injuries.
Histopathology of Rabbit Eyelid Laceration Healing With and Without Hyperbaric Oxygen Therapy Riza, Afdal; Boesoirie, Shanti F.; Caesarya, Sesy; Mardianty, Friska; Rahayu, Putri
Vision Science and Eye Health Journal Vol. 5 No. 3 (2026): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i3.2026.91-96

Abstract

Introduction: Effective management of eyelid trauma is essential to promote optimal healing and prevent cicatrix formation. Hyperbaric oxygen therapy (HBOT) has been proposed as an adjuvant treatment that increases oxygen delivery to plasma and tissues, thereby enhancing wound healing. Purpose: This study aimed to compare the histopathological features of wound healing in palpebral lacerations in rabbit models treated with and without HBOT. Methods: Samples meeting the inclusion criteria were included in the study. The HBOT group received 100% oxygen at 2.5 atmospheres absolute (ATA) for 1.5 hours daily over three consecutive days. Both groups received topical fusidic acid. Palpebral tissue samples were collected on day four, followed by hematoxylin-eosin histopathological examination on day five. Parameters assessed included anti-inflammatory cell count, vascularization, and collagen fibril density. Data were analyzed descriptively and through hypothesis testing. Results: It demonstrated that the HBOT group had a significantly higher mean number of anti-inflammatory cells (133.17 ± 11.907) compared to the control group (111.50 ± 17.649; p = 0.032). Vascularization was lower in the HBOT group (11.83 ± 3.00) than in the control group (14.83 ± 3.312), although this difference was not statistically significant (p = 0.114). Collagen fibril density showed no significant difference between groups (p = 0.699). Conclusions: HBOT improved macroscopic wound healing and increased the presence of anti-inflammatory cells. Although differences in collagen density and vascularization were not statistically significant, HBOT showed a favorable trend in enhancing wound healing compared with standard treatment alone.