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All Journal MAHESA : Malahayati Health Student Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Oftalmologi: Jurnal Kesehatan Mata Indonesia
Boesoirie, Shanti Fitrianti
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Karakteristik Klinis Pasien Ptosis Yang Telah Dilakukan Operasi Di Pusat Mata Nasional Rumah Sakit Mata Cicendo Madyaputra, Faris Mufid; Kartiwa, Raden Angga; Dahlan, M Rinaldi; Boesoirie, Shanti Fitrianti
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.v4i2.36

Abstract

Introduction Ptosis is a condition of abnormal upper eyelid position in the primary gaze resulting in a decrease palpebral fissure width. Comprehensive assessments including history taking, physical and thorough eye examination are essential to determine the diagnosis and to decide the most appropriate management of ptosis according to the underlying etiology. The surgical intervention used in ptosis patients is based on the result of the physical examination. Purpose To describe the clinical characteristic of ptosis patient whom underwent surgical intervention at National Eye Center Cicendo Eye Hospital. Methods A descriptive retrospective study was conducted from medical records of ptosis patient after surgical intervention at National Eye Center Cicendo Eye Hospital, from January 2018 to December 2020.  Results A total of 91 patients were reviewed. The median age was 19 years old, gender dominated by women. Of these patients, 66 (72.5%) patients had congenital ptosis and unilateral in 80 (87.9%) cases. Results obtained severe ptosis was the highest in ptosis degree as for 72 (79.1%). In total, 58 (63.7%) patients having moderate levator function.  Levator resection repair technique was the method of choice in 51 (56%) patients. Conclusion The most commonly found clinical characteristics in ptosis patients whom underwent surgical intervention was severe degree ptosis and congenital ptosis.
Clinical Characteristics And Success Of Ptosis Surgery At Indonesia National Eye Center Cicendo Eye Hospital During January 2016 – December 2020 Widhyasti, Rahayu; Boesoirie, Shanti Fitrianti
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14062

Abstract

Introduction: Ptosis is defined as drooping of the upper eyelid. Unilateral or bilateral ptosis can affect appearance and visual function, both of which can negatively impact quality of life. It may be congenital or acquired, determined by the timing of onset.Purpose: To describe clinical characteristics and surgical outcomse in ptosis correction surgery at Indonesia National Eye Centre, Cicendo Eye Hospital.Methods: This is a descriptive-retrospective study, medical records of patients who was admitted to Indonesia National Eye Centre, Cicendo Eye Hospital, from January 2016 to December 2020 with diagnosis of eyelid ptosis were included in this study.Results: From total of 189 patients (209 eyes) in this study, there were 41,8% male and 58,2% female patients with median age 22 years at the first time of visit. Most of the patients had unilateral ptosis (89,5%), and 10,5% had unilateral ptosis. According to the etiology of ptosis, 34,2% eyes were neurogenic ptosis. Degree of ptosis were severe in 70,9% eyes and most patients had fair levator function. Success rate were more than 95% in ptosis patient who underwent surgery.Conclusion: Majority of ptosis patient in Indonesia National Eye Centre, Cicendo Eye Hospital were caused by neurogenic followed by mechanical, traumatic, aponeurotic, myogenic, and pseudoptosis. Female patients were more common than male patients and median age at the first time visit were during second decade of life. Surgical outcome in ptosis tend to have high clinical success rates.Keywords: Characteristic; Outcome; Ptosis; Surgery 
The diagnostic challenge of orbital tuberculosis in an otherwise healthy individual: A case report Kartiwa, Raden Angga; Elsyanty, Firda Muthia; Setiawan, Grace; Dewi, Niluh Putu Ayu; Boesoirie, Shanti Fitrianti; Dahlan, Mohammad Rinaldi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 3, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss3.art15

Abstract

Ocular tuberculosis occurs in 1.5-18% of all extrapulmonary tuberculosis cases, with orbital tuberculosis being a very small proportion of all cases of ocular tuberculosis. High variability of manifestations of orbital tuberculosis may result in delayed diagnosis. Children are the populations most affected by this disease. This study aims to report a case of orbital tuberculosis in a patient without systemic tuberculosis symptoms. We presents a 13-year-old girl who is reported protrusion of the right eye for four months. She complained diplopia and pain in the right eye radiating to the head. She reported no other systemic symptoms. Ophthalmological examination revealed that her best corrected visual acuity of the right eye was 0.25, and the left eye was 1.0. The movement of the right eye was limited to the superior, temporal, and nasal directions. Anterior segment examinations demonstrated proptosis of the right eye with 3 mm of lagophthalmos. The patient then underwent an orbitotomy and biopsy procedure. Histopathological analysis revealed chronic granulomatous inflammation with Langerhans cells, indicative of tuberculosis. The patient was diagnosed with proptosis of the right eye and multiple cranial nerve palsy due to orbital tuberculosis. The patient was subsequently prescribed an antituberculosis treatment and attended regular monthly follow-ups. Ten months after surgery and completed antituberculosis treatment, the proptosis improves and there is no further growth of the mass. Orbital tuberculosis is a rare condition and is often challenging to diagnose, particularly in healthy individuals. Thorough history taking, physical examination, and ancillary testing are essential to establish an accurate diagnosis. This case emphasizes the necessity for heightened suspicion of tuberculosis in atypical presentations, particularly in pediatric patients in endemic areas, to prevent morbidity and ensure timely treatment.
Co-Authors Dahlan, M Rinaldi Dahlan, Mohammad Rinaldi Dewi, Niluh Putu Ayu Elsyanty, Firda Muthia Kartiwa, Raden Angga Madyaputra, Faris Mufid Setiawan, Grace Widhyasti, Rahayu