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All Journal Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Kartasasmita, Arief Sjamsulaksan
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Education Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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Structure and Macular Sensitivity Characteristic After Silicone Oil Removal in Primary Rhegmatogenous Retinal Detachment Haryono, Aditia Apriyanto; Widyanatha, Made Indra; Iskandar, Erwin; Kartasasmita, Arief Sjamsulaksan; Virgana, Rova; Ihsan, Grimaldi
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 3 (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.v4i3.42

Abstract

Introduction: Silicone oil (SO) is an endotamponade to manage several retinal detachments.The emulsification of silicone oil is one of the complications that may occur in several patients. Retinal macular changes may occur even with successful tamponade. Purpose: to describethe structure and macular sensitivity characteristic after silicone oil removal in primary rhegmatogenous retinal detachment (RRD). Methods: a prospective, descriptive case series study of who underwent SO tamponade for primary RRD. Optical coherence tomography (OCT) and microperimetry (MP-3) were conducted before SO removal and one week after SO removal. Result: There were nine eyes that met the criteria. The mean age of the patients was 53.3±14 years. Most of the patients use silicon 1300 (66.67%) and under six months (77.8%) duration of silicone tamponade. After silicone oil removal, mean macular sensitivity in the central fovea decreased from 12.44 dB to 12.11 dB, and parafovea increased from 18.33 dB to 19.00 dB.The mean macular thickness in the fovea decreased from 269.89μm to 260μm. The mean macular thickness in parafovea was an increase from 316.16 to 328.00μm Conclusion: There was an increase in macular sensitivity and thickness at parafovea after one- week silicone oil removal in primary rhegmatogenous retinal detachment.
GAMBARAN KEPATUHAN BEROBAT PASIEN RETINOPATI DIABETIK DI PMN RS MATA CICENDO 2021?2022 Naqiya, Wafa; Virgana, Rova; Kartasasmita, Arief Sjamsulaksan
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 2 (2023): Jurnal Oftalmologi Vol 5 No 2 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i2.54

Abstract

Pendahuluan: Retinopati diabetik (RD) merupakan komplikasi mikrovaskular penyakit diabetes melitus dengan angka pertumbuhan tinggi. Kepatuhan melakukan pemeriksaan rutin dan menjalankan tindakan khusus dapat mencegah progresivitas penyakit ini. Namun, penelitian mengenai gambaran kepatuhan berobat pasien retinopati diabetik belum pernah dilakukan di Indonesia. Penelitian ini bertujuan untuk mengetahui gambaran kepatuhan berobat pasien retinopati diabetik di PMN RS Mata Cicendo.  Metode: Penelitian ini merupakan penelitian observasional deskriptif dengan metode cross sectional, menggunakan data sekunder dari EMR, dan dilakukan pada periode 1 Januari 2021–31 Desember 2022 di PMN RS Mata Cicendo. Kepatuhan dinilai berdasarkan kepatuhan menjalankan masa awal pengobatan dan diukur melalui data tanggal registrasi, tindakan, dan perencanaan. Hasil penilaian kepatuhan kemudian dikelompokkan berdasarkan derajat retinopati diabetik, tipe diabetes melitus, jenis tindakan, jenis kelamin, usia, pekerjaan, pendidikan terakhir, dan domisili.  Hasil: Penelitian ini melibatkan 887 rekam medis dan 533 (60,1%) di antaranya dikategorikan patuh. Data menunjukkan persentase kepatuhan >60% pada pasien derajat berat seperti Proliverative Diabetic Retinopathy (61,6%); berjenis kelamin perempuan (60,2%); berusia muda kelompok 25–34 tahun (77,4%); berdomisili di Bandung Raya (64,4%) atau luar Jawa Barat (63,5%); berpendidikan terakhir tinggi sarjana muda (68,9%); bekerja sebagai pegawai swasta (67,1%), pengajar (72,7%), wiraswasta (61,3%), atau pensiunan (66,7%); memiliki tipe diabetes melitus terspesifikasi non-insulin dependent (64,2%) atau insulin dependent (80,9%); serta mendapat rekomendasi tindakan laser (64,1%).  Kesimpulan: Secara umum kepatuhan berobat pasien retinopati diabetik di PMN RS Mata Cicendo sudah mencapai >60%. Kepatuhan pasien kontrol dengan jangka waktu menengah (1–3 bulan), panjang (>6 bulan) masih harus ditingkatkan.
Complete Resolution of Central Serous Chorioretinopathy Cases Treated with Low Power Mode Laser Technology : A Novel Approach: Poster Presentation - Case Series - Resident Setiawan, Grace; Virgana, Rova; Widyanatha, Made Indra; Ihsan, Grimaldi; Kartasasmita, Arief Sjamsulaksan; Iskandar, Erwin
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/qr43j813

Abstract

Introduction : Central serous chorioretinopathy (CSC) is an idiopathic condition mostly affecting men in their 20s to 50s. It is characterized by serous fluid accumulation behind the neurosensory retina resulting in a localized macular detachment. Aldosterone-receptor antagonist and photodynamic laser therapy are the current mainstay of treatments, although most CSC cases can resolves spontaneously within 2 to 3 months. Low power mode (LPM) laser has emerged as a new effective technology to treat CSC. Case Illustration : Case 1: A 50-year-old male was diagnosed with recurrent chronic CSC since 2 months ago. His visual acuity declined even after given oral aldosterone receptor antagonist for two weeks, so he was scheduled to undergo LPM. After three weeks of laser treatment, CSC resolved and the visual acuity improved (Figure1). Case 2 : A 47-year-old male complained of decreased vision and metamorphopsia on his right eye since two weeks ago. He was diagnosed with CSC and underwent LPM. Three weeks after LPM, his vision improved and the metamorphopsia resolved (Figure2). LPM helps the migration of retinal pigment epithelium (RPE) cells to restore the outer blood-retinal barrier through expression of heat shock proteins. We used MC-500ViXi laser system (Nidek Co., Gamagori, Japan) and the laser parameters used in this study were 100?m spot size, 0.01s exposure time, 0.25-0.5 spacing, and 30% LPM ratio. Discussion : Conclusion : LPM is a new yet promising treatment modalities to treat acute and chronic CSC. Its low power nature makes LPM a safe choice of treatment with less damage to the surrounding retina.
Co-Authors Haryono, Aditia Apriyanto Ihsan, Grimaldi Iskandar, Erwin Naqiya, Wafa Rova Virgana Setiawan, Grace Widyanatha, Made Indra