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All Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Oftalmologi: Jurnal Kesehatan Mata Indonesia
Knoch, Andrew Maximilian Herman
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Education Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health

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KARAKTERISTIK PASIEN DAN LUARAN FEMTO LASIK DI PMN RS MATA CICENDO Budiman; Knoch, Andrew Maximilian Herman; Siagian, Helena Margareth Angelica
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 3 (2023): Jurnal Oftalmologi Edisi Desember 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i3.57

Abstract

Background: Refractive error ranks first among all other types of eye. However, there is currently no new research in Indonesia on the epidemiology of the most recent myopia patients or the results of Femto LASIK, which is one of the well-known refractive error remedies that the public is choosing these days. This study aimed to describe the characteristics and outcomes of patients who underwent Femto LASIK at the Cicendo National Eye Hospital throughout 2022.  Methods: A retrospective descriptive study was conducted using medical records of patients who underwent Femto LASIK surgery in 2022. Gender, age, level of education, place of residence, eye lateralization, motives for surgery, presenting visual acuity, best corrected visual acuity, degree of myopia, and refractive error correction were reviewed.  Results: A total of 209 patients were selected. The majority of the subjects were male (67,5%) with age ranging from 18 to 48 years. Most patients were high school graduates (84,2%) and resided in Java Island (48,8%). The surgery was predominantly performed on both eyes (88%) due to career requirements (60,3%) and for the correction of mild myopia (44,8%). Most patients presenting visual acuity were severe visual impairment (40,4%). After LASIK, there were residual refractive errors for all degrees of myopia. The efficacy and safety index were highest among cases of mild myopia.  Conclusion: The study's conclusions showed that male residents of Java were the patients' most prevalent characteristics. Femto LASIK has proven to be highly effective and safe, particularly in cases of low myopia.
Insights in managing refractive surprise after cataract surgery: A case series Oktaliani, Rahayu; Budiman; Knoch, Andrew Maximilian Herman; Sugiarti, Emmy Dwi; Tjokrovonco, Ludwig Melino
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 3, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss3.art14

Abstract

Improvements in cataract surgery techniques and intraocular lens (IOL) calculations have raised patient expectations for precise visual outcomes. Refractive surprise occurs when the post-operative refractive outcome differs from the intended target, leading to unexpected visual outcomes. Secondary piggyback IOL implantation and IOL exchange are techniques to correct the refractive surprise. We presented some case series of refractive surprise after cataract surgery. Case I was A 55-year-old woman presented with the complaint of blurred vision in her left eye after cataract surgery ten months before. The visual acuity was 0.125 in the right eye (RE) and 0.05 in the left eye (LE). The best-corrected visual acuity of the left eye was 0.63 with a refraction of S+6.00 C-0.50 × 20°. She was diagnosed with hyperopic surprise in the left eye and pseudophakia in both eyes. The piggyback intraocular lens implantation procedure was chosen to correct the refractive surprise. Case II was A 72-year-old man presented with the complaint of blurred vision in his right eye after cataract surgery five years before. The visual acuity was 1/60 in his right eye and 0.16 in his left eye. The best-corrected visual acuity of the right eye was 0.4 with a refraction of S-14.00 C-1.50 × 125°. He was diagnosed with myopic surprise in his RE. The IOL exchange to scleral fixation with the Yamane technique implantation procedure was chosen to correct the refractive surprise. Piggyback IOL implantation and IOL exchange are proven, safe, and effective methods for correcting refractive surprises following cataract surgery.
Co-Authors Budiman Oktaliani, Rahayu Siagian, Helena Margareth Angelica Sugiarti, Emmy Dwi Tjokrovonco, Ludwig Melino