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All Journal Jurnal Medika Malahayati Oftalmologi: Jurnal Kesehatan Mata Indonesia Ophthalmologica Indonesiana
Wardani, Sabrina Indri
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health

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Intraocular Pressure Changes of Rhegmatogenous Retinal Detachment Patients Following Pars Plana Vitrectomy in Tertiary Hospital Wardani, Sabrina Indri; Virgana, Rova
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.66

Abstract

Introduction: Rhegmatogenous retinal detachment (RRD) is one of the leading causes of vision loss worldwide. Retinal reattachment is the main target of RRD management. Pars plana vitrectomy (PPV) is one of the surgical approaches to reattach the retina by removing the vitreous gel and replacing it with tamponades. Several tamponades used in PPV may cause an alteration of intraocular pressure (IOP). Purpose: To report the IOP changes of RRD patients who underwent pars plana vitrectomy surgery Methods: A descriptive retrospective study was conducted on all RRD patients who underwent primary PPV with all tamponades at the National Eye Center, Cicendo Eye Hospital. This study has evaluated and observed the range of IOP across all the follow-up timelines post-surgery based on the endo tamponade used for the patients. Result: A total of 90 patients received intravitreal tamponade. The median IOP at baseline was 12 (4-21) mmHg. Secondary glaucoma mostly occurred in 1st and 3rd months post-PPV, 37.78% and 36.67% respectively. 80% of patients who received silicon oil 1300 centistoke experienced IOP elevation which occurred highly during 1-week and 1-month post PPV. 2.2% of patients underwent glaucoma filtering surgery to further control the IOP elevation. Conclusion: PPV procedure with several types of tamponades as vitreous substitution is one of the common approaches for patients with RRD. IOP elevation has been observed as one complication of PPV. Multiple factors may be attributable to IOP alteration. Monitoring of IOP before and after the surgery is mandatory to prevent secondary complications
Keratitis Eksposur Hingga Gangguan Penglihatan: Spektrum Dampak Keterlambatan Rujukan Pasien Tiroid Ke Dokter Mata: Laporan Kasus Wardani, Sabrina Indri; Idrus, Elfa Ali; Mustaram, Arief Akhdestira; Kartiwa, Raden Angga
Jurnal Medika Malahayati Vol 9, No 2 (2025): Volume 9 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v9i2.19602

Abstract

Distiroid Eksoftalmus atau penyakit mata tiroid (Thyroid Eye Disease; TED) merupakan komplikasi penyakit Graves pada mata. Pasien dapat menunjukkan berbagai gejala, termasuk terganggunya fungsi penglihatan yang ireversibel dan keterbatasan aktivitas harian jika tidak diobati. Kami menyajikan seri kasus yang terdiri dari dua kasus TED. Kasus pertama adalah anak berusia 14 tahun dengan penyakit Graves yang rutin kontrol di unit endokrinologi, dengan keluhan eksoftalmus dan lagoftalmus bilateral, serta keterbatasan gerakan mata pada mata kiri. Penglihatan mata kiri menurun akibat infeksi. Kasus kedua adalah seorang pria berusia 32 tahun dengan TED dengan temuan keratitis eksposur, keratopati, dan prolaps iris. Mata kanan tidak memiliki persepsi cahaya dan mata kiri terancam prolaps isi bola mata. Pendekatan multidisiplin dan penilaian klinis yang komprehensif, termasuk pemeriksaan mata, pada pasien gangguan hormon tiroid wajib dilakukan untuk mencegah komplikasi yang tidak dapat dipulihkan.
DIFFERENT APPROACHES IN MANAGING LENS-INDUCED ANGLE CLOSURE GLAUCOMA: A SERIAL CASE: Poster Presentation - Case Series - Resident Wardani, Sabrina Indri; Rifada, R. Maulana; Prahasta, Andhika; Gustianty, Elsa; Umbara, Sonie
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: 10.35749/9x275355

Abstract

Introduction : Lens-induced angle-closure glaucoma can be caused by phacomorphic lens and ectopia lentis. Several factors affect the disease progression. Early diagnosis and appropriate management are important. Case Illustration : Case 1. A 67-year-old woman presented with acute redness and blurred vision in her left eye with visual acuity (VA) of 1/300 and intraocular pressure (IOP) of 60 mmHg. Axial length showed 23.66 mm and anterior chamber depth (ACD) was 1.61mm (Figure1). She was diagnosed with phacomorphic glaucoma. Phacoemulsification combined with trabeculectomy was performed (Figure2&3). Her VA was improved to 0.08 and her IOP was reduced to 19mmHg after surgery. Case2. A 67-year-old man came with painful blurred vision in his right eye. His VA was a perception of light with an IOP of 40 mmHg. He had axial length of 22.7 mm and ACD of 2.07 mm (Figure4). The lens was anteriorly subluxated and showed zonular laxity. Intracapsular cataract extraction combined with trabeculectomy was performed (Figure5&6). His VA was unchanged while his IOP was reduced to 18 mmHg after surgery. Discussion : Age older than 60 years old, female gender, short axial length (<23.7 mm), shallow ACD, and zonular laxity are factors for progressivity of lens-induced glaucoma. Cataract removal was a definitive treatment along with IOP-lowering medications. The choice of lens extraction technique varies among individuals. Conclusion : Removal of cataractous lens is a definitive treatment in conjunction with intraocular pressure and inflammatory regulations for managing lens-induced angle-closure glaucoma. Comprehensive clinical assessments in patients are necessary for managing the symptoms and preventing complications.
DIFFERENT APPROACHES IN MANAGING LENS-INDUCED ANGLE CLOSURE GLAUCOMA: A SERIAL CASE: Poster Presentation - Case Series - Resident Wardani, Sabrina Indri; Rifada, R. Maula; Prahasta, Andhika; Gustianty, Elsa; Umbara, Sonie
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: 10.35749/349t6495

Abstract

Introduction : Lens-induced angle-closure glaucoma can be caused by phacomorphic lens and ectopia lentis. Several factors affect the disease progression. Early diagnosis and appropriate management are important. Case Illustration : Case 1. A 67-year-old woman presented with acute redness and blurred vision in her left eye with visual acuity (VA) of 1/300 and intraocular pressure (IOP) of 60 mmHg. Axial length showed 23.66 mm and anterior chamber depth (ACD) was 1.61mm (Figure1). She was diagnosed with phacomorphic glaucoma. Phacoemulsification combined with trabeculectomy was performed (Figure2&3). Her VA was improved to 0.08 and her IOP was reduced to 19mmHg after surgery. Case2. A 67-year-old man came with painful blurred vision in his right eye. His VA was a perception of light with an IOP of 40 mmHg. He had axial length of 22.7 mm and ACD of 2.07 mm (Figure4). The lens was anteriorly subluxated and showed zonular laxity. Intracapsular cataract extraction combined with trabeculectomy was performed (Figure5&6). His VA was unchanged while his IOP was reduced to 18 mmHg after surgery. Discussion : Age older than 60 years old, female gender, short axial length (<23.7 mm), shallow ACD, and zonular laxity are factors for progressivity of lens-induced glaucoma. Cataract removal was a definitive treatment along with IOP-lowering medications. The choice of lens extraction technique varies among individuals. Conclusion : Removal of cataractous lens is a definitive treatment in conjunction with intraocular pressure and inflammatory regulations for managing lens-induced angle-closure glaucoma. Comprehensive clinical assessments in patients are necessary for managing the symptoms and preventing complications.
Co-Authors Elsa Gustianty Idrus, Elfa Ali Kartiwa, Raden Angga Mustaram, Arief Akhdestira Prahasta, Andhika Rifada, R. Maula Rifada, R. Maulana Rova Virgana Umbara, Sonie