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All Journal Manuju : Malahayati Nursing Journal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Interdisciplinary Social Studies Jurnal Impresi Indonesia
Juwita, Oktarina Nila
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Religion Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Eyelid and Lacrimal Canaliculus Rupture in an Elderly Patient: A Case Report and Management Approach Kosasih, Bay Hepi; Rima, Anissya; Permana, Muhammad Rizal; Juwita, Oktarina Nila
Jurnal Ners Vol. 8 No. 2 (2024): OKTOBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i2.23389

Abstract

Canalicular lacerations resulting from eyelid or periorbital area injuries are considered ophthalmologic emergencies. This condition transcends age groups and primarily affects the lower canaliculi, potentially leading to canaliculus stenosis and lacrimal dysfunction characterized by epiphora if not promptly addressed. In this medical journal abstract, we present a case study involving an elderly male patient who sustained eyelid and lacrimal canaliculus injuries. The management approach consisted of inserting a silicone tube and using a 6-0 nylon suture for eyelid reconstruction. Notably, the procedure was successful without any complications, resulting in a favorable outcome for the patient. This case underscores the importance of timely intervention and the efficacy of the described surgical technique in addressing canalicular lacerations.
LAPORAN KASUS KERATITIS SUPERFISIAL Islamia, Dinul; Juwita, Oktarina Nila
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.43955

Abstract

Keratitis adalah suatu inflamasi pada kornea, yang dapat terjadi akibat infeksi oleh mikroorganisme maupun akibat non-infeksi karena proses autoimun.Peradangan ini ditandai dengan edema kornea, infiltrasi sel inflamasi dan kongesti/kemacetan siliaris. Keratitis klasifikasikan superfisial dan profunda. Keratitis superfisial tidak akan meninggalkan parut ketika masa penyembuhan, sedangkan keratitis profunda dapat meninggalkan parut yang mengganggu penglihatan ketika masa penyembuhan. Pasien laki-laki berusia 38 tahun datang ke poliklinik mata RSUD Soewondo Pati dengan keluhan pandangan mata kabur, mata kanan merah, nyeri, mengganjal, Sebelumnya pasien sedang mencangkul di sawah mata kanan pasien kecipratan lumpur. setelah itu mata kanannya menjadi merah, nyeri, terasa mengganjal, silau dan berair bila terkena sinar matahari dan penglihatan sebelah kanan semakin kabur. Pada pemeriksaan tajam penglihatan didapatkan VOD 6/15 dan VOS 6/12. Kornea injeksi siliar (+), mata kanan terdapat adanya defek kornea. Pada pemeriksaan penunjang Tes Flourescein+ Slit lamp didapakan OD Flourescein (+), luas, infiltrat (+). Pada terapi yang diberikan dengan pemberian antibiotik topical, pemberian asam askorbat, dan mengedukasi pasien agar selalu memakai pelindung mata.
Management of Palpebra Rupture Cases in Children: A Case Report Syawali, Milenia; Juwita, Oktarina Nila; Oktavia, Anissya Rima
Jurnal Impresi Indonesia Vol. 4 No. 4 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i4.6408

Abstract

Eyelid injuries, particularly palpebral lacerations, are common in pediatric patients and require meticulous management to prevent long-term functional and cosmetic issues. These injuries, often resulting from trauma, pose significant challenges, as they involve both the skin and deeper structures of the eyelid. This case report discusses the management of a 7-year-11-month-old child who sustained a full-thickness eyelid laceration after falling and hitting a stone. The patient presented with sharp pain, difficulty in opening the eyelid, and bleeding. A physical examination revealed a full-thickness laceration on the superior margin of the left eyelid, with accompanying edema and subconjunctival hemorrhage. Imaging tests were not required as no orbital injury was suspected. The patient underwent eyelid reconstruction within 72 hours, and postoperative care included antibiotic treatment and wound management. The surgical outcome was successful, with optimal cosmetic and functional results. This case underscores the importance of timely and precise surgical intervention to minimize complications and achieve satisfactory results in pediatric palpebra injuries. Further research is needed to establish comprehensive guidelines for managing eyelid trauma in children, particularly regarding surgical techniques and postoperative care to ensure the best outcomes for young patients.
Preseptal Cellulitis In A 54-Year-Old Woman With Uncontrolled Diabetes Mellitus: A Case Report Satari, Adam Primadona; Seran, Bernadetha Kusuma Kris Firmantya Tei; Juwita, Oktarina Nila
Interdisciplinary Social Studies Vol. 4 No. 4 (2025): Regular Issue: July-September 2025
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/iss.v4i4.933

Abstract

Preseptal cellulitis is a skin infection around the eye that can originate from various sources such as sinusitis or trauma. This study explores the case of a 54-year-old patient with uncontrolled type 2 diabetes who presented with preseptal cellulitis. The patient complained of redness and pain around the left eye, with a history of fever and swelling for three days prior. Physical examination revealed hyperemic edema on the upper eyelid of the left eye with positive tenderness. Additionally, the patient had a history of uncontrolled type 2 diabetes. CT-scan imaging of the orbit and paranasal sinuses revealed hyperpigmentation on the left extraocular bulb, opacity in the right maxillary sinus with a polyp impression, and a hyperdense lesion in the right maxillary sinus with evidence of hyperostosis of the right maxillary bone. Laboratory results showed hyperglycemia, leukocytosis, uremia, and increased creatinine. The established diagnosis was preseptal cellulitis with potential complications. The discussion involves clinical aspects and management of preseptal cellulitis, including orbital anatomy, infection spread, diagnosis, and treatment. Patient management included the administration of antibiotics, anti-inflammatory drugs, and glycemic control. This study emphasizes the importance of research into the relationship between type 2 diabetes and preseptal cellulitis for a better understanding of risk factors and optimal management. In conclusion, this research provides in-depth insights into the complexity and risks of preseptal cellulitis in patients with uncontrolled type 2 diabetes and underscores the need for proper management to reduce complications in this condition.
Distrofi Kornea Unilateral: Laporan Kasus Oktaviani, Deitra Rifqah; Juwita, Oktarina Nila; Rasyid, Meriana
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49643

Abstract

Secara global, prevalensi distrofi kornea bervariasi berdasarkan wilayah dan etnis dari 1,3% hingga 4%. Varian yang paling umum, Fuchs endothelial corneal dystrophy (FECD), diperkirakan memengaruhi sekitar 7,33% populasi dewasa (> 30 tahun) di seluruh dunia, dengan 300 juta pada tahun 2020 dan diperkirakan akan meningkat sebesar 41,7% menjadi 415 juta individu padatahun 2050. Distrofi kornea biasanya bersifat bilateral, simetris, progresif dan tidak terkait dengan faktor lingkungan ataupunsistemik. Kami melaporkan kasus distrofi kornea unilateral yang didiagnosis secara klinis pada wanita berusia 18 tahun dengan gejala ringan seperti mata kering dan berair. Pada pemeriksaan klinis, visus tanpa bantuan pada kedua mata adalah 6/6. Hasil pemeriksaan slit-lamp didapatkan kornea menunjukkan kekeruhan difus, multipel, bulat hingga granular, seperti breadcrumbsyang melibatkan sub-epitel hingga stroma dalam. Diagnosis distrofi kornea unilateral ditegakkan secara klinis melalui temuan klinis. Pasien tidak memiliki riwayat penyakit yang memungkinkan kondisinya rentan terhadap infeksi, dan pemeriksaan fisik juga tidak menunjukkan tanda-tanda peradangan. Pemeriksaan histopatologi dan genetik diperlukan untuk klasifikasi kasus distrofi kornea secara spesifik.
Preserving Vision and Preventing Complications: A Case Report on the Diagnosis and Management of Chronic Angle Closure Glaucoma Wulandari, Desi Ayu; Juwita, Oktarina Nila
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.12812

Abstract

ABSTRACT This case report presents the clinical presentation and management of a 68-year-old male with chronic angle closure glaucoma. Upon examination, the right eye (OD) exhibited a significant decline in visual acuity to 1/300. Findings included conjunctival congestion (CVI +) and absence of posterior conjunctival vessel congestion (PCVI -), corneal opacification and edema, shallow anterior chamber, midriasis of the pupil, and absence of direct and consensual light reflexes (−). Additionally, lens opacification and chemosis (+) were observed. Conversely, the left eye (OS) had a visual acuity of 6/30 with an intraocular pressure (IOP) of 6/15. Similar to the right eye, it displayed corneal opacification and edema, a shallow anterior chamber, midriasis of the pupil, absence of light reflexes (direct and consensual), lens opacification, and chemosis (+). This case underscores the importance of early diagnosis of chronic angle closure glaucoma to prevent adverse prognostic outcomes. Keywords: Chronic Angle Closure Glaucoma, Vision, Preventing Adverse Outcomes 
BEDAH FLAP KONJUNGTIVA SEBAGAI TATALAKSANA ALTERNATIF PADA PERFORASI ULKUS KORNEA : LAPORAN KASUS Santiago, Ivan; Tanujaya, Cyntia; Juwita, Oktarina Nila; Wahyuni, Octavia Dwi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 3 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i3.51363

Abstract

Secara global, sekitar 39 juta orang mengalami kebutaan dan 246 juta mengalami gangguan penglihatan sedang hingga berat, dengan sekitar 80% kasus sebenarnya dapat dicegah. Kelainan kornea menyumbang sekitar 5,1% penyebab kebutaan di dunia, dan salah satu penyebab tersering adalah ulkus kornea infeksius yang memerlukan penanganan cepat dan tepat untuk mencegah komplikasi serius. Prosedur conjunctival flap (Gundersen) merupakan salah satu pilihan bedah untuk ulkus yang tidak responsif terhadap terapi medis karena mampu melindungi permukaan kornea dan mendukung penyembuhan. Seorang laki-laki Jawa berusia 59 tahun datang dengan keluhan nyeri hebat, fotofobia, dan discharge purulen pada mata kiri setelah trauma okular satu bulan sebelumnya, dengan riwayat diabetes melitus tidak terkontrol, hipertensi, serta operasi katarak. Pemeriksaan menunjukkan ulkus kornea perforasi sentral berukuran besar dengan dasar nekrotik dan kekeruhan kornea, sehingga dilakukan total conjunctival flap. Perbaikan awal tampak pascaoperasi, namun pada kontrol lanjutan terjadi pelepasan flap yang menyebabkan kekambuhan gejala dan akhirnya memerlukan tindakan eviserasi karena prognosis visual yang buruk. Ulkus kornea sendiri ditandai oleh defek epitel yang menyebabkan nekrosis stroma, umumnya akibat infeksi bakteri, dan prosedur conjunctival flap diindikasikan pada ulkus yang tidak sembuh atau mengalami perforasi karena dapat memberikan perlindungan permukaan serta mengurangi nyeri, meskipun komplikasi seperti pelepasan flap dapat terjadi. Walaupun penatalaksanaan pada kasus ini tidak berhasil, berbagai studi melaporkan tingkat keberhasilan anatomi lebih dari 70% pada tindakan conjunctival flap. Secara keseluruhan, conjunctival flap tetap menjadi pilihan terapi yang sederhana, efektif, dan ekonomis untuk menangani ulkus kornea refrakter, terutama di daerah dengan keterbatasan sumber daya.
Co-Authors Islamia, Dinul Kosasih, Bay Hepi Oktavia, Anissya Rima Oktaviani, Deitra Rifqah Permana, Muhammad Rizal Rasyid, Meriana Rima, Anissya Santiago, Ivan Satari, Adam Primadona seran, Bernadetha kusuma kris firmantya tei Syawali, Milenia Tanujaya, Cyntia Wahyuni, Octavia Dwi Wulandari, Desi Ayu