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All Journal Jurnal Kedokteran Brawijaya Ahmar Metastasis Health Journal (AMHJ) Ophthalmologica Indonesiana
Ariany, Dessira Rizka Tri
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Remained Insect's Body Part in the Corneal Stroma: A Rare Case Report Abdillah, Fauzi; Widyanto, Ilham Aditya; Ariany, Dessira Rizka Tri
Jurnal Kedokteran Brawijaya Vol. 33 No. 3 (2025)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2025.033.03.12

Abstract

Corneal foreign bodies are the second most common cornea disease after corneal abrasion. The causes of foreign bodies in the cornea vary, most often due to lack of eye protection. Patients with foreign bodies in the cornea usually complain pain, a lump in the eyes, visual acuity deficit, watery eyes, red eyes, sticky eyes, and photophobia. Rapid and effective treatment is needed to avoid the risk of worsening the patient's condition and decreasing vision or even permanent blindness. In this case, we report a 41-year-old male who suffered an eye injury due to insect's body parts remaining in the corneal stroma while riding a motorbike. Foreign body extraction, eye irrigation, topical and systemic antibiotics and steroids, topical cycloplegic are the various treatment modalities for better result. Further examination could be done to find out the chemical elements of insect's toxin so that more adequate therapies can be given. 
Blast Eye Injury After Mobile Phone Battery Explosion: A Case Report: Poster Presentation - Case Report - Ophthalmologist Ariany, Dessira Rizka Tri; Eclipsia Yuniar, Merry Giovedi
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/ztrr5w55

Abstract

Introduction : Injuries from mobile phone blasts have been on the rise in recent years. Mobile phone blasts cause serious ocular morbidity. We report a rare case of blast eye injury after mobile phone battery explosion. Case Illustration : A 16 years old woman presented with burning sensation on both the eyes, following a smartphone battery blast. Immediately, after disconnecting the phone from the charger, the battery exploded and the phone blew apart. Her presenting visual acuity was 1/300 and 1.0 in right eye and left eye. Examination revealed broad corneal haziness on right eye, charred lashes, circumciliary congestion, and multiple soot particles embedded over the cornea, conjunctiva, and the lid margins. The eyes were washed with copious ringer lactate and the debris was carefully removed. Topical preservative free lubricants, broad-spectrum antibacterial agent, corticosteroid, and cycloplegic agent were prescribed along with systemic nonsteroidal anti-inflammatory drug. The healing of epithelial defects started on the next day and was complete by the 14th day. Discussion : We describe an ocular blast injury due to mobile phone explosion. The mechanism of injury from battery blast could be a combination of mechanical (battery pieces), thermal, and chemical injuries. The vision can be saved if the ocular surface burns are treated promptly and properly. Conclusion : Mobile blast injury is emerging as a new mode of ocular trauma. Knowing proper management is very important to achieve the best result.
A 60 Year Old Man with Severe Corneal Ulcer of The Left Eye: A Case Report Zufara, Iffa Maulida; Ariany, Dessira Rizka Tri
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.679

Abstract

Corneal ulcer is an ophthalmological emergency characterized by corneal epithelial defects with stromal involvement, which can be caused by both infective and non-infective etiologies. This condition can lead to severe complications such as corneal scarring, perforation, endophthalmitis, and even permanent blindness if not treated promptly. The purpose of this study was to identify and manage a 60-year-old man with a severe corneal ulcer in the left eye. This study used a case report method that describes a patient with a clinical diagnosis of corneal ulcer based on anamnesis findings, physical examination, supporting examinations, and the treatment given. The results showed that the management that can be done is by administering rapid and appropriate therapy according to the culture and results of the sensitivity test of the causative microorganism. Prognosis depends on the severity and speed of therapy administration, the type of causative microorganism, and the presence or absence of complications that arise. Case report of a 60-year-old man came with complaints of left eye pain for 20 days, accompanied by redness, photophobia, epiphora, and blurred vision. The initial history was irritation after exposure to "frog urine" and washing the eye with betel leaf water. Examination revealed an epithelial-stromal defect with infiltrate and hypopyon in the left eye, and a diagnosis of a severe corneal ulcer was made. The patient received systemic antibiotics (IV ceftriaxone), antifungals (Itraconazole), and intensive topical therapy (Levofloxacin, Protagenta, Tropicamide, Fukrycin). This case demonstrates that minor trauma or environmental exposure can trigger severe corneal ulcers, especially if therapy is delayed or inadequate. The combination of systemic antibiotics, aggressive topical therapy, and antifungals is an approach consistent with current management guidelines.
Co-Authors Eclipsia Yuniar, Merry Giovedi Fauzi Abdillah, Fauzi Widyanto, Ilham Aditya Zufara, Iffa Maulida