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All Journal Jurnal Kesehatan Andalas Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Ophthalmologica Indonesiana
Primasakti, Pattih
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Computer Science & IT Health Professions Medicine & Pharmacology Public Health Social Sciences Other

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Two Walls Orbital Decompression pada Thyroid Eye Disease Efendi, Mardijas; Irfandy, Dolly; Primasakti, Pattih
Jurnal Kesehatan Andalas Vol. 13 No. 2 (2024): July 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v13i2.2295

Abstract

A patients with Grave Ophthalmopathy who underwent orbital decompression surgery involving two walls, medial and lateral. The surgery was performed in collaboration with an ENT specialist. This case report described a patient who presented with Thyroid Eye Disease NOSPEC V. It has been reported that a 35-year-old male had complained of bilateral proptosis, decreased visual acuity, and eye pain. The patient had been diagnosed with hyperthyroid 1 year before coming to the eye clinic. The patient was given a peribulbar steroid injection, but no improvement was observed. Visual acuity of the right eye was 3/60 and the left eye was 1/60. Lagophthalmos were seen on both eyes, 6mm in the right and 4mm in the left. The cornea of the right eye had infiltrated due to exposure keratitis. Proper eye movement was restricted to superonasal. The patient underwent medial and lateral orbital wall decompression of the left eye. Left eye visual acuity was improved to 20/150. Lagophthalmos was improved up to 3 mm. Medial and lateral orbital wall decompression are minimally invasive procedures involving removing a small portion of the bone from either the medial or lateral wall of the orbit. This allows more space for the eye to move backward, reducing pressure on the optic nerve and improving vision. This procedure also improves the cosmetic appearance of the eye. The ophthalmologic specialist performed the lateral wall decompression, and the ENT specialist performed the medial wall decompression. Medial and lateral orbital wall decompression has proven to be effective in treating patients with proptosis. The procedures have a low complication rate, and patients typically experience a significant improvement in their symptoms within a few weeks of the surgery.  Keywords:  orbital decompression, trans endoscopic decompression, thyroid eye disease
Perbandingan Efektifitas Metilprednisolon Intravena dengan Oral pada Kasus Grave Ophthalmopathy di RSUP Dr M Djamil Padang Efendi, Mardijas; Hendriati, Hendriati; Primasakti, Pattih; Erwen, Yolanda Wulandari
Jurnal Kesehatan Andalas Vol. 14 No. 1 (2025): March 2025
Publisher : Faculty of Medicine, Universitas Andalas

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Abstract

Grave's Ophthalmopathy can occur in three phases depending on the inflammatory process.  Immunosuppressant therapy is an anti-inflammatory option for managing the active phase of GO.  A study showed a significant improvement in GO proptosis in patients treated with methylprednisolone.  Objective: To determined the frequency of proptosis in Thyroid Eye Disease  (TED) patients and the differential effect of oral or intravenous steroid administration.  Methods: This study was a prospective cohort study through medical record data from March 2023 to March 2024.  The subjects are all inpatients with thyroid eye disease in Dr M Djamil General Hospital, Padang.  T-tests were performed to determine each group's different perceptions.  Results: Thirty-six subjects with Grave’s ophthalmopathy.  The effect size of the changes in Hertel values in patients given both oral and intravenous corticosteroid therapy is significant in both eyes.  The effect size of the oral therapy is significant, with 0.341 in the right eyes and 0.303 in the left eyes.  The intravenous therapy is also significant, with the effect size 0.347 in the right and 0.271 in the left.  The change of Hertel value in patients given both oral and intravenous corticosteroid therapy is significant in the right eyes (p = 0.009 and p = 0.008).  Conclusion: Oral and injectable corticosteroids have similar effectiveness, thus providing flexibility in therapy selection for patients with thyroid eye disease. Keywords:  Grave ophthalmopathy, intravenous methylprednisolone, oral methylprednisolone
Screening Cataract and Other Visual Impairment by PELITA Cadre to Build Vision Center in Lima Puluh Kota Regency Ariesti, Andrini; Hendriati, Hendriati; Hidayat, Muhammad; Irayanti, Irayanti; Ilahi, Fitratul; Yuswir, Astria Rima Rara; Lonanda, Gama Agusto; Primasakti, Pattih; Roza, Silvia; Syafendra, Atika; Afelita, Tia; Putra, Heru Ardila; Suhery, Suhery; Irza, Metika Rahmasari; Lucyana, Lucyana; Maralaut, Azhardin; Zulferza, Jaka
Warta Pengabdian Andalas Vol 32 No 3 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.3.390-399.2025

Abstract

Eye diseases, particularly cataracts, are the leading cause of blindness worldwide. This community service program by the Department of Ophthalmology, Faculty of Medicine, Andalas University, was conducted at the Pangkalan Public Health Center, Lima Puluh Kota Regency, by empowering PELITA (Posyandu) cadres in early detection of cataracts. Methods included counseling, training, and eye examination simulations for 40 cadres, followed by community screening using visual acuity and anterior segment examinations. Evaluation was carried out with pre- and post-tests, satisfaction surveys, and follow-up on patients referred for surgery. The average cadre score improved from 68 (pre-test) to 74.5 (post-test), indicating increased knowledge. A total of 71 patients were screened, including 40 cataract and 8 pterygium cases; 26 cataract and 4 pterygium patients subsequently underwent surgery. Cadres reported high satisfaction with the training and expressed readiness to continue participation. This program demonstrates that cadre training is effective in improving early detection of cataracts and other visual impairments, and provides a foundation for establishing a Vision Center in Lima Puluh Kota.
From Trauma to Triumph: A Successful Outcome of Intraocular Foreign Body: Poster Presentation - Case Report - Resident Primasakti, Pattih; Helvanda, Weni
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: 10.35749/9109hj94

Abstract

Introduction : Intraocular foreign body (IOFB) is a medical condition characterized by the presence of a foreign object within the eye. IOFBs can cause significant damage to the eye, leading to vision loss, ocular inflammation, and even blindness. Case Illustration : We present a case report of a 37-year-old male patient who presented to the emergency department with a history of sudden-onset eye pain and decreased vision in the right eye after a gravel had struck him in the eye while working in a field. Slit-lamp examination revealed a 4mm corneal rupture, iris damage, and traumatic cataract. Computed tomography confirmed the presence of the foreign body in inferonasal quadrant of the retina. The patients underwent vitrectomy and silicone oil tamponade was placed to support the retina. Foreign body had shattered into small pieces and aspirated during vitrectomy. Endolaser photocoagulation was performed to contain the injury site. Lens was removed and iris claw was implanted. Visual acuity improved from hand movement to 20/100. No signs of endophthalmitis, retinal detachment, or other complications were noted during the follow-up period. ultrasound confirmed the absence of foreign body. Discussion : IOFBs is a sight-threatening condition that can result from various occupational or recreational activities, as well as accidental trauma. Depending on the size, shape, and composition of the foreign body, it can cause damage to the cornea, iris, lens, vitreous, and retina, leading to vision loss or permanent visual impairment. Conclusion : The management of IOFBs depends on the location, size, IOFB composition, and severity of ocular trauma. Vitrectomy is an effective approach
Co-Authors Afelita, Tia Ariesti, Andrini Astria Rima Rara Yuswir Dolly Irfandy Erwen, Yolanda Wulandari Helvanda, Weni Hendriati, Hendriati Heru Ardila Putra Ilahi, Fitratul Irayanti, Irayanti Irza, Metika Rahmasari lonanda, Gama Agusto Lucyana Lucyana, Lucyana Maralaut, Azhardin Mardijas Efendi Muhammad Hidayat Roza, Silvia Suhery, Suhery Syafendra, Atika Zulferza, Jaka