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All Journal Heca Journal of Applied Sciences Indonesian Journal of Case Reports Grimsa Journal of Science Engineering and Technology
Toshniwal, Nikhil
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Agriculture, Biological Sciences & Forestry Chemical Engineering, Chemistry & Bioengineering Earth & Planetary Sciences Engineering Health Professions Medicine & Pharmacology Neuroscience Physics Public Health

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Early Intervention in Unilateral Retinoblastoma: A 2-Year-Old’s Journey Through Enucleation and Evidence-Based Care Imelda, Eva; Adev, Sarra Mutiara; Jannah, Siti Rain; Toshniwal, Nikhil
Indonesian Journal of Case Reports Vol. 3 No. 1 (2025): June 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i1.290

Abstract

Retinoblastoma is a neoplasm that arises from the retina and is frequently observed in pediatric patients, with a high degree of morbidity, particularly in underdeveloped nations. The classification of this tumor is based on its spread (intraocular and extraocular) and location (unilateral, bilateral, trilateral, and quadrilateral). Unilateral retinoblastoma is the most prevalent form, accounting for 60–70% of cases. A 2-year-old female patient was brought to the Eye Clinic of the Pediatric and Strabismus Department of Dr. Zainoel Abidin Regional Hospital by her parents with a complaint of a white spot in the center of her left eye, accompanied by decreased visual acuity for 3 months. A subsequent examination, using ultrasound (USG), revealed a mass at the base of the retina, accompanied by calcification and infiltration into the vitreous. An orbital scan revealed intraocular calcification, exclusively in the left eye. The patient was diagnosed with unilateral leukocoria OS et causa retinoblastoma grade E. Subsequent treatment plans included OS enucleation and EUA (Examination Under Anesthesia) procedures. Following the EUA procedure, no mass was identified in the right eye. An anatomical pathology examination revealed no spread to the optic nerve; therefore, chemotherapy was not given.
Managing the Maze: Advanced Approaches to Pediatric Cataract Complications Imelda, Eva; Jannah, Siti Rain; Adev, Sarra Mutiara; Toshniwal, Nikhil
Grimsa Journal of Science Engineering and Technology Vol. 3 No. 1 (2025): April 2025
Publisher : Graha Primera Saintifika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61975/gjset.v3i1.80

Abstract

Complicated cataract is a condition characterized by opacification of the crystalline lens due to intraocular diseases, particularly inflammatory conditions and other abnormalities. It often affects younger age groups, leading to visual impairment that typically requires surgical intervention. A 3-year-old girl presented with complaints of white spots in both eyes for one week. Following a physical examination and ultrasonography, she was diagnosed with bilateral complicated cataracts. The patient was scheduled for procedures including synechiolysis and irrigation-aspiration. However, due to intraoperative complications, additional procedures were necessary. Postoperatively, the patient was treated with antibiotic and anti-inflammatory medications and underwent optical rehabilitation using spectacles. This case highlights the management of pediatric cataracts and the challenges involved, with particular focus on postoperative optical rehabilitation to prevent amblyopia. Prompt and appropriate treatment of cataracts in children is crucial to clear the visual axis and restore a clear retinal image, thereby preventing the development of amblyopia.
Managing Bilateral Congenital Cataracts in Early Childhood: A Clinical and Surgical Perspective Imelda, Eva; Lathifah, Lakaeisya SY; Lubis, Dara Amalia; Toshniwal, Nikhil; Adev, Sarra Mutiara
Indonesian Journal of Case Reports Vol. 3 No. 2 (2025): December 2025 (In Press)
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v3i2.318

Abstract

Congenital cataract is a leading cause of childhood blindness that demands prompt surgical intervention to prevent irreversible visual impairment. This case report presents an infant with bilateral congenital cataracts whose diagnosis and treatment were delayed beyond the optimal intervention window. The patient underwent cataract extraction using irrigation aspiration, primary posterior capsulotomy, and anterior vitrectomy. Intraocular lens (IOL) implantation was deferred due to considerations of the patient’s age and corneal diameter, and aphakia was managed with high-powered spectacles. Postoperative follow-up revealed improved visual responses, including fixation and following of light and objects, indicating positive visual development. This case highlights the importance of timely identification, appropriate surgical technique, and tailored postoperative visual rehabilitation in managing pediatric cataracts to optimize functional outcomes.
Bilateral Juvenile Cataract in Childhood: A Comprehensive Clinical and Surgical Approach Imelda, Eva; Lubis, Dara Amalia; Lathifah, Lakaeisya SY; Toshniwal, Nikhil; Adev, Sarra Mutiara
Heca Journal of Applied Sciences Vol. 3 No. 2 (2025): September 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/hjas.v3i2.325

Abstract

Juvenile cataracts, though less common than congenital types, can cause irreversible visual impairment if diagnosis and treatment are delayed. We report a 10-year-old boy with progressive bilateral visual loss, photophobia, and leukocoria over three years, with a positive paternal history suggesting hereditary etiology. Examination revealed dense bilateral lens opacities and markedly reduced visual acuity. The patient underwent sequential aspiration–irrigation with posterior chamber intraocular lens implantation in both eyes. Surgeries were uneventful; however, postoperative vision in the right eye remained limited due to deprivation amblyopia, while the left eye achieved a better functional outcome. Final refraction showed mild residual error, and the patient was continued on visual rehabilitation and amblyopia therapy. This case highlights the importance of early detection and timely surgery in pediatric cataract to prevent permanent visual deficits and optimize outcomes. This report aims to illustrate the impact of delayed intervention on functional vision, daily activities, and educational performance in school-aged children within resource-limited settings.
Co-Authors Adev, Sarra Mutiara Imelda, Eva Jannah, Siti Rain Lathifah, Lakaeisya SY Lubis, Dara Amalia