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All Journal Jurnal Medika Nusantara Vitamin: Jurnal Ilmu Kesehatan Umum
Fauzan T. Banta
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Health Professions Nursing Public Health

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Laporan Kasus : Katarak Senilis Matur Occuli Dextra Raidatul Aufa; Fauzan T. Banta
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1755

Abstract

A 55-year-old female patient came to F Hospital complaining of blurred vision in her left eye for 3 years and a gradual decrease in vision. The vision in her left eye had been increasingly blurry and disrupting activities for 4 months before coming to the hospital. The patient reported discomfort and blurriness when looking at a distance, but there was no disturbance in close-up vision. The patient also reported foggy vision and glare, especially during the day. The patient did not complain of dizziness, nausea, or vomiting. When looking at objects, there was no change in size, and she had never seen floating objects. The patient had undergone cataract surgery on her right eye 2 months ago. She had a history of type 2 diabetes mellitus since 2017 and was regularly taking antidiabetic medication. The patient reported wearing glasses for 3 years. The general status was normal, while the left local status showed 2/60 vision, arcus senilis (+), cloudy lens, and shadow test (-). Fasting blood sugar examination showed hyperglycemia, and tonometry showed increased intraocular pressure. Based on this, the patient was diagnosed with a mature senile cataract of the left eye. The patient underwent surgery on the left eye using phacoemulsification and has a good prognosis. Appropriate cataract management can significantly improve the patient's quality of life.
Pasien Laki-laki 50 tahun dengan Keratitis Oculi Sinistra di Rumah Sakit Daerah Dr. Fauziah Bireun Aceh Saskia Hadisti Umri; Fauzan T. Banta
Jurnal Medika Nusantara Vol. 4 No. 1 (2026): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v4i1.2183

Abstract

Keratitis is an inflammatory condition of the cornea that may lead to permanent visual impairment if not promptly and adequately treated. It remains a significant ocular health problem, particularly in developing countries and among individuals with occupational exposure to environmental hazards. Objective: This case report aims to describe the clinical presentation, diagnostic approach, management, and prognosis of keratitis oculi sinistra in a middle-aged male patient with occupational risk factors. Methods: A descriptive case report was conducted on a 50-year-old male who presented with unilateral ocular redness, pain, tearing, photophobia, and blurred vision. Data were obtained through comprehensive anamnesis, physical examination, and detailed ophthalmologic evaluation, including visual acuity assessment and slit-lamp examination. Findings: Ophthalmologic examination revealed decreased visual acuity in the left eye, conjunctival hyperemia, ciliary injection, blepharospasm, and a grayish-white corneal infiltrate with well-defined borders, consistent with keratitis. The patient had a history of frequent exposure to dust and ultraviolet radiation due to his occupation as a fisherman and lacked the use of protective eyewear. Management included topical broad-spectrum antibiotics, topical corticosteroids, systemic analgesics, vitamin supplementation, and patient education. The clinical response was favorable, with an overall prognosis considered cautiously good. Implications: This case highlights the importance of early recognition and appropriate management of keratitis to prevent serious complications such as corneal ulceration and vision loss. Occupational eye protection, patient education, and timely treatment play crucial roles in improving clinical outcomes and preserving visual function.  
Co-Authors Raidatul Aufa Saskia Hadisti Umri