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All Journal IJRETINA - International Journal of Retina Ophthalmologica Indonesiana
Metita, Mirza
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Health Professions Medicine & Pharmacology Public Health

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A SUCCESSFULL PNEUMATIC RETINOPEXY FOR THE TREATMENT OF RHEGMATOGENOUS RETINAL DETACHMENT FOLLOWING BLUNT TRAUMA Wahyudi, I Nyoman Surya Ari; Metita, Mirza
International Journal of Retina Vol 7 No 1 (2024): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2024.vol007.iss001.268

Abstract

Introduction: To report the successful single operative method using Pneumatic Retinopexy as management of rhegmatogenous retinal detachment following ocular blunt trauma. Case Report: A 17 years old boy admitted to clinic with blurred vision in lower part of right eye that worsen over time for 3 weeks with a history of blunt trauma. Initial examination showed the visual acuity of 6/6 on both eyes. Posterior segment evaluation revealed superior retinal detachment on right eye with macular sparing. The main retinal break located in superotemporal part. Patient then treated with Pneumatic Retinopexy using SF6 gas followed by a serial of laser demarcation on right eye. Three months follow up after procedure resulted in reattachment of retina with preserved visual acuity of 6/6 and reduced visual field defect on right eye. Discussion: Rhegmatogenous retinal detachment is the most common form of retinal detachment. Specific procedure of Pneumatic Retinopexy may vary based on expert preference respective surgery. However procedures should always include retinopexy, tamponade by gas and posturing of the patient. Conclusion: Pneumatic Retinopexy is a minimally invasive procedure that can be performed for the management of rhegmatogenous retinal detachment. In order to optimizing post operative outcome, ophthalmologists must be able to select suitable patient, proper examinations and good surgical techniques to achieve a high success rate.
Case Report SUCCESSFUL MANAGEMENT OF EALES DISEASE WITH TUBERCULAR ETIOLOGY Kusumajati, Anindya Putri; Metita, Mirza
International Journal of Retina Vol 7 No 2 (2024): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2024.vol007.iss002.265

Abstract

Introduction: Recurrent vitreous hemorrhage is a defining indication of Eales disease, an idiopathic occlusive vasculitis of the peripheral retinal veins that primarily affects young males, and 38.7% of patients had a history of tuberculosis. This case study aims to illustrate the effective treatment of Eales disease, which includes vitreous hemorrhage and associated tuberculosis. Case report: A 23-year-old male presented with the primary complaint of impaired vision in his left eye since two weeks ago. Visual acuity was 1/60, and ultrasonography revealed vitreous hemorrhage. The right eye also has a history of vitrectomy and silicon oil from a vitreous hemorrhage two months prior. A full work-up was completed, with positive interferon-gamma release assay (IGRA) results. The patient received a 6-month course of antituberculous medication and an oral steroid on a tapering dose. The vitrectomy procedure was conducted on the left eye, but vitreous hemorrhage persisted even after the surgery. Three months following surgery, the vitreous hemorrhage cleared, and the visual acuity improved to 6/6 with a negative IGRA result. Discussion:Eales disease is identified in the condition of occlusive periphlebitis and retinal neovascularization, especially in the peripheral retina, in one or both eyes, after excluding other causes. Some patients may experience floaters, impaired vision, or even decreased visual acuity due to massive vitreous hemorrhage. In the earliest days of retinal perivasculitis, most patients are asymptomatic. Anti-tuberculosis treatment is considered for Eales disease with acute retinal periphlebitis with extensive infiltration, nodule development, and venous segment disappearance. In cases with persistent vitreous hemorrhage with decreased central vision for 3 months, vitrectomy is an option. Conclusion: One of the features of Eales disease is a young adult with recurrent vitreous hemorrhage that is tuberculous in nature. Early identification and a thorough eye examination, including USG and IGRA testing, as well as appropriate medicinal and surgical care, will result in a positive outcome.
Predicting Cardiovascular Risk in People With Diabetic Retinopathy : Study Using Framingham Risk Score Harahap, Vicia Belladona Carolina; Metita, Mirza; Dewi, Nadia Artha
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/xqa8m965

Abstract

Introduction: People with type 2 diabetes have an increase risk of cardiovascular disease (CVD). Framingham risk score is used to determine 10 years the risk of CVD in asymptomatic patients for primary prevention. Up to now, there have been no similar studies regarding the risk of CVD in diabetic retinopathy (DR) patients in Indonesia. Therefore, we would like to investigate the corelation between DR and CVD risk through the population using Framingham risk score. Methods: This research is a Population-Based Cross-sectional Study. The data was taken from the villages in Malang Regency. Participant with diabetes aged > 40 was recruited. The available data was then processed according to the variables and assessed using Framingham Risk Score. The scores were classified as high, intermediate, and low risk. Results: From 953 samples there were 155 respondents with Diabetes Mellitus (DM), 23 of them experience DR. There were more female participants than men in DM group without DR (73.9%) and DR group (73.9%). A significant correlation between diabetic retinopathy and CVD risk was found (r=0.407, p=0.001). The risk of CVD in 10 years is low in diabetic patients without retinopathy ( p=0.001), but in patients with diabetic retinopathy, the risk of CVD in 10 years is intermediate-high (p=0.001). Conclusion: There is corelation between Diabetic Retinopathy and risk for cardiovascular disease in intermediate-high category using Framingham risk score.
Co-Authors Harahap, Vicia Belladona Carolina Kusumajati, Anindya Putri Nadia Artha Dewi Wahyudi, I Nyoman Surya Ari