Afifah, Azzahra
Unknown Affiliation

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

VISUAL AND REFRACTIVE OUTCOME OF NEW GENERATION SMALL INCISION LENTICULE EXTRACTION (SMILE) IN MYOPIA AND MYOPIC ASTIGMATISM Putri, Rizqi; Dharmawidhiarini, Dini; Afifah, Azzahra; Moenir, Farida; Napitupulu, Sahata P.H.
Majalah Oftalmologi Indonesia Vol 49 No S1 (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/acyjmc85

Abstract

Introduction: Two main options for the surgical correction of high myopia and myopic astigmatism are corneal refractive surgery and implantation of phakic intraocular lens (IOL). Small Incision Lenticule Extraction (SMILE) is becoming more popular technique which includes a minimally invasive flap-free procedure. The aim of this study is to evaluate the visual and refractive outcome of New Generation SMILE in myopia and myopic astigmatism. Methods: This is an observational retrospective study in patients who underwent SMILE using Visumax 800 Femtosecond laser procedure at Undaan Eye Hospital in period December 2022 to February 2023. Pre and post operative uncorrected visual acuity (UCVA), spherical equivalent (SE), astigmatism value, keratometry and intra ocular pressure (IOP) were evaluated at 1 day, 1 week and 1 month follow-up. Results: The study comprised 30 eyes of 15 patients age from 18 to 32 years old. The mean post operative UCVA was significantly improved to 0.03 ± 0.06 logMAR at 1-day, 0.02 ± 0.04 logMAR at 1-week and -0.01 ± 0.02 logMAR at 1-month follow-up compared to preoperative UCVA 1.35 ± 0.23 logMAR (p<0.001). The mean refractive spherical equivalent was significantly changed from -4.60 ± 1.47 D preoperatively to -0.57 ± 0.38 D at 1-month follow up (p < 0.001). The mean refractive astigmatism decreased from -1.02 ± 0.66 D preoperatively to -0.34 ± 0.25 D at 1- month follow up (p<0.001). Conclusion: New Generation of SMILE has shown good visual and refractive outcome for the correction of myopia and myopic astigmatic eyes since the early phase after surgery.
Managing Iris Cysts with Surgical Excision: A Case Series: Poster Presentation - Case Series - Ophthalmologist Sitorus, Tigor Santoso; Afifah, Azzahra; Dini Dharmawidiarini; Farida Moenir; Napitupulu, Sanata PH
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/bba0bz36

Abstract

Introduction : Iris cysts are uncommon iris tumors. Primary iris cysts are congenital and usually not detected until late into the first or second decade of life. Secondary iris cysts have history of trauma or intraocular surgery. Small and asymptomatic iris cysts should be monitored, whereas larger cysts require treatment as they cause complications. Case Illustration : Case 1 a 17-year-old teenager had blurred vision without prior intraocular trauma or surgery. Anterior segment examination of the left eye revealed an oval, light brown, and semi-translucent cyst. Case 2 a 15-year-old girl had blurred vision and enlarging white spot in right eye with history of penetrating ocular trauma. Patient had undergone immediate penetrating repair followed by combination of pupilloplasty and cataract surgery. Anterior segment examination of the right eye showed corneal scar and cystic lesion. Both cysts extended to corneal endothelium and were managed surgically. Discussion : Larger cysts, especially with complications, require cyst aspiration, laser therapy, injections of antiproliferative agents, or surgery. We decided to surgically aspirate and excised iris walls to remove both iris cysts which were vital to achieve good result. Post-operative periods were uneventful with no significant inflammatory reactions associated with the procedure. Conclusion : Different modalities, with varying degrees of success, have been reported for the treatment of iris cysts. Surgical intervention remains the last option which can give a good functional outcome with minimal inflammatory complications, especially when less invasive options do not seem feasible due to the extensive nature of the cyst.