Article Per Year (5 Year)
p-Index From 2020 - 2025
0.408
P-Index
This Author published in this journals
All Journal Ophthalmologica Indonesiana
Subsp GL, Dr. dr. Fidalia Sp.M (K)
Unknown Affiliation
Health Professions Medicine & Pharmacology Public Health

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

Found 2 Documents
Search

 1 
MANAGEMENT OF PHACOMORFIC GLAUCOMA WITH FILTRATION SURGERY: Poster Presentation - Case Report - Resident Nabdakh, Alifvia; Subsp GL, Dr. dr. Fidalia Sp.M (K); Sari Sp.M (K) Subsp GL, dr. Prima Maya
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/qj1b6h79

Abstract

Introduction : Phacomorphic glaucoma is form of glaucoma that occurs due to a swollen cataractous lens. Filtration surgery in one of the option for managing phacomorphic glaucoma. This surgical approach can be effective in controlling intraocular pressure and preventing further damage to the optic nerve Case Illustration : A 53 yo female complaints of progressively blurry vision in her left eye. The LE visual acuity 6/30 and IOP 25,9. The gonioscopy showed a close-angle impression in all quadrants, VH gr 1. Also thereis increase lens opacity , Posterior segment examination revealed ]cup/disc ratio of 0.9 and cupping. The patient was diagnosed with secondary glaucoma (phacomorphic). Filtration surgery of trabeculectomy + 5-FU is performed Discussion : The patient was treated with trabeculectomy and 5-FU, resulting in IOP to 17 mmHg. The surgical procedure is aim to reduce intraocular pressure to create a channel and reservoir for blocked aqueous humor, resulting in decreased IOP and stopping the damage process to the optic nerve. This approach aims to increase the success rate and reduce the likelihood of complications during the operation. Conclusion : The limportance of prompt management of phacomorphic glaucoma to prevent permanent vision loss, and the use of trabeculectomy as an effective surgical approach in controlling intraocular pressure and preventing further damage to the optic. Cataract extraction surgery remains the definitive therapy for phacomorphic glaucoma cases, and this approach should be considered in the future management of the patient
THE TREATMENT OF ACUTE ANGLE CLOSURE WITH HISTORY OF PSYCHOTROPIC AGENTS : A CASE REPORT: Poster Presentation - Case Report - Resident Rafika; Subsp GL, Dr. dr. Fidalia Sp.M (K); Sari Sp.M (K) Subsp GL, Dr. dr. Prima Maya
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/hcr9bs49

Abstract

Introduction : Psychotropic agents may precipitate Acute Angle Closure (AAC) either by inducing pupil block via adrenergic or anticholinergic mechanisms, or via an idiosyncratic non-pupillary block mechanism. This is a serious condition that can diminished aquous humor (AH) outflow and increased intraocular pressure Case Illustration : A 60-year-old female complained of a sudden onset of a severe painful red eye on the right eye (RE)2 weeks ago and there was an IOP elevation. Anti-glaucoma medications were given with no succcess. The patient regularly consumed psychotropic drugs Trihexyphenidyl, Risperidone, and Chlopromazine since 2005 and Escitalopram since 2 years ago Discussion : Several classes of centrally acting drugs, including antidepressants such as selective serotonin receptor inhibitors (SSRIs) and antipsychotics have been implicated in precipitate AAC in individuals with pre-existing narrow angels. Rapid lowering of the IOP including medical treatment and relieved relative pupillary block with laser peripheral iridotomy (LPI) is an important initial step in treating AAC. Because the media is not clear due to corneal edema, trabeculectomy + 5 Fluorouracil can be considered for IOP control to prevent further damage. Conclusion : Trabeculectomy + 5 FU procedures may be a valuable and effective option in cases where LPI is too risky due to unclear visualization because of corneal edema. Trabeculectomy has been shown to effectively reduce IOP. Closed monitoring is necessary to assess ocular side effects due to the use of psychotropic agents
Co-Authors Nabdakh, Alifvia Rafika Sari Sp.M (K) Subsp GL, Dr. dr. Prima Maya Sari Sp.M (K) Subsp GL, dr. Prima Maya