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All Journal Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Jurnal Ners
Meriana Rasyid
Universitas Tarumanagara
Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Distrofi Kornea Unilateral: Laporan Kasus Deitra Rifqah Oktaviani; Oktarina Nila Juwita; Meriana Rasyid
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49643

Abstract

Secara global, prevalensi distrofi kornea bervariasi berdasarkan wilayah dan etnis dari 1,3% hingga 4%. Varian yang paling umum, Fuchs endothelial corneal dystrophy (FECD), diperkirakan memengaruhi sekitar 7,33% populasi dewasa (> 30 tahun) di seluruh dunia, dengan 300 juta pada tahun 2020 dan diperkirakan akan meningkat sebesar 41,7% menjadi 415 juta individu padatahun 2050. Distrofi kornea biasanya bersifat bilateral, simetris, progresif dan tidak terkait dengan faktor lingkungan ataupunsistemik. Kami melaporkan kasus distrofi kornea unilateral yang didiagnosis secara klinis pada wanita berusia 18 tahun dengan gejala ringan seperti mata kering dan berair. Pada pemeriksaan klinis, visus tanpa bantuan pada kedua mata adalah 6/6. Hasil pemeriksaan slit-lamp didapatkan kornea menunjukkan kekeruhan difus, multipel, bulat hingga granular, seperti breadcrumbsyang melibatkan sub-epitel hingga stroma dalam. Diagnosis distrofi kornea unilateral ditegakkan secara klinis melalui temuan klinis. Pasien tidak memiliki riwayat penyakit yang memungkinkan kondisinya rentan terhadap infeksi, dan pemeriksaan fisik juga tidak menunjukkan tanda-tanda peradangan. Pemeriksaan histopatologi dan genetik diperlukan untuk klasifikasi kasus distrofi kornea secara spesifik.
Clinical Evaluation of Right Orbital Cellulitis in An Elderly Patient Lulu Naeluvar; Kantika Prinandita; Meriana Rasyid
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.483

Abstract

Orbital cellulitis is a severe infection of the intraorbital tissues that can threaten vision and requires prompt management. This study aims to describe the clinical characteristics, diagnosis, and management of orbital cellulitis in an elderly patient with systemic risk factors. A descriptive clinical approach was employed, collecting data through anamnesis, physical examination, and ophthalmologic assessments including visual acuity, slit-lamp examination, and fundus evaluation, as well as the patient’s medical and treatment history. Data were analyzed qualitatively to illustrate the clinical manifestations, diagnosis, and therapeutic interventions. The case involved a 64-year-old male presenting with redness, swelling, pain, tearing, and difficulty opening the right eye for one week, with a history of diabetes mellitus and dental caries. Physical examination revealed palpebral edema, conjunctival and scleral hyperemia, restricted ocular motility, and decreased visual acuity in the right eye. The definitive diagnosis was orbital cellulitis in the right eye, with cataract in the left eye and diabetes mellitus as comorbidities. Management included broad-spectrum topical antibiotics and referral to both ophthalmology and internal medicine specialists for multidisciplinary care. In conclusion, early intervention and accurate clinical diagnosis are essential to prevent severe complications such as subperiosteal abscess, cavernous sinus thrombosis, or permanent vision loss.
Co-Authors Deitra Rifqah Oktaviani Kantika Prinandita Lulu Naeluvar Oktarina Nila Juwita