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All Journal Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Jurnal Ners KOLONI
Meriana Rasyid
Universitas Tarumanagara
Civil Engineering, Building, Construction & Architecture Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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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.
Keratouveitis of the Right Eye Secondary to Herpes Zoster Ophthalmicus: A Case Report Aureliza Syfa Salsabila; Kantika Prinandita; Meriana Rasyid
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 2 (2026): July 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i2.530

Abstract

Herpes zoster ophthalmicus (HZO) is a reactivation of the varicella-zoster virus involving the ophthalmic branch of the trigeminal nerve that may cause severe ocular complications, including keratouveitis, potentially resulting in permanent visual impairment. This case highlights the clinical challenge of managing active HZO-associated keratouveitis in the presence of coexisting bilateral senile cataracts, in which treatment prioritization is essential to optimize visual outcomes. A 52-year-old man presented with pain, redness, photophobia, and decreased vision in the right eye for 10 days before hospital admission. Ophthalmologic examination revealed decreased visual acuity in the right eye, with counting fingers at 0.5 m, eyelid edema, conjunctival hyperemia, discharge, conjunctival and ciliary injection, corneal haze with infiltrates, and keratic precipitates, while bilateral lens opacities consistent with senile cataracts were also identified. Dermatological examination demonstrated multiple vesicular lesions distributed along the ophthalmic branch of the trigeminal nerve with a positive Hutchinson sign. The patient was diagnosed with right-eye keratouveitis secondary to HZO accompanied by bilateral senile cataracts and was treated with oral acyclovir, topical acyclovir 3% ophthalmic ointment, topical levofloxacin, topical prednisolone acetate, and cyclopentolate. At the one-week follow-up, the patient showed reduced ocular pain, improvement in right-eye visual acuity from counting fingers at 0.5 m to counting fingers at 3 m, and resolution of ocular tenderness. However, conjunctival hyperemia, mild corneal opacity with residual scarring, and bilateral lens opacities persisted, indicating partial clinical improvement despite ongoing ocular involvement. This case emphasizes the importance of early diagnosis, prompt antiviral therapy, careful ophthalmologic monitoring, and prioritization of active ocular inflammation management before cataract intervention to minimize complications and preserve visual function.
Laporan Kasus: Glaukoma Absolut Oculus Sinistra Fernando Yosafat; Siti Fatimah Sah Ramadhan; Meriana Rasyid
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1243

Abstract

Absolute glaucoma is the final stage of chronic optic neuropathy, characterized by irreversible damage to the optic nerve head, total vision loss (no light perception/NLP), and often accompanied by persistent eye pain due to high intraocular pressure (IOP). This case report describes a 76-year-old female patient who presented with complaints of severe headache on the left side and swelling and redness of the left eye, with a 7-year history of progressive glaucoma. Ophthalmological examination of the left eye (OS) revealed zero visual acuity (NLP), accompanied by eyelid edema, bulbar conjunctival edema, a corneal defect, a collapsed anterior chamber, an unresponsive mydriatic pupil, and an IOP of 45 mmHg. The patient was diagnosed with absolute glaucoma in the left eye and received palliative medical treatment consisting of timolol maleate eye drops in the left eye and artificial tears in both eyes. This case highlights that chronic, uncontrolled increases in intraocular pressure can lead to permanent blindness that is often resistant to standard therapy. Furthermore, it underscores the importance of early detection, routine examinations, and patient education regarding treatment adherence as key strategies to reduce the incidence of glaucoma-related blindness in Indonesia.
Rekonstruksi Palpebra Pasca Eksisi Lesi Kelopak Mata: Laporan Kasus Erick Giofransisco Tenis; Oktarina Nila Juwita; Meriana Rasyid
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1336

Abstract

The eyelids play an important role in protecting the eyeball from trauma, maintaining tear film stability, and preserving ocular surface moisture. The complex eyelid structure consists of the anterior, middle, and posterior lamellae; therefore, tissue loss caused by trauma, infection, congenital abnormalities, or excision of eyelid lesions may result in functional and aesthetic impairment. Eyelid reconstruction is required to restore anatomical continuity, ocular protective function, and optimal cosmetic outcomes. The selection of reconstructive techniques, including primary closure, local flaps, or tissue grafts, depends on the size and location of the defect, the involvement of the eyelid lamellae, and the condition of surrounding tissues. Postoperative evaluation is essential to assess reconstructive success based on adequate eyelid closure, eyelid position, ocular surface protection, aesthetic outcomes, and the occurrence of complications. This case report aims to evaluate the outcomes of eyelid reconstruction following excision of eyelid lesions as a basis for selecting the optimal reconstructive technique.
Co-Authors Aureliza Syfa Salsabila Deitra Rifqah Oktaviani Erick Giofransisco Tenis Fernando Yosafat Kantika Prinandita Lulu Naeluvar Oktarina Nila Juwita Oktarina Nila Juwita Siti Fatimah Sah Ramadhan