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All Journal Jurnal Kedokteran Diponegoro Vision Science and Eye Health Journal
Christina Aritonang
Department Of Ophthalmology, Faculty Of Medicine,Universitas Airlangga-_Dr Soetomo General Academic Hospital,Indonesia.
Medicine & Pharmacology

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Good Outcome of Corneal Ulcer With Hypopion After Long Use of Contact Lens Affannul Hakim; Christina Aritonang
Vision Science and Eye Health Journal Vol. 2 No. 3 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i3.2023.74-79

Abstract

Introduction: Microbial keratitis is a corneal infection caused by microorganisms and is characterized by a profound corneal epithelial defect that infects the cornea and causes severe and progressive visual loss. In recent years, the incidence of microbial keratitis has increased. One of the critical risk factors for increasing this incidence is using contact lenses. As the number of contact lens users increases, the number of corneal ulcers associated with contact lenses also increases. Case Presentation: A 25-year-old man was admitted to the emergency department with a complaint of gradually blurry vision in his left eye four days after using contact lenses for overnight uses since the previous few days and did not routinely clean contact lenses or replace contact lens cleaning fluid. The visual acuity of the patient's left eye was hand movement with conjunctival and pericorneal injection in the conjunctiva and 6 x 7 mm stromal level infiltrate, blurred margin, and whitish color in the center of the cornea. After 28 days of treatment, an examination showed the patient's left eye improvement. Visual acuity was 3/60, conjunctival injection disappeared, corneal swelling significantly resolved, hypopyon disappeared, and ulcer completely re-epithelialized. Conclusions: Empirical therapy with broad-spectrum antibiotics and other adjunctive therapy has a good outcome in treating contact lens-related corneal ulcers.
PROFILE OF VISUAL FUNCTION AFTER PHACOEMULSIFICATION AT A SECONDARY HOSPITAL Christina Aritonang; Sarah Nia Amru
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 2 (2026): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v15i2.55460

Abstract

  Background: Cataract is the leading cause of preventable blindness worldwide, with the highest burden in developing countries. In Indonesia, East Java has the highest incidence of cataract. Objective: To evaluate the visual function outcomes after phacoemulsification through a social service program at a secondary hospital in Gresik Regency, East Java, Indonesia. Methods This retrospective observational study included 40 patients undergoing phacoemulsification surgery (April 22 to May 15, 2025). Eligible patients were those with mature or immature cataracts, with preoperative vision ranging from mild impairment to blindness, according to WHO criteria. Postoperative evaluations were conducted on days 1 and 14. Data were obtained from medical records and analyzed with the Wilcoxon and Friedman tests using SPSS version 27. Results: Among 40 patients, 37.5% were severely visually impaired and 32.5% were blind preoperatively. Postoperatively, blindness declined to 11.5% on day 1 and 2.5% on day 14, with 45% achieving good vision. Visual acuity and contrast sensitivity showed significant improvement postoperatively (both p < 0.001). Surgical complications included iritis, Descemet’s membrane detachment, elevated intraocular pressure, and one patient did not receive an implant due to a posterior capsular rupture during the surgery. Conclusion: Visual function demonstrates significant early improvements phacoemulsification through this social service program, highlighting the value of assessing multiple visual function parameters in routine postoperative evaluation. 
Co-Authors Affannul Hakim Sarah Nia Amru