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Sriwijaya Journal of Ophthalmology
Published by Universitas Sriwijaya
ISSN : -     EISSN : 27229807     DOI : https://doi.org/10.37275/sjo.v2i2.35
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology
Sriwijaya Journal of Opthalmology (SJO) is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Sriwijaya Journal of Opthalmology (SJO) publishes original article, case report and review article related opthalmology.
Arjuna Subject : Kedokteran - Ophthalmology
Articles 91 Documents
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The Color Vision Disorder in Diabetic Patients Wisam Chasib Alhamadani; Al-Ziayyir, Ali Taha Yasin; Khalid Tawfeeq Najm
Sriwijaya Journal of Ophthalmology Vol. 6 No. 2 (2023): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v6i2.106

Abstract

Introduction: The visible spectrum (about 400 to 700 nm) with a mosaic of three classes of photoreceptors compose the human visual system. They are sensitive to different wavelength ranges with overlapping. The receivers have high sensitivities at short wavelengths (~440 nm), medium (~535 nm), or longer (~565 nm), which are S, M, and L cones, respectively. The study aimed to determine blue color vision defects in diabetes mellitus. Methods: A cross-sectional study was done at an ophthalmology clinic on 200 eyes (right and left) of patients with DM for a period of 5 one years (2021). Ishihara plates were used initially for screening. The D-15 test was performed for the evaluation of color vision. Results: The mean age of the sample was 45.66±15.65 years. The most frequent disorder visualized was tritanomaly in 63%, followed by trichromate in 27%, and the least disorder was deuteranomaly in 2%. In addition, mixed disorder is seen in 8% of cases. In relation to laterality, right eye tritanomaly was found in 34%, while the left eye was recorded in 29%. The right eye trichromate was observed in 12%, whereas the left eye was reported in 15%. The left eye deuteranomaly was reported more than the right (1.5% vs. 0.5%). Conclusion: Color vision evaluation with good screening color vision test can be detected even before clinically visible diabetic retinopathy. Early detection was helpful in the prevention of vascular changes in the retina. All diabetic patients should be given proper awareness and health education regarding color vision deficiency. Timely assessment of color vision may detect tritanomaly earlier in diabetics.
Retinal Detachment Following Vaccination against COVID-19: A Narrative Literature Review Markov, Gueorgui; Yani Zdravkov; Oscar, Alexander
Sriwijaya Journal of Ophthalmology Vol. 6 No. 2 (2023): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v6i2.108

Abstract

Retinal detachment (RD) refers to the anatomical separation of the neurosensory retina from the Retinal pigment epithelium, which, if untreated, ultimately leads to a loss of visual function and blindness. Three main types are recognised based on the pathogenesis: rhegmatogenous, associated with retinal tears/holes; tractional, where there is pulling on the retina from preretinal and/or vitreal fibrotic changes; and exudative or serous, in which the subretinal fluid is due to transudation, exudation, or impaired outer blood-retina barrier. The infection with SARS-CoV-2 has not been directly associated with any type of RD, except in cases of secondary infections or autoimmune conditions. Serous retinal detachment has very rarely been observed following the application of various vaccines against COVID-19, but only in the setting of central serous chorioretinopathy and uveitis. The single case of purported rhegmatogenous detachment has a highly improbable connection with the vaccination. All in all, the described complications have been extremely uncommon, more frequently treatable or self-resolving, and should not discourage COVID-19 vaccination.
Helicobacter pylori and Uveitis: A Brief Narrative Literature Review Markov, Gueorgui; Yani Zdravkov; Oscar, Alexander
Sriwijaya Journal of Ophthalmology Vol. 6 No. 2 (2023): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v6i2.109

Abstract

Helicobacter pylori (H. pylori) is a gram-negative bacterium that typically infects the mucosa of the stomach. H. pylori is the most frequent causative infectious agent of chronic gastritis and peptic ulcer disease. It has also been associated with a number of extra-gastric diseases-neurological, ocular, hematologic, cardiovascular, rheumatologic, metabolic, and allergic. The possible role of H. pylori in the pathogenesis of uveitis is still unclear. High H. pylori seroprevalence has been found in some studies in patients with other ocular diseases like blepharitis, central serous chorioretinopathy, ocular adnexal lymphoma, and glaucoma. Its seroprevalence in uveitis has been investigated in very few studies. In all of them, however, it was increased. Antibodies have also been found in the anterior chamber of patients with anterior uveitis. Besides, seropositivity was also increased in studies with hypertensive uveitis. Eradication of the bacterium has anecdotally led to the subsidence of anterior uveitis in one patient. In any case, a causal relationship, either infectious or autoimmune, cannot be made at this time due to the scarcity of available research on the problem.
Traumatic Macular Hole and Uveitis: A Case Report Markov, Gueorgui; Mesut Emin; Yani Zdravkov; Alexander Oscar
Sriwijaya Journal of Ophthalmology Vol. 6 No. 2 (2023): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v6i2.110

Abstract

Introduction: Blunt ocular trauma may be associated with a variety of complications, including traumatic macular holes (TMH) and uveitis. Concerning the TMH, there is no standard treatment protocol. There have been reports of spontaneous closure and of the use of certain medications and surgical techniques. Our purpose is to present a case of bilateral blunt ocular trauma with TMH in the right (OD) and uveitis in the left eye (OS) in a 24-year-old Caucasian man. Case presentation: The patient had complaints of decreased vision in OD and redness and discomfort in OS. Three days previously, he had sustained trauma to both eyes with an exercise resistance band. The diagnosis was made with a thorough ophthalmic exam and optical coherence tomography (OCT). The best-corrected visual acuity (BCVA) of OD was 20/40 and of OS – 20/20. The intraocular pressure was within normal limits. There was a TMH in OD and iridocyclitis in OS. The therapy included prednisolone with an initial dose of 60 mg q.d. PO, a lutein/zeaxanthin supplement, and additional topical treatment for OS – dexamethasone and cyclopentolate. The TMH in OD had improved significantly within 6 days. BCVA of OD recovered to 20/20 in a month. Conclusion: We observed closure of the TMH with complete recovery of vision in the affected eye, most likely spontaneous, and with full resolution of the uveitis in the other, in the setting of short-term prednisolone therapy. The uveitis in OS was also treated with topical dexamethasone and cyclopentolate.
Pars Plana Vitrectomy in Tuberculous Endophthalmitis: A Case Report Markov, Gueorgui; Nikolina Andonova; Yani Zdravkov; Alexander Oscar
Sriwijaya Journal of Ophthalmology Vol. 6 No. 2 (2023): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v6i2.111

Abstract

Introduction: Ocular tuberculosis (TB) is an extrapulmonary mycobacterial disease with varied manifestations. Endophthalmitis is a severe manifestation with a rapid progression that may lead to intraocular tissue destruction and panophthalmitis. This study aimed to report a case of tuberculous endophthalmitis treated with pars plana vitrectomy (PPV). Case presentation: A 57-year-old male patient with TB endophthalmitis. The follow-up period was 6 months. The diagnosis was made on a clinical basis, and the specific etiology was confirmed by TST and IGRA tests. The diagnosis of ocular TB was delayed by one year. He had bilateral endophthalmitis with severe inflammation. The right eye (OD) was blind, and the left (OS) had best-corrected visual acuity (BCVA) of hand motion. Intraocular pressure (IOP) was elevated in both eyes. B-scan disclosed hyperreflective exudate, filling 1/3 of the vitreous cavity in OD, and vitritis and intravitreal hemorrhage in OS. We commenced triple antitubercular therapy. 23G PPV with silicone oil and phacoemulsification with IOL implantation were done. The intraocular inflammation in OS decreased postsurgically, and in one month, BCVA was 20/200 and IOP was within normal limits. Conclusion: Eendophthalmitis is an indication for therapeutic vitrectomy. The risks of surgery seem to be lower than the benefits, including a decent chance for visual improvement and avoidance of enucleation. In our case, 23G PPV with phacoemulsification seemed to be beneficial in decreasing the level of inflammation, improvement of visual acuity, reduction of IOP, and preservation of the eye.
The Relationship between Eyestrain and the Occurrence of Floaters in Kalam Kudus Senior High School Hambali, Nadya; Meriana Rasyid
Sriwijaya Journal of Ophthalmology Vol. 6 No. 2 (2023): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v6i2.112

Abstract

Introduction: Floaters, or particles that appear to float in the visual field, are often subjective complaints that cause disruptive sensations in vision. Eye strain, which is a common symptom associated with prolonged use of digital screens, can lead to other visual disorders. However, there is limited research examining the relationship between eye strain and floaters. This study aimed to evaluate the relationship between eyestrain and the occurrence of floaters in Kalam Kudus Senior High School. Methods: The study was conducted using a cross-sectional method with 62 respondents who extensively use electronic devices. Data on eye strain symptoms and the occurrence of floaters were collected using a standard questionnaire. Statistical analysis was performed to evaluate the relationship between eye strain and floaters. Results: The results of the study showed a significant relationship between eyestrain and the occurrence of floaters (p-value = 0.022). Students who reported eyestrain had a higher risk of experiencing floaters. Conclusion: Excessive use of digital screens and eye strain can contribute to the development of floaters in the high school student population.
Epiretinal Membrane Management for Young Adult Patient: A Case Report Zamzam, Avizena Muhammad; Ramzi Amin; A.K Ansyori
Sriwijaya Journal of Ophthalmology Vol. 7 No. 1 (2024): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v7i1.113

Abstract

Introduction: Epiretinal membrane (ERM) is a condition where a thin fibrotic tissue layer appears on the surface of the macula, which causes a decrease in visual acuity. There are still limited data about the management of ERM due to its low incidence. We reported a case of epiretinal membranes in young adult patients. Case presentation: A 40-year-old male complained of blurry vision on the left eye since 6 months ago. His visual acuity was reduced, and a fundus photograph and macula OCT examination were performed. He was diagnosed with left eye epiretinal membrane and planned for left eye membrane peeling. The retinal break was found intraoperatively as a suspected predisposing factor. Conclusion: Management of severe ERM focuses on reducing metamorphopsia, improving visual acuity, and improving binocularity with pars plana vitrectomy combined with membrane peeling. At a young age, the predisposing factors for secondary development must be further identified.
A 39-Year-Old Woman with Oculodermal Melanocytosis: A Case Report Fensilia Yolanda, Gina Sonia; Ramzi Amin; H. A. K. Ansyori
Sriwijaya Journal of Ophthalmology Vol. 7 No. 1 (2024): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v7i1.114

Abstract

Introduction: Nevus of Ota, also known as oculodermal melanocytosis (ODM), is characterized by macular pigmentation which localized to the forehead and periocular area. It usually shows a dermatomal distribution from the first two branches of the trigeminal nerve. We reported a case of oculodermal melanocytosis (ODM). Case presentation: A 39-year-old woman, came with complaints of her left eye rolling inwards for the past 5 years accompanied by a flat black spot on her forehead that spread to her left cheek. She was done macular OCT and orbital ultrasonography of the left eye. She was diagnosed with oculodermal melanocytosis in the left eye, moderate NPDR in both eyes, juvenile cataracts in both eyes, and esotropia in the left eye due to left-eye cranial nerve VI paralysis. Follow-up at 6 months was advised to the patient. Conclusion: Although this is a benign condition, patients are at risk of developing complications such as increased intraocular pressure and melanoma of the skin and/or uvea, ongoing evaluation with imaging methods is highly recommended even if only skin lesions may be repaired using laser for cosmetic reasons.
Management of Wet Age-Related Macular Degeneration: A Case Report Handayani, Retno Tharra; H. A.K Ansyori; Ramzi Amin
Sriwijaya Journal of Ophthalmology Vol. 7 No. 1 (2024): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v7i1.115

Abstract

Introduction: Age-related macular degeneration (AMD) is a progressive neurodegenerative disease of the photoreceptors and retinal pigment epithelium (RPE). It is a leading cause of blindness and visual impairment in the elderly population, despite recent advances in treatment. We reported a case of wet AMD and its management. Case Presentation: A 69 years old woman complained of blurred vision, especially in the left eye, which she had experienced since 3 years ago, progressively worsen since the last 3 months. Fundoscopy and OCT examination was done. Fundoscopy found no foveal reflex with a drusen and perifoveal haemorrhage found on left eye. She was diagnosed with wet age-related macular degeneration type II of left eye. She had done intravitreal anti-VEGF injection with local anaesthesia. Conclusion: AMD management relies heavily on observation, lifestyle changes, frequent follow-up evaluations, early recognition of visual impairment and detection of CNV. Meanwhile, the current modality for wet AMD therapy is intravitreal anti-VEGF injection to preserve patient’s visual acuity and improve quality of life.
Prevalence and Analysis of Risk Factors for Cataracts in Jember Regency, Indonesia Rohmah, Siti
Sriwijaya Journal of Ophthalmology Vol. 7 No. 1 (2024): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v7i1.117

Abstract

Introduction: Cataracts are the leading cause of preventable blindness. This study aims to determine the prevalence of cataracts and analyze the risk factors for cataracts in Jember Regency. Methods: The research design is observational research with a cross-sectional approach. The study carried out eye examinations on 1000 adults (≥50 years) who were randomly selected in Jember Regency. Risk factors analyzed included age, gender, education, occupation, smoking, and history of diabetes mellitus and hypertension. Results: The prevalence of cataracts in Jember Regency is 25.3%. Risk factors associated with the incidence of cataracts are age (OR=1.35; 95%CI: 1.02-1.98), female gender (OR=1.54; 95%CI: 1.12-2.13), low education (OR=1.83; 95%CI: 1.22-2.73), outdoor work (OR=3.72; 95%CI: 1.14-5.58), smoking (OR=1.42; 95%CI: 1.01-2.00), and history of diabetes mellitus (OR=2.15; 95%CI: 1.43-3.24). Conclusion: The prevalence of cataracts at ages ≥ 50 years in Jember Regency is quite high. Age, female gender, low education, outdoor work, smoking, and a history of diabetes mellitus are risk factors for cataracts.

Page 8 of 10 | Total Record : 91

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