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Vision Science and Eye Health Journal

VSEHJ
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Published by Universitas Airlangga

ISSN : - EISSN : 2809218X DOI : https://doi.org/10.20473/vsehj.v1i2.2022.28-34

Core Subject : Health,

Medicine & Pharmacology

Vision Science and Eye Health Journal (VSEHJ) is a peer-reviewed open access scientific journal published by the Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga that welcomes original research, case reports, and scoping or systematic review manuscripts directed to ophthalmologists. VSEHJ focuses mostly on the case report and also welcomes original research and scoping or systematic review related to vision science and eye health that is relevant for the development of the theory and practice of ophthalmology fields. The scope for VSEHJ includes ophthalmology and visual sciences, including corneal or external disease, cataract or anterior segment, glaucoma, neuro-ophthalmology, orbit ocular pathology, pathology or oncology of oculoplastic or orbit, pediatric ophthalmology or strabismus, refractive management and intervention, retina or vitreous, uveitis, community ophthalmology. Each volume of VSEHJ consists of three numbers published every November, March, and July. The first number of volume one was published in November 2021. Articles published in VSEHJ include case reports, original research, and scoping or systematic review articles. Contributors for VSEHJ are researchers, lecturers, students, ophthalmology experts, and other practitioners that focus on ophthalmology worldwide, especially from Southeast Asia Region. Submissions are open year-round.

Arjuna Subject : Kedokteran - Ophthalmology

Articles 78 Documents

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Ankyloblepharon Filiforme Adnatum in a Newborn Baby Girl Anggisari Danastri Dharma; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: One type of congenital defect, ankyloblepharon filiforme adnatum (AFA), is characterized by a single or many strands of connective tissue connecting the upper and lower eyelids. It occurs only infrequently at the lateral or medial canthus. The eyelids normally begin to form within the fifth month of pregnancy, and they usually begin to separate entirely into an upper and lower lid by the seventh month of pregnancy. This type of tissue always originates from the grey line, which is located anterior to the meibomian gland orifices and posterior to the cilia. Case presentation: A 22-day-old female child was taken to the Surabaya Eye Clinic with a congenital eye condition. Because his top and lower eyelids were stuck together at birth, she was unable to open his eyes fully. The infant, who weighed 2.8 kg at birth, was delivered by elective caesarean section at 39 weeks gestation to a 28-year-old primigravida mother. There were no abnormalities discovered during the prenatal, intranatal, or postnatal stages. Except for iron and vitamins, the mother is not taking any medications. There was no prior history of X-ray exposure found. There was no history of congenital abnormalities or consanguinity in the patient’s family. Conclusions: Ankyloblepharon filiforme adnatum (AFA) is a rare case. Early diagnostic and comprehensive management including surgical correction should be performed promptly to minimize any risk of amblyopia, and enable full examination of the eye.

Successful Treatment of Mixed Amblyopia with Optic Nerve Hypoplasia (ONH) in an Adult Indonesian Patient Ria Indah Wahyuningtyas; Niken Indah Noerdiyani; Rozalina Loebis
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Amblyopia significantly contributes to low vision and blindness in adults in an Indonesian rural setting. The treatment of amblyopia, particularly anisometropic and/or strabismic amblyopia, has long been challenging for many clinicians. This study aims to report a promising result of refractive correction, occlusion therapy, and oral citicoline on mixed amblyopia with optic nerve hypoplasia in adult Indonesian patients. Case Presentation: A 20-year-old male with a chief complaint of blurry right eye since one year ago, becoming more severe lately. The patient had been strabismic since his childhood. History of using a -5 concave spherical lens on his RE, with the normal eye on his LE. Visual acuity (VA) of his RE was 3/60 and his LE was 6/30. The RE was deviated, with 30° of exotropia. Nystagmus was also found. Optical coherence tomography (OCT) examination found maculopathy and optic nerve hypoplasia in both eyes. We treated the patient with spectacles to correct the refractive error, occluded his fixing eye, and gave an oral citicoline. Conclusions: Refractive correction and occlusion therapy are still meaningful choices of therapy and have shown to be effective in treating amblyopia, combined with oral citicoline to prevent nerve cell damage. Our case of refractive correction, combined with occlusion therapy and oral citicoline on mixed amblyopia in an adult Indonesian patient, showed good results and a promising post-treatment prognosis with a decrease of exotropia degree and disappearance of nystagmus in just two months.

Comparison of Autologous Blood Coagulum (ABC) and Suture at Recurrence Rate and Graft Stability of Postoperative Primary Pterygium Using Conjunctival Autograft: A Meta-Analysis From Randomized Controlled Trial Amelia Rahmah Kartika; Made Angga Putra; Delfitri Lutfi
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: The main challenge of pterygium management is the postoperative recurrence rate. Currently, the use of surgical sutures for conjunctival autograft fixation, which has prolonged surgery duration, has a risk of increased inflammation and infection. Recently, some reports about autologous blood coagulum (ABC) for conjunctival autograft fixation. This technique has a minimal cost and minimal risk of infection. Purpose: The study aimed to evaluate the postoperative recurrence rate and graft stability after using ABC and sutures. Methods: A systematic research was done on Pubmed, Cochrane Library, and Science Direct online databases for all relevant randomized controlled trials (RCTs) up to 18 July 2020. The collected RCTs were independently screened and identified to match the inclusion criteria. The relevant data were compiled in population, intervention, control, outcomes (PICOs) format and analyzed with Review Manager 5.3 software. Results: Nine RCTs involving a total of 764 patients were assessed. The primary outcome indicates that ABC significantly reduced the recurrence rate compared to sutures (RR = 0.51, 95% CI 0.27 to 0.98, p = 0.04). Meanwhile, in graft stability, the suture was statistically better than ABC (RR = 1.95, 95% CI 1.27 to 3.01, p = 0.002). As a secondary outcome, the duration of surgery was significantly shorter in ABC than in sutures (MD -15.22, 95% CI -22.57 to -7.88, p<0.0001). Conclusions: Although the graft is less stable, ABC may be a promising approach after pterygium excision. The use of autologous blood for conjunctival autograft fixation in primary pterygium was associated with a lower recurrence rate and shorter duration of surgery.

Traumatic Globe Luxation: When to Save It? Awina Rayungsista; Susy Fatmariyanti
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Globe luxation is a rare case and is one of the trauma conditions contributing to the number of blindness worldwide. Its etiology is divided into three categories: spontaneous, voluntary, and post-traumatic. Case presentation: A 21-year-old man was referred with a chief complaint of left eye protruding and painful blind eye after a car accident 12 hours before being consulted. Systemic condition revealed anemia with bilateral pneumonia and was confirmed as COVID-19, an asymptomatic condition. Visual acuity of both eyes was > 2/60 lying position with no light perception, respectively. During surgery, we found necrotic ocular surface and choroidal prolapse. Enucleation was chosen because of poor eyeball conditions and no visual potential. Conclusion: In multiple trauma cases, either eye or systemic conditions must be considered. Although saving the eyeball is the primary treatment choice, enucleation should be considered if the eyeball’s condition is poor and has no visual potential.

Bilateral Optic Neuritis as an Atypical Presentation of Primary Sjögren’s Syndrome (pSS) Denisa Rosati; Lukisiari Agustini
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Primary Sjögren’s syndrome (pSS) is a chronic progressive autoimmune disease that primarily affects exocrine glands with varying symptoms. Here we discuss atypical optic neuritis as an initial presentation of pSS without any sicca symptoms. Case presentation: A 22-year-old woman came to the outpatient clinic with the chief complaint of rapid deteriorating visual acuity that had started one week before—no complaint of the eye or other mucosal dryness. At the initial visit, best corrected visual acuity (BCVA) was hand movement on the right eye and 6/7.5 on the left eye with decreasing color perception. Fundus examination showed bilateral optic nerve head edema. Schirmer test and tear-film break up time were within normal limits. After the initial one gram intravenous methylprednisolone treatment, no significant changes were observed for three consecutive days. Serological investigations revealed raised levels of SS-A native. Improvement happened after being given azathioprine. Conclusion: Optic neuritis may be the initial presentation of Sjögren’s syndrome without sicca symptoms. The presence of a specific antibody, including anti-SSA, is supportive for the diagnosis of such a case.

Serratia marcescens, Uncommon Pathogen, Causing Orbital Cellulitis in Uncontrolled Diabetes Melitus Stevie Kresentia; Amir Surya
Vision Science and Eye Health Journal Vol. 1 No. 2 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Orbital cellulitis is a rare ophthalmic infection. Special attention should be given because it can be fatal, either to vision or life. Case presentation: A 49-year- old man complained of swelling and pain in his left eye for two weeks, along with lethargy and fever. One month previously, the patient was admitted to the hospital with a diagnosis of sinusitis and was planned for surgery, but he refused. He also had a history of uncontrolled diabetes. The examination showed proptosis and adhesions of the upper and lower eyelids covered with crusts. After debridement, his visual acuity was no light perception. There was a lot of necrotic tissue and pus covering the sclera and conjunctiva. Intraocular pressure was soft by palpation. He was planned for hospitalization. The results of the pus culture showed the growth of Serratia marcescens, and the antibiotics usage was following the bacterial culture. Unfortunately, after 72 hours of intravenous antibiotics, there was no clinical improvement. We decided to do evisceration to reduce local infection and prevent the infection spreading systemically. The patient’s condition was gradually improve after surgery. Conclusions: Orbital cellulitis is an infection that can be harmful unless the treatment starts immediately and effectively. Redness and swollen eyelid accompanied by proptosis and painful ocular movement can be critical signs of the disease. Intravenous antibiotics have always been the first choice of treatment. Therefore, culture and antibiotic sensitivity test play an important role in successful treatment. Surgical should be considered if it becomes a life-threatening condition.

Secondary Glaucoma After Blunt Ocular Trauma Ega Sekartika; Priya Taufiq Arrachman; Mutia Khanza; Dewi Rosarina
Vision Science and Eye Health Journal Vol. 1 No. 3 (2022): Vision Science and Eye Health Journal
Publisher : Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga

Introduction: Ocular trauma is an important cause of unilateral visual impairment and blindness. Among several agents of ocular trauma, blunt trauma is the most common and can lead to secondary glaucoma. Secondary glaucoma due to blunt ocular trauma can be unnoticed and undetected until the formation of glaucomatous optic neuropathy (GON) occurs. This case might not be neglected. Delay in treatment can lead to the progression of GON. Case Presentation: A 68-year-old woman presented to the outpatient clinic in Undaan Eye Hospital complaining of decreased vision and pain in the left eye after blunt trauma to the eye. Her left eye vision was limited to detecting hand motions (1/300) and the intraocular pressure (IOP) was 37.8 mmHg. On the slit lamp biomicroscopic examination, the left pupil was mid-dilated, lens opacification and phacodenesis were detected. The cup-to-disc ratio (CDR) of the left eye increased (0.8-0.9) through the funduscopic examination. Secondary glaucoma due to subluxated lens was diagnosed for the left eye. The patient was given topical and oral antiglaucoma medications and was evaluated after one week of drug use. Since the IOP remained elevated after medical therapy, left eye trabeculectomy was conducted. Bleb was formed postoperatively and the IOP was getting normal without oral glaucoma medications. Conclusion: Blunt ocular trauma can lead to secondary glaucoma. Thorough examinations and immediate treatments should be conducted to preserve patient’s vision and prevent further optic nerve damage.

Nodular Episcleritis in a Boy with Pulmonary Tuberculosis Rizki Matta Handayani; Niken Indah Noerdiyani; Indriani Kartika Dewi
Vision Science and Eye Health Journal Vol. 2 No. 1 (2022): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i1.2022.6-10

Introduction: Episcleritis is an acute inflammation of the vascular connective tissue between the conjunctiva and the sclera’s surface, which can be found unilateral and bilateral. Tuberculosis (TB) is one of the systemic infectious diseases that cause morbidity in developing countries and can affect the ocular area known as ocular tuberculosis There are still limited cases of ocular tuberculosis studies, specifically tubercular nodular episcleritis in adolescents. This case report aims to expose nodular episcleritis in pediatric tuberculosis patients in Indonesia. Case Presentation: A 16-year-old boy came to the Community Eye Health Hospital East Java with superior bilateral eye redness and pain with normal visual acuity. He underwent advanced anti-tubercular treatment for the last nine months. The best corrected visual acuity (BCVA) of both eyes was 6/6. Slit-lamp biomicroscopy (SLB) examination found the dilation of blood vessels located on the superior episclera accompanied by a firmly bordered, fixed, pink nodule, diameter ± 1.5 mm located at 12 o’clock in bilateral bulbar conjunctiva. Based on anamnesis and physical examination, the diagnosis of nodular episcleritis et causa pulmonary TB was established. Topical corticosteroids and artificial tears eyedrops were given in both eyes for five weeks, and continuing anti-tubercular treatment was performed. Conclusion: It is necessary to investigate the primary cause of episcleritis by eliminating underlying systemic diseases. Herein, we present a rare case of nodular episcleritis in an adolescent with pulmonary tuberculosis who responded very well to anti-tubercular treatment with topical corticosteroid and artificial tears eye drops.

Visual Outcome of Phacoemulsification at Griya Husada Eye Center, Madiun, Indonesia Astrid Feriza; Nurwasis Nurwasis; Sukoto Sukoto
Vision Science and Eye Health Journal Vol. 2 No. 1 (2022): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i1.2022.24-28

Introduction: Sight is one of the most important senses that absorbs more than 80% of visual information. However, visual disturbances are common, ranging from mild to severe disturbances that can lead to blindness. A cataract is the leading cause of blindness in Indonesia; it is accountable for 77.7% of all blindness. Phacoemulsification is a new ECCE technique in which cloudy or cataractous lenses are removed through a 2-3 mm incision with no sutures. The advantages of this small incision are faster visual recovery, minimal astigmatic induction due to surgery, and minimal postoperative complications and inflammation. Purpose: This study aimed to measure visual outcomes in senile cataract patients after phacoemulsification surgery at Griya Husada Eye Center, Madiun, Indonesia. Methods: A Retrospective study was carried out among senile cataract patients who had phacoemulsification surgery at Griya Husada Eye Center, Madiun, Indonesia between January and May 2021. The best corrected visual acuity (BCVA) was recorded on the fourteenth day. Results: From 292 patients, postoperative visual acuity in the good category (6/6 - 6/18) was 94.9%, in the moderate category (<6/18 - 6/60) was 1.7%, and in the poor category (<6/60) was 3.4%. Conclusions: Postoperative visual acuity with phacoemulsification at Griya Husada Eye Center, Madiun, Indonesia showed satisfactory results and met World Health Organization’s (WHO) standards.

Comprehensive Management of Preseptal Cellulitis with Massive Palpebral Abscess in 72-year-old Man Ruth Anastasia; Ismi Zuhria; Susy Fatmariyanti
Vision Science and Eye Health Journal Vol. 2 No. 1 (2022): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i1.2022.1-5

Introduction: Infectious inflammation of the periorbital and orbital soft tissue can be classified as preseptal (periorbital) or postseptal (orbital) cellulitis. Eyelid abscess, an accumulation of pus in the palpebral tissue, can occur in isolation or in association with preseptal cellulitis. Preseptal cellulitis is nearly three times more common than orbital cellulitis. Case Presentation: The patient, in this case, was admitted with a complaint of swollen left eyelid ten days before being admitted. Swollen eyelid with the inability to open the left eye was accompanied by pus discharge five days before coming to the hospital. Current complaints include eyelid pain, swelling, and discharge of thick yellow fluid. Massive abscess with active pus and crust was present in the left superior and inferior eyelid and frontotemporal area. A head CT scan revealed a soft tissue mass in the left sub galea soft tissue, left frontal region, left orbit, and left temporal region. Multi-department consultations and several workups were done to reveal the etiology and plan the appropriate management of this condition. Conclusion: A comprehensive assessment must be done to distinguish preseptal and orbital cellulitis. Ophthalmology examination and imaging are crucial to detect any extension of the palpebral abscess beyond the orbital septum. Examining an immunocompromised state and focal infection is crucial in determining proper treatment.

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Contact Name Reni Prastyani

Contact Email reni-p@fk.unair.ac.id

Phone +6282139399974

Journal Mail Official vsehj@journal.unair.ac.id

Editorial Address Department of Opthalmology, Faculty of Medicine, Universitas Airlangga Jalan Mayjen Prof. Dr. Moestopo No. 47, Surabaya, East Java, Indonesia 60131.

Location Kota surabaya, Jawa timur INDONESIA

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Contact Name
Reni Prastyani

Contact Email
reni-p@fk.unair.ac.id

Phone
+6282139399974

Journal Mail Official
vsehj@journal.unair.ac.id

Editorial Address
Department of Opthalmology, Faculty of Medicine, Universitas Airlangga Jalan Mayjen Prof. Dr. Moestopo No. 47, Surabaya, East Java, Indonesia 60131.

Location
Kota surabaya,

Jawa timur

INDONESIA