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Department of Opthalmology, Faculty of Medicine, Universitas Airlangga Jalan Mayjen Prof. Dr. Moestopo No. 47, Surabaya, East Java, Indonesia 60131.
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Vision Science and Eye Health Journal
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 71 Documents
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Correlation Between Online Gaming Duration and Dry Eyes Complaints and Quality of Life Using DEQS Questionnaire I Putu Fandy Artha Gunawan; Arley Sadra Telussa; Kartini Lidia; Hyasinta Arlette Nikita
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.v2i1.2022.29-33

Abstract

Introduction: Dry eye is a component of computer vision syndrome (CVS) which is affected by the duration of using a visual display terminal (VDT), such as playing online games. Purpose: To analyze the correlation between the duration spent playing online games and the degree of dry eye complaints and quality of life. Methods: This research is cross-sectional research conducted on students of the General Practitioner Study Program, Faculty of Medicine, Universitas Nusa Cendana, Kupang, Indonesia, who play online games through Zoom meetings and Whatsapp with a total sampling method on 47 respondents. Data was acquired through online game playing duration questionnaire and dry eye related quality of life score (DEQS) questionnaire. The inclusion criteria in this research was an active medical student of the Universitas Nusa Cendana, Kupang, Indonesia, who had a habit of playing online games and had good literacy skills. This research used eta square statistical analysis. Results: From the 47 acquired samples, the most prominent acquired sample was male (70.2%). DEQS score that was acquired was vary. The lowest score 0-10 is was present on 25.53% of samples, score 11-74 was present on 72.34% of samples and the highest score (75) is present on 2.1% of samples. Impaired quality of life score was found on dry eye range (31-75). There was no significant correlation between the duration spent online playing games and the degree of dry eye complaints (p = 0.693). There was significant correlation between degree of dry eye complaint and quality of life (p = 0.000). Conclusions: The duration of spent online playing games has no effect on the degree of dry eye complaints. The degree of dry eye complaints can affect the quality of life.
Isolated Ectopia Lentis in Suspect of Weill-Marchesani Syndrome (WMS) Priya Taufiq Arrachman; Ega Sekartika; Mutia Khanza; Dewi Rosarina; Dini Dharmawidiarini; Muhammad Hanun Mahyuddin
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.v2i1.2022.11-16

Abstract

Introduction: The prevalence of Weill-Marchesani syndrome (WMS) is estimated to be 1:100.000 proportion of the population. Knowledge of the clinical and therapy of WMS is expected to improve the ability to diagnose this disease. In this case report, we will present a case of WMS in a tertiary hospital because our findings are rare and essential concerning the symptomatic treatment and visual rehabilitation. Case Presentation: A 7-year-old child presented with blurred vision in the left eye. The patient showed an abnormal facial appearance with short stature and brachydactyly on both hands. The patient had a history of Intracapsular cataract extraction (ICCE) surgery on the right eye with an indication of anterior lens subluxation. The patient then suffered aphakic glaucoma in the right eye after surgery. Anterior segment examination of the right eye found an aphakic lens, conjunctival sclerectasia, atrophic iris, and mid-dilation pupil. Anterior segment of the left eye found an atrophic iris and lens subluxation. From the clinical appearance and the ocular disturbance, such as brachydactyly and short stature, the patient was diagnosed with suspected WMS. The patient was treated with ICCE surgery on the left eye and micropulse transscleral cyclophotocoagulation (MP-TSCPC) surgery on the right eye. Conclusion: WMS is a rare disease. It is essential to make an early diagnosis of glaucoma and ectopia lentis in WMS patients because it will affect their vision.
Management of Adnexa Foreign Body: A Piece of Mica from a Broken Helmet Windya Tri Hapsari; Ratna Doemilah
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.v2i1.2022.17-23

Abstract

Introduction: Adnexa foreign body is one of the classifications of extraocular foreign body. Visual prognosis depends on the zone of injury, type, and size of the foreign body and subsequent complications. Case Presentation: A 5-year-old girl came to the outpatient clinic with her parent with chief complaints of swelling and pain in the lower eyelid in the left eye after she had a motorcycle accident with her parent (single accident) five months ago. At the time, the patient was hit by a piece of mica from a broken helmet in her left eye, and the patient complained that her left eye was red swollen and that she had difficulty opening her eyes and; when the midwife then referred her to an ophthalmologist in Jember and referred to Soetomo with diagnosis conjunctival tumor in LE. Visual acuity RLE 5/5, and in the conjunctiva, there was hyperemia and foreign body like glass or mica in fornix inferior. In the CT scan, there was foreign body or corpus alienum with size 1.05 x 0.5 x 2.1 cm in cutan subcutan left inferior eyelid until ciliary body and swelling in tissue around corpus alienum. The patient was the plan to extract the foreign body. Conclusion: Adnexa foreign body is one emergency case in ophthalmology. The extraction technique depends on the object’s composition and size because it impacts the step of the operation technique.
Intravitreal Anti-Vascular Endothelial Growth Factor (VEGF) as an Adjuvant Before Vitrectomy for Proliferative Diabetic Retinopathy (PDR) Winly; Fabiola Supit; Ni Made Ari Suryathi
Vision Science and Eye Health Journal Vol. 2 No. 2 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i2.2023.34-40

Abstract

Introduction: The primary treatment in proliferative diabetic retinopathy (PDR) is vitrectomy; however, direct intervention to the dense proliferative fibrovascular membrane may lead to massive hemorrhage obscuring the surgery process. Purpose: to review the use of anti-vascular endothelial growth factor (VEGF) as an adjuvant therapy before pars plana vitrectomy in PDR cases. Review: Anti-VEGF has been proposed as an adjuvant preceding the vitrectomy to lower intraoperative and post-operative complications. On the other hand, it could increase fibrosis which triggers tractional retinal detachment (TRD) in PDR cases. Conclusion: Intervals of five to ten days are considered the most ideal between anti-VEGF injection and pars plana vitrectomy (PPV) surgery in which the adjuvant therapy has made neovascularization regression and before the occurrence of fibrovascular contractions.
Reconstruction of a Traumatic Large Upper Eyelid Avulsion with Tarsoconjunctival Graft and Rotational Flap: A Surgeon’s Preference Muhammad Fariz; Sutjipto
Vision Science and Eye Health Journal Vol. 2 No. 2 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i2.2023.41-44

Abstract

Introduction: Large, full-thickness upper eyelid defects management presents a thorough and challenging approach due to the multilaminar character of the eyelid and its dynamic function. The Cutler-Beard flap method has been the mainstay management, but posterior lamellar graft usage with recent modifications may reduce complications. Case Presentation: A 43-year-old man presented to the emergency ward after a traffic accident left him with a full-thickness laceration on his left upper eyelid and an approximately 60% avulsion on the one-third medial of the eyelid. Traumatic ptosis was also found. After considering the large size of the affected area and the probability of faster wound healing, a free graft from the tarsus and conjunctival eyelid of his fellow eye was harvested to replace the posterior lamellar of the affected eye and closed the defect with a rotational skin flap from the remaining of the left upper eyelid. Conclusions: This technique could be one of the alternatives to the more common cutler-beard flap with mild complications. However, temporary visual obstruction cannot be avoided due to the traumatic ptosis complication of this patient.
Corneal Ulcer Impending Perforation et causa Corpus Alienum Fanda Aviesta Minhalina; Niken Indah Noerdiyani
Vision Science and Eye Health Journal Vol. 2 No. 2 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i2.2023.49-51

Abstract

Introduction: The cornea is a transparent, avascular tissue that serves as a structural barrier and protects the eye from infection. A corneal ulcer is an inflammatory or, more dangerously, infective disorder involving abnormalities of the cornea’s epithelial layer or stroma. Corneal ulcers can develop due to contact lenses, trauma, adnexal illnesses, or ocular surface abnormalities. Despite aggressive nonsurgical therapies, corneal perforation frequently occurs in the event of resistant corneal ulcers. The anatomic integrity of the eyeball must be preserved through urgent surgical intervention to avoid potentially fatal consequences such as endophthalmitis, subsequent glaucoma, perforation, or corneal scarring. Case Presentation: A-11-year-old male child was taken to Community Eye Hospital, East Java due to a corneal ulcer. He complained of pain and redness right after he played with bamboo two weeks ago. The patient had been previously treated in other hospitals; however, there was a worsening of symptoms rather than improvement. Clinical examination of oculus sinister revealed a conjunctival injection, episcleral injection, corpus alienum (bamboo) sized 50 mm, an ulcer in the central cornea sized 3 x 2 mm irregular, shallow anterior chamber, impending perforation in the central cornea with a diameter of 2 mm. Thus, there had shown impending perforation, and the patient had to undergo surgery, of amniotic graft and antibiotic injection immediately to avoid perforation. Conclusions: A perforation, an ophthalmological emergency requiring surgery, can result from corneal ulceration, a medical emergency. The primary objectives of the procedure are to restore the eye’s anatomical integrity and to reduce problems as much as feasible.
Intraocular Foreign Body: Striving the Optimal Visual Outcome Muhammad Firmansjah; Nandang Sudrajat; Ima Yustiarini; Ady Dwi Prakosa; Sauli Ari Widjaja; Wimbo Sasono
Vision Science and Eye Health Journal Vol. 2 No. 2 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i2.2023.52-56

Abstract

Introduction: Intraocular foreign bodies (IOFBs) are defined as intraocularly retained, unintentional projectiles that require urgent diagnosis and treatment to prevent blindness or globe loss. Case Presentation: We report a case of IOFB due to occupational accidents. In this case, there were delays in extraction considering the health facilities and conditions related to COVID-19 infection. Initially, the patient underwent closure of the entrance wound, which was performed within the first 24 hours post-trauma. However, although there was no endophthalmitis, visual acuity at the end of the observation still showed an unexpected outcome. The patient was followed up for three months after IOFBs extraction. The timing of IOFBs removal depends on several factors, including the patient’s overall health status, the nature of the injury, and the composition of the IOFBs. The postoperative examinations focus on complications such as endophthalmitis, postoperative retinal detachment, proliferative vitreoretinopathy (PVR), and sympathetic ophthalmia. The numerical values can then be used to predict the expected visual acuity using the ocular trauma score system. Conclusions: Many factors could affect the outcome quality of visual acuity. Primary wound closure, foreign body extraction, and anatomic reconstruction of the holistic ocular should be performed as soon as possible. Delay in definitive treatment was thought to affect worsening prognosis due to tissue proliferation and the tendency for severe complications, including endophthalmitis.
Successful Management of Malignant Glaucoma with Pars Plana Vitrectomy and Glaucoma Drainage Device Implant Rosalia Adriani Malika; Noviana K. Vivin; Dewi Rosarina
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.v2i3.2023.70-73

Abstract

Introduction: Malignant glaucoma is a rare condition with challenging management. It is diagnosed by central and peripheral shallowing or flattening of the anterior chamber and increased intraocular pressure (IOP) without posterior segment abnormality (suprachoroidal effusion or hemorrhage of patent iridotomy). It can be managed by pars plana vitrectomy (PPV). Case Presentation: A 59-year-old man presented to the emergency unit in Undaan Eye Hospital, Surabaya complaining of pain and blurry vision in his left eye after being hit by a rope. Secondary glaucoma with posterior lens luxation was diagnosed in the left eye. The patient was given topical and oral glaucoma medications. Vitrectomy with endo laser and endo fragmentation was performed three months later with normal IOP. A retinal break was detected at five o’clock, and sulphur hexafluoride (SF6) was given during vitrectomy. Malignant glaucoma was diagnosed by flattening the anterior chamber after vitrectomy with left eye IOP of 31 mmHg. The left eye IOP remained elevated in the following months, and the pain persisted. However, topical and oral anti-glaucoma medications, topical cycloplegics, and steroids were already given. The cornea became hazy due to uncontrolled IOP. A left eye PPV with a glaucoma drainage devices (GDD) implant was conducted. Nevertheless, his left eye visual acuity did not improve (1/300). Besides, his left eye IOP was normal without topical and oral glaucoma medications. Conclusions: PPV offers reliable and prompt treatment for malignant glaucoma with a low complication rate. The patient’s vision can be preserved by lowering the IOP, preventing further optic nerve damage.
Open Globe Injury with Corneal Laceration Full-Thickness, Anterior Lens Capsule Rupture, and Traumatic Cataract Rahadi Akbar; Budy Surakhman; Damaryati Widyastuti
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.v2i3.2023.80-84

Abstract

Introduction: Ocular trauma is a common, preventable cause of visual impairment. Mechanical eye injuries affect the eye in many ways ranging from mild to severe morbidity. In this case, we inform the sequence of what we found in this ocular trauma and how we treat this case. Case Presentation: A 26-year-old male patient presented with pain and stiffness in the right eye. The patient was involved in an accident 16 hours before being admitted to the emergency room. Previously, the patient had been taken to a secondary hospital. No medications were given. The patient was referred directly to a tertiary hospital for further management. The visual acuity of the right eye and left eye were 1/300 and 6/6. Soft palpation indicated decreased intraocular pressure (IOP) on the right eye. Slit lamp examination found conjunctival hyperemia, full-thickness corneal laceration, irregular iris, posterior synechiae, declining pupil reflex, and hazy lens. Fundus reflex declined. The right eyeball exploration showed a membrane at the camera oculi anterior and a suspected hazy lens with mass and capsule of the lens. Doubtful prognosis on the right eyeball. Conclusions: The outcome of ocular trauma might be debatable and vary in any condition. Proper management can avoid unprecedented complications and improve patient visual results. A good perspective will also make satisfied both the patient and the physician.
Eales’ Disease: A Successful Treatment with Oral Corticosteroid Alma Pustika Kartikananda Retina Fibularis; Halida Wibawaty
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.v2i3.2023.63-69

Abstract

Introduction: Eales’ disease is an idiopathic inflammatory venous occlusion primarily affecting the peripheral retina. It commonly affects healthy young men aged 20-30 years, and 50-90% of patients develop bilateral involvement. Retinal changes include perivascular phlebitis, peripheral nonperfusion, and neovascularization. Case Presentation: We present a case of bilateral Eales’ disease; a 38-year-old man presented to our hospital with chief complaints of decreased and blurred vision, photopsia, and floaters in both eyes. The best corrected visual acuity (BCVA) at the initial presentation was hand movement in the right eye (RE) and 0.3 in the left eye (LE). The anterior segment and intraocular pressure (IOP) were normal. Funduscopy of both eyes highlighted dense vitreous opacity. In the RE, we found perivascular sheathing, perivascular exudates, dot and flame shape intraretinal hemorrhages, and focal occlusion of retinal vessels. In the LE, we found perivascular sheathing, perivascular exudates, and dot and flame shape intraretinal hemorrhages. Initial optical coherence tomography (OCT) results show central macular thinning. The disease resolved rapidly with an oral corticosteroid before the patient underwent pars plana vitrectomy. Conclusions: Eales’ disease can be treated with corticosteroids, anti-VEGF, laser photocoagulation, and pars plana vitrectomy. Even though the patient was planned for pars plana vitrectomy, we tried initial therapy using oral corticosteroids, which responded well to the patient’s chief complaints. OCT results also showed improvement in macular thickness after the third follow-up. Oral corticosteroid therapy shows good results in Eales’ disease treatment.

Page 3 of 8 | Total Record : 71

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