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Reni Prastyani
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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 78 Documents
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Difficulties of Cataract Surgery in Lens-Induced Glaucoma Due to Subluxated Cataract Meidiana Devira Aristanti; Nurwasis; Jamaluddin
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.v2i3.2023.57-62

Abstract

Introduction: Cataract is a disease of the eye in which the normal clear lens has opacified and obscured the passage of light. A mature cataract occurs when the lens is opacified. Lens subluxation is a condition when the crystalline lens is not in its anatomical position that can result in decreased anterior chamber depth. It is a potentially high risk of developing pupillary block, leading to lens-induced glaucoma (secondary angle closure glaucoma). In this case, the definitive therapy is lens extraction, which is challenging for cataract surgeons. This case report aims to expose the difficulties of cataract surgery in lens-induced glaucoma due to subluxated cataract. Case Presentation: A 56-year-old male presented with unable to see in his right eye, followed by foggy vision, glare when seeing the light, and a history of an acute glaucoma attack. His right best corrected visual acuity (BCVA) was 1/300, and the intraocular pressure (IOP) was 5 mmHg on therapy with glaucoma medications. Slit lamp examination of the right eye showed a shallow anterior chamber, irradiated iris, mid-dilated pupil, completely cloudy lens, and a capsular instability around 12 to 6 clock hours (180°/2 quadrant). This patient was diagnosed with mature cataract and lens-induced glaucoma due to subluxated mature cataract and was given glaucoma medications also underwent phacoemulsification (PE) along with Intraocular lens (IOL) and capsular tension ring implantation due to the lens instability and excessive lens movement. Conclusions: Cataract surgery for subluxated mature cataract and lens-induced glaucoma is challenging because of the shallow anterior chamber, capsular instability, and excessive lens movement. A thorough diagnosis, preoperative evaluation, postoperative monitoring, and evaluation are essential for safe cataract surgery, reducing the risk of complications and achieving a good result.
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.
Management of an Isolated Type I Ankyloblepharon Filiforme Adnatum (AFA) with Coloboma of the Upper Eyelid in a Newborn Mayangsari, Dian; Doemilah, Ratna
Vision Science and Eye Health Journal Vol. 3 No. 1 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i1.2023.12-16

Abstract

Introduction: Ankyloblepharon filiforme adnatum (AFA) is a rare congenital condition marked by one or more bands of tissue adhering partially or entirely to the ciliary margins of the upper and lower eyelids at the gray line. This case study illustrates the ease of treating the condition. A general ophthalmologist could do that. Case Presentation: A one-month-old infant was admitted to the outpatient clinic. Since birth, he could not open his eyes due to upper and lower eyelid adhesions. There was also a coloboma in the one-third lateral upper eyelid in the right eye. The evaluation of other body systems was normal. The infant was diagnosed with type I AFA and underwent surgery under general anesthesia. After crushing the band with the clamp, the bands of tissue were excised with the blade. The coloboma was reconstructed by applying primary closure and pentagonal shape incision, then sutured with 8-0 vicryl. The eyelids were separated with an aligned lid margin. Conclusions: Simple surgical procedures are used to treat congenital ankyloblepharon. It depends on the nature and extent of the adhesions along the lid margin. To reduce the risk of amblyopia, early treatment should be initiated immediately.
The Challenges of Handling Neovascular Glaucoma at Undaan Eye Hospital Surabaya, Indonesia Malika, Rosalia Adriani; Nuradianti, Lydia
Vision Science and Eye Health Journal Vol. 3 No. 1 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i1.2023.8-11

Abstract

Introduction: Neovascular glaucoma (NVG) is a secondary glaucoma, frequently incurable, and can cause blindness. It is characterized by neovascularization over the iris, IOP elevation, and glaucomatous optic neuropathy. Retinal ischemia, which supplies the release of angiogenesis factors, is the leading factor of NVG. Anti-vascular endothelial growth factor (Anti-VEGF) agents are effective at iris and iridocorneal angle neovascularization. Furthermore, laser and surgery are still necessary to decrease intraocular pressure in the condition with ineffective medication. Delay in treatment can lead to sight-threatening glaucoma. Purpose: This study aimed to provide an overview of the incidence and management of NVG at Undaan Eye Hospital, Surabaya, Indonesia. Methods: This descriptive epidemiology study comprised 111 eyes of 102 patients. The inclusion criteria were patients diagnosed with NVG who came to Undaan Eye Hospital for one year (January 2021 to December 2021). Patients with incomplete medical records were excluded. The patient's age, gender, risk factors, and treatment were reviewed. Results: There were 102 patients (111 eyes) diagnosed with NVG. The patients were primarily men (53.2%), and the mean age was 54.98 ± 12.4 years. Diabetes mellitus (DM) was observed in 70 (63.1%) eyes, hypertension in 60 (54.1%) eyes, central retinal vein occlusion (CRVO) in 11 (9.9%) eyes, cholesterol in seven (6.3%) eyes, and branch retinal vein occlusion (BRVO) in one (0,9%) eye. The mean IOP at the time of diagnosis was 42.8 ± 11.2 mmHg. Anti-VEGF (25.2%), trabeculectomy (59.5%), glaucoma drainage device (17.1%), micropulse transscleral cyclophotocoagulation (5.4%) were done as an option of the treatment. Conclusions: NVG is more common in men. Most patients presenting NVG had DM and hypertension with a mean IOP of 42.8 mmHg. Trabeculectomy is the most commonly performed procedure.
Compressive Optic Neuropathy (CON) Secondary to Inflammatory Polyp Mimicking Lymphoma: A Rare Manifestation Danniswara, Fadia Ghaisani; Agustini, Lukisiari
Vision Science and Eye Health Journal Vol. 3 No. 1 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i1.2023.23-27

Abstract

Introduction: Compressive optic neuropathy (CON) is the impairment of optic nerve function by space-occupying lesions that mechanically compress the optic nerve or optic tract. CON can arise from either intrinsic or extrinsic compression, and determining the underlying cause is important to approach the correct management. The objective of this case report is to present a rare case of CON secondary to an inflammatory polyp that mimicking lymphoma. Case Presentation: A 68-year-old male patient came to the neuro-ophthalmology clinic with a chief complaint of blurry vision in his left eye since three months ago that was getting worse until he lost his vision accompanied by drooping of the upper left eyelid. He also felt pain in his left eye, nausea, vomiting, and headache. Visual acuity of the right eye was 5/5 and the left eye had no light perception. Ocular motility of the left eye was restricted in all gaze. The pupil was 6 mm with no light reflex, and edema in the optic nerve head in the left eye was found from the posterior segment. The patient's MRI showed soft tissue thickening on the left orbital apex – left optic canal – left anterior cavernous sinus and enlargement of left medial rectus muscle with encasement of the left optic nerve, and from post-contrast showed contrast enhancement that suggested a lymphoma. He was diagnosed with CON secondary to lymphoma and was given Methylprednisolone 32 mg three times a day orally. Conclusions: Several differential diagnoses resemble the findings of CON secondary to inflammatory polyp. Some diagnostic examination must be done to exclude the other diagnosis to give a proper treatment for the patient.
Familial Congenital Aniridia with Subluxated Lens and Glaucoma Perwitasari, Birgitta Henny; Hermawan, Dicky
Vision Science and Eye Health Journal Vol. 3 No. 1 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i1.2023.17-22

Abstract

Introduction: Congenital aniridia is a bilateral iris aplasia or hypoplasia associated with other ocular disorders. The purpose of this case report is to describe the clinical manifestation of congenital aniridia in two members of one family. Case Presentation: The first patient (mother) is a 43-year-old and the second patient (daughter) is a 12-year-old. Both patients complained of blurred vision since childhood. The visual acuity of the first patient was a positive light perception on the right eye (RE) and no light perception on the left eye (LE); the visual acuity of the second patient was 1/60 on the RE and 3/32 on the LE. Both patients had horizontal nystagmus and increased intraocular pressure (IOP) (N+1 palpation) in both eyes. Anterior segment abnormalities of both patients include aniridia with iris rudimentary and superiorly subluxated lens. The first patient also had LE corneal leukoma and RE cataract. The second patient also had right and left eye corneal conjunctivalization. Fundus examination showed no fundus reflex on the first patient and tigroid retina with foveal hypoplasia on the second patient. Eye ultrasounds of both patients showed vitreous opacity. Conclusions: Congenital aniridia primarily originates from a mutation in the paired box gene-6 (PAX6) and is associated with other ocular anomalies such as nystagmus, amblyopia, keratopathies, cataract, lens luxation, glaucoma, fovea, optic nerve hypoplasia. Patients in this case showed similar conditions between mother and daughter, however, the mother's condition was more advanced and more degenerated than the daughter's condition.
Correlation Between Sleep Duration and Visual Acuity: A Single Center Study Arianto, Huda Fajar; Pasaribu, Irma Andriani; Artati, Indira Retno
Vision Science and Eye Health Journal Vol. 3 No. 1 (2023): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i1.2023.1-7

Abstract

Introduction: Students, especially at the senior high school level, are increasingly required to be able to develop according to predetermined standards. When the duration of learning increases, unconsciously, the duration of using the eyes also increases while the sleep duration decreases. Purpose: This study aims to analyze the correlation between short duration of sleep and decreased visual acuity among senior high school students. Methods: A cross-sectional study design was conducted, in which the students filled out questionnaires and underwent visual examination. The population was all final-year students at one of Sidoarjo Senior High School in East Java, with the age range of 16-18 years. Two variables involved in this study were sleep duration and visual acuity of the left and right eye. The data will be analyzed using Spearman Rho correlation analysis to determine the cause and effect of the two variables studied. Results: The sample according to the gender was 45.5% male and 54.5% female. The sample according to the age range was 76.1% in 17 years old and 23.9 % in 18 years old. The correlation test results were 0.277 and 0.009 for the correlation coefficient and the significance value for the right eye. The results were 0.234 for the correlation coefficient and 0.028 for the significance value for the left eye. There was a significant correlation between sleep duration and the visual acuity reduction. Conclusions: This study reveals that less sleep duration of the final year students between 16-18 years old range may be associated with reduced visual acuity among students.
Kimura's Disease Finding on Ocular Adnexal Mass Tiendie, Nonidha; Fatmariyanti, Susy; Ridholia, Ridholia
Vision Science and Eye Health Journal Vol. 3 No. 2 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i2.2024.28-32

Abstract

Introduction: Kimura's disease is an unknown chronic lymphoproliferative inflammatory disease affecting the skin, soft tissues, and lymph nodes. Until September 2020, only 200 cases of Kimura's disease were reported worldwide, however, their exact incidence is unknown. Here, we are interested in reporting a patient with Kimura's disease of the ocular adnexa due to its rarity and to enhance the knowledge of ophthalmologists about confirming the diagnosis of Kimura's disease. Case Presentation: A 40-year-old female presented with a chief complaint of a mass on her left nasal orbit for the last year. The mass gradually increased for six months, and it was painless. The systemic laboratory workup revealed eosinophilia and increased serum IgE. Contrast CT-Scan revealed a benign tumor, suspect dermoid cyst. She underwent surgery, and the histopathologic showed Kimura's disease. The patient was followed up on a scheduled basis, and there was no recurrence during four months of monitoring. Conclusions: A clinical, systemic laboratory, and histopathological examination is required to confirm the diagnosis of Kimura's ocular adnexa disease and determine the best therapy for the patient due to the high recurrence rate. Combining surgical excision with postoperative radiation is recommended as the most effective treatment in terms of controlling the residual lesion and minimizing the recurrence rate while causing the fewest side effects. Eosinophil screening regularly is advised to evaluate the recurrence rate.
Flap Striae: Managing and Understanding Post-LASIK Complication Khoirunnisa, Auliya; Nuramalia, Lady Sherly; Rasyda, Risnanda Putri; Dharmawidiarini, Dini
Vision Science and Eye Health Journal Vol. 3 No. 2 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i2.2024.33-35

Abstract

Introduction: Flap striae is the most common postoperative complication, with a frequency ranging from 0.033% to 3.5%, according to studies involving over 1000 ocular cases. There is only one case in our hospital in 2023. In this case report, we will present a case of flap striae in a tertiary hospital because our findings are unusual and essential in symptomatic therapy and visual rehabilitation. Case Presentation: A 19-year-old female came with a chief complaint of impaired vision in her left eye for the past two weeks, followed by inability to focus, discomfort of the eye, a sensation of foreign body, and glare that occurred three days after she underwent bilateral myopia laser in situ keratomileusis (LASIK) surgery. A post-LASIK assessment found that both eyes had visual acuity 10/10, and the left eye's visual acuity dropped to 6/10. Slit lamp examination revealed flap striae were running from the superonasal to the inferolateral quadrant. The thickness disparities were measured using optical coherence tomography (OCT), ranging from 653 to 689 μm. The OCT pictures revealed a gap on the temporal side as well. This patient was diagnosed with flap striae and a flap repositioning procedure was performed. Conclusions: A flap repositioning surgery was performed to increase visual acuity and eliminate striae.
Comprehensive Dental Care for Children with Visual Impairment Nisrina, Shafiya Fildza; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 3 No. 2 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i2.2024.45-50

Abstract

Introduction: Children with visual impairment are more susceptible to acquiring pathologies in the oral cavity than the general population, the most prevalent of which are dental caries, inflammation of the gums, and loss of the structures that support the teeth. The oral health care needs of visually impaired children are needed. Purpose: To provide a better understanding that can guide ophthalmologists about the importance of comprehensive dental care for children with visual impairments. Review: Factors that respond to the need for oral health care in visually impaired children are lack of ability to carry out oral hygiene habits, lack of knowledge on the part of health personnel to provide services adapted to the needs of this population, absence of promotion and education programs, and lack of public policies on oral health. This article discusses the dental aspects of visual impairment, its implications for obtaining dental care, associated oral conditions, and medical complications. Conclusion: It is imperative to prioritize the implementation of preventive methods and oral health education among visually impaired children. The function of the dentist is significant in the management of children with such conditions. Ophthalmologists should collaborate with dentists who possess a strong drive to provide care for children with special needs such as visual impairment and will discover that this endeavor offers significant opportunities to be an enriching experience.

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