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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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Amelanotic Choroidal Melanoma with Extraocular Extension in a 51 Year-Old Female: A Rare Case Ervianti, Octarina; Lutfi, Delfitri
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.v3i2.2024.40-44

Abstract

Introduction: Melanoma is a dangerous malignancy primarily involving the choroid, ciliary body, or iris. The most frequent primary intraocular malignant tumor is choroidal melanoma. The tumor most often affects Caucasians of Northern Europe ranging between the ages of 50 and 80. Most choroidal melanomas are pigmented, however, non-pigmented or mixed pigmented and non-pigmented forms can also happen. Compared with other amelanotic choroidal lesions, amelanotic choroidal melanoma showed markedly greater basal diameter, thickness, frequent connection with subretinal fluid, and ultrasonic hollowness. Extrascleral extension is currently detected in 10% to 28% of choroidal melanoma patients, and the mortality rate is much greater than in those without the extension. Case Presentation: We reported a rare case of extraocular extension in a 51-year-old female patient with amelanotic melanoma. The primary complaint was a painful and bleeding mass on her left eye that had developed two months prior to admission. On the conjunctiva of the left eye, there was a solid, palpable mass measuring 4 x 3.5 x 1 cm. It was red, well-defined, and had a hard, solid consistency. It was fixed at the base, had minimal bleeding, and pressed on her eyeball from the inferolateral direction. The cornea appears clear, and there is no light perception in visual acuity. The orbital focus computed tomography scan revealed an Enhancing solid mass containing a fat component. The mass was in the left intraocular, extending from intraconal to extraconal. Conclusions: Amelanotic melanoma with extraocular extension is a rare condition that can be difficult to detect due to its unclear clinical symptoms and wide range of possible causes. Patients and their families must be educated to receive the appropriate first therapy and prevent the illness from worsening. Melanoma management depends on several factors: tumor size, location, related characteristics, opposite eye status, systemic status, and patient preference. Orbital exenteration is one of the management options for choroidal melanoma with significant extraocular extension. By the time ocular treatment begins, the patient's survival may already be predetermined, and this realization could impact how uveal melanoma is treated in the years to come.
Safety of Phacoemulsification with Gradual Hydro Dissection on Posterior Polar Cataract Parmono, Ahda Firstaputra; Pardianto, Gede; Purworini, Diyah
Vision Science and Eye Health Journal Vol. 3 No. 3 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i3.2024.51-54

Abstract

Introduction: Phacoemulsification has been a procedure of choice for treating cataractous lenses and restoring visual function. Posterior polar cataract have been one of many cases in which phaco surgeons should be careful and aware for more to perform phacoemulsification. One hydrodissection procedure is safe to perform as an alternative to hydrodileniation during phacoemulsification for posterior cataract. It is called gradual hydrodissection. Methods: This study performed a quasi-experimental pre-post study that tested the safety of gradual hydrodissection in phacoemulsification in 50 eyes of 50 patients. The safety parameter used in this study includes the incidence of posterior capsule rupture and nucleus drop during phacoemulsification until surgery is finished. Descriptive statistics were used to summarize the characteristics of the study participants, such as age, sex, race, eye laterality, and previous intraocular surgery. A paired student’s t-test was conducted to compare preoperative and postoperative values for visual acuity and intraocular pressure. The P <0.05 was considered the level of statistical significance. Results: There was no complication of the posterior capsule during the hydrodissection procedure. There was a statistically significant difference in visual acuity and intraocular pressure before and after surgery by P value <0.001. All of the phacoemulsification studies were considered uneventful and successful. Conclusions: Gradual hydrodissection may be safe to be performed in phacoemulsification for posterior polar cataract.
Salt Water Induced Blepharitis: A Lifestyle-Related Case from a Coast of Java Pradana, Yuda; Prinasetya, Ki Ajeng W. N.
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.v3i2.2024.36-39

Abstract

Introduction: Blepharitis is a disease that is often countered. This condition could occur in all ages, sexes, and ethnic groups. Several factors can be the cause of blepharitis. However, blepharitis cases caused by saltwater have never been reported. Case Presentation: There was a case of a 62-year-old woman who came to the hospital complaining of a foreign body sensation in both eyes. Through examination, it was found that the eyelashes looked dirty with brownish-yellow deposits. Management by doing eyelid hygiene, giving ofloxacin eye drops, NaCl / KCl eye drops, and hygiene education had been done. Conclusions: Blepharitis is a frequently encountered case. However, blepharitis caused by salt water has not been reported. Through this case, it could be learned that the patient's lifestyle and geographical location of the patient's residence must be of particular concern to the clinician.
Late Onset Corneal Haze Post Photorefractive Keratectomy Agnia, Emeralda Brilian; Kriskasari, Georgina Tara; Dharmawidiarini, Dini; Napitupulu, Sahata P. H.
Vision Science and Eye Health Journal Vol. 3 No. 3 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i3.2024.65-68

Abstract

Introduction: Photorefractive keratectomy (PRK) is a surface ablation procedure to correct refractive errors. Regardless of the safety and efficacy, corneal haze may occur after PRK, and it remains one of the most feared complications because it can impair good visual outcomes. Case Presentation: A 20-year-old woman complained of blurred vision in her right eye (RE) after undergoing PRK elsewhere six months before admission with a history of refraction of S-12.75 C-1.75 x 10° preoperatively and S-0.75 postoperatively. Six-month postoperative uncorrected visual acuity (UCVA) was 0.01, best corrected visual acuity (BCVA) was 0.5 with S-7.00 C-0.75 x 50°. A slit lamp examination revealed grade three corneal haze. Anterior optical coherence tomography (OCT) showed the hyperreflective area with 132 μm deep into the stroma. The patient underwent phototherapeutic keratectomy (PTK) and mitomycin-C (MMC) treatment to a depth of 50 μm Ø6.5mm transition zone 0.5 mm. Two months later, UCVA was 0.2, BCVA was 0.63 with S-2.50 C-0.50 x 90°, and slit lamp examination revealed no haze remaining. Conclusions: This case illustrates the potential risk for corneal haze development, mainly when PRK is performed at greater treatment depths. However, with phototherapeutic keratectomy and mitomycin-C treatment, an excellent visual outcome and vision restoration can be obtained.
Intraocular Lens (IOL) Exchange Procedure in Refractive Surprise After Ten Years of Cataract Surgery Audina, Rizna; Zahrah, Alvi Laili; Dharmawidiarini, Dini; Napitupulu, Sahata P. H.
Vision Science and Eye Health Journal Vol. 3 No. 3 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i3.2024.55-59

Abstract

Introduction: Postoperative refractive surprises may manifest following cataract surgery. A residual refraction difference of > 2.0 D after cataract surgery was considered a refractive surprise. Treating refractive error after cataract surgery includes non-surgical and surgical options. The objective is to report clinical outcomes of intraocular lens (IOL) exchange with ciliary sulcus placement technique to manage refractive surprise. Case Presentation: A female patient aged 70 years reported experiencing blurred vision in her right eye (RE) for the past two years. History of RE cataract surgery ten years ago, however, she only had control 1-2 times after surgery. After that, the patient underwent cataract surgery on the left eye (LE), and then she complained that her RE was getting blurry. Her RE's visual acuity (VA) was 1/60 with best corrected visual acuity (BCVA) S-8.00 C-1.00 X100° to 6/10, and her LE was 7/10 with BCVA C-0.75 X60° to 10/10. The anterior segment examination of the RE was a 3-piece sulcus intraocular lens with complete continuous curvilinear capsulorhexis (CCC) intact anterior capsule, posterior capsule rupture, and the LE was in the bag IOL. Ultrasound examination of the RE revealed posterior staphyloma. She was diagnosed with OD refractive surprise, pseudophakia, posterior staphyloma, and OS pseudophakia. She underwent IOL exchange surgery on her RE. Post-operatively, the visual acuity of the RE was 7/45 using the Snellen chart. Three months post-op, the BCVA of RE was 10/10. Conclusions: In well-prepared cataract surgery, unexpected refractive outcomes such as a refractive surprise can be prevented. IOL exchange with ciliary sulcus placement technique is a treatment option for refractive surprise associated with posterior capsule rupture, and it has a good outcome.
Bilateral Subconjunctival Hemorrhage (SCH) Following Delivery Kamal, Ronik Harsono; Dwinastiti, Yasmine Ayu
Vision Science and Eye Health Journal Vol. 3 No. 3 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i3.2024.60-64

Abstract

Introduction: Subconjunctival hemorrhage (SCH) occurs when blood enters from the conjunctival or episcleral blood vessels into the subconjunctival space. SCH is classified as traumatic and non-traumatic (NTSCH). Microvascular diseases and increased intraabdominal pressure are associated with NTSCH; consequently, SCH can develop after vaginal delivery. However, reports regarding postpartum SCH are still scarce. This study aims to enhance awareness and comprehension of postpartum SCHs rather than minimize their significance. Case Presentation: A 17-year-old female presented with bilateral redness in both eyes one day post-delivery with no other ocular complaints. There were no complications in pregnancy and labor. The patient had no medical history of anticoagulant usage, trauma, hypertension, or blood disorders. Ophthalmic examination revealed visual acuity 20/20 on both eyes and bilateral subconjunctival hemorrhage, while other examinations were unremarkable. Treatment included a cold compress for 24 hours, followed by warm compresses every two hours on both eyes. Pharmacological therapy included artificial tears and naphazoline eye drops. Conclusions: Increased intra-abdominal pressure during labor can contribute to SCHs. While spontaneous resolution is common, accurate differentiation of SCH etiology is crucial for effective management. Obstetricians and ophthalmologists must collaborate to identify risk factors early, including routine eye screenings during the perinatal period, to enhance patient comfort and safety. Furthermore, additional research endeavors and investigations are necessary to deepen our understanding of the frequency and risk factors associated with postpartum SCHs and to develop effective prevention and treatment measures.
Dissemination of Retinoblastoma Post-Enucleation: Histopathological Risk Factors Review Rokim, Fitri Setyani
Vision Science and Eye Health Journal Vol. 3 No. 3 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v3i3.2024.69-75

Abstract

Introduction: Examining the histopathological markers indicative of high risk in retinoblastoma is imperative for evaluating the potential for post-enucleation recurrence and metastatic spread. Purpose: This article seeks to elucidate diverse definitions of high-risk histopathological features in advanced retinoblastoma, which confer susceptibility to recurrence and metastasis following enucleation. Review: Reducing mortality rates associated with retinoblastoma poses a significant clinical challenge. It is well-established that post-laminar optic nerve invasion, extensive choroidal invasion, and scleral invasion are key features commonly observed in advanced retinoblastoma cases requiring enucleation. Conclusion: The presence of these features in advanced retinoblastoma necessitates adjunctive therapeutic interventions to reduce the risk of orbital recurrence or metastatic spread, thereby enhancing patient survival rates.
The Comparison Between Results of Trabeculectomy With and Without Prior Anti-Vascular Endothelial Growth Factor In Patients With Neovascular Glaucoma at Undaan Eye Hospital Surabaya, Indonesia Malika, Rosalia Adriani; Nuradianti, Lydia
Vision Science and Eye Health Journal Vol. 4 No. 1 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i1.2024.24-26

Abstract

Introduction: New intraocular medication and anti-vascular endothelial growth factor (VEGF) agents have been developed to manage neovascular glaucoma and surgery. However, no studies compare trabeculectomy with anti-VEGF to no anti-VEGF treatment in patients with neovascular glaucoma. Purpose: This study compares the decrease of intraocular pressure (IOP) between trabeculectomy with and without anti-VEGF in neovascular glaucoma. Methods: This observational study comprised 30 medical records of neovascular glaucoma, divided into 15 medical records of patients with anti-VEGF before trabeculectomy and medical records of patients operated with trabeculectomy without anti-VEGF, monitored between January 2021 and December 2021. Patients with incomplete medical records were excluded. Data collected are age, gender, risk factor, IOP preoperative, and during six months of follow-up IOP postoperative. Data analysis uses an Independent T-test and Mann-Whitney test. Results: From 30 samples, the mean IOP in trabeculectomy with the anti-VEGF group generally is 12.26 mmHg. Meanwhile, the mean IOP in trabeculectomy without the anti-VEGF group generally is 16.74 mmHg. The comparison between two groups shows that there are significant mean differences between them during 1-5 months follow-up (1 month: p = 0.022; 2 months: p = 0.007; 3 months: p = 0.007; 4 months: p = 0.042; and 5 months: p = 0.029). Conclusions: Trabeculectomy with prior administration of intravitreal anti-VEGF shows good IOP reduction and can be implemented in neovascular glaucoma (NVG) patients.
Management Reconstruction of Eyelid Kissing Nevus Permatasari, Lissa Novia; Doemilah, Ratna
Vision Science and Eye Health Journal Vol. 4 No. 1 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i1.2024.13-16

Abstract

Introduction: An unusual type of congenital nevus known as "kissing nevus" develops on one eye's upper and lower lid and becomes enormous while the eyelids are closed. Reconstruction is complex since it creates both aesthetic and functional issues. Case Presentation: A 23-year-old female patient attended our ophthalmology outpatient clinic stating that she had a painless, non-progressing black nevus covering her left upper and lower eyelid since birth. The dark brown-black, 55 mm in size, with hypertrichosis that extended to the cheek and covered about two-thirds of the left upper and lower eyelid edges. A free supraclavicular skin transplant restored the complete nevus shortly after removal. We performed canthoplasty, lateral canthopexy, and full-thickness graft procedures. Three weeks following the procedures, the result was satisfactorily proved. Through histopathological examination, intradermal nevus pigmentosus was identified. Conclusions: A secure, trustworthy, and aesthetically pleasing option for head and neck deformities reconstruction involves a free supraclavicular graft.
The Challenge in Diagnosis and Management of Secondary Conjunctival Cysts Nurlistyani, Dinda Puspita; Lutfi, Delfitri
Vision Science and Eye Health Journal Vol. 4 No. 1 (2024): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i1.2024.1-3

Abstract

Introduction: Conjunctival cysts can be categorized as primary or secondary. This report emphasizes difficulties in diagnosing secondary conjunctival cysts and distinguishing them from other conjunctival lesions like conjunctival benign reactive lymphoid hyperplasia (BRLH). Case Presentation: A 43-year-old male had a painless progressive conjunctival mass for four months. He took anti-aging and muscle-enhancing injections for a year and changed the product brand four months ago. Our examination revealed a conjunctival translucent mass with distinct margins and surface-feeding vessels without visual disturbance. We provisionally diagnosed it as a conjunctival cyst with a differential diagnosis of BRLH. We treated the patient with oral methylprednisolone and dexamethasone eye drops and discontinuation of anti-aging injections. The mass completely disappeared after one month of treatment. Conclusions: This case presented a diagnostic challenge due to the presence of a feeding vessel, which indicated inflammation. This made differentiating from inflamed conjunctival masses, such as BRLH, difficult. The patient had a history of suspected inflammation from changing the brand of injectable drug. Initially, we used steroids to reduce inflammation and prevent mass growth, but surprisingly, the lesion completely disappeared. If it recurs, a biopsy may be needed to identify the exact cause, as we have not ruled out BRLH. Secondary conjunctival cysts can result from toxins, trauma, or allergies. A thorough history taking, eye examination, and biopsy may be necessary to rule out other causes of inflamed conjunctival masses.

Page 5 of 8 | Total Record : 71

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