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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 71 Documents
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Various Corneal Foreign Body Materials Fitriani, Dila Nur; Nurwasis
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.v4i1.2024.17-23

Abstract

Introduction: Cornea is an important refractive part of the eye. The corneal foreign body can disturb corneal function, depending on its material. Any materials are inert and can be retained with serial observation, while others can cause an inflammatory reaction. Purpose: To determine the effects of various foreign body materials on the cornea. Review: Corneal foreign body materials are divided into non-organic and organic materials. Organic foreign bodies (plant and insect parts) often cause severe inflammation; meanwhile, the effects of non-organic foreign bodies (metal, glass, graphite) depend on their materials. Some metals, such as iron and copper, can develop a stained deposition, disturb corneal clarity, and lead to inflammation. Other metals such as gold, silver, and platinum are almost inert and cause little or no reaction. Glass, sand, or stone is relatively inert if it is sterile. Intrastromal graphite is also inert, however, organic materials are associated with infection. Wood can lead to bacterial or fungal infection. Insect parts such as caterpillar hair can cause ophthalmia nodosa, and insect stings elicit an inflammatory response. Conclusions: Any non-organic corneal foreign bodies (gold, silver, platinum, glass, sand, stone, and graphite) may be retained safely if the removal of the foreign body results in significant scarring, which can distort the topography of the cornea. Iron, copper, and organic materials (wood and insect parts) must be removed due to their toxicity or risk of infection.
Bandage Contact Lens Associated Infection after Amnion Membrane Transplantation in Peripheral Ulcerative Keratitis Case with Spondyloarthritis Permatasari, Devi Sarah Intan; Zuhria, Ismi; Rahmawati, Lita Diah
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.v4i1.2024.4-12

Abstract

Introduction: Bacterial keratitis causes around 90% of all cases of microbial keratitis. The global rise in contact lens usage has contributed to an increased risk of microbial keratitis. Peripheral ulcerative keratitis (PUK) is essential to diagnose as it can be the first presenting feature of a sight-threatening and associated with rheumatic autoimmune disease. Case Presentation: The case presents a 35-year-old woman with redness, discharge, and tenderness in her right eye (RE) since the day before, along with light sensitivity and tearing. Three months prior, she underwent multilayer amniotic membrane transplantation (AMT) surgery for corneal thinning due to peripheral ulcerative keratitis (PUK) and wore a contact lens postoperatively as a bandage. She had a history of conjunctival resection related to the PUK a year ago. She received oral cyclosporin and methylprednisolone for spondyloarthritis. Initially, her visual acuity of the RE was limited to hand movement. Diagnosis included RE keratoconjunctivitis related to contact lens and PUK post-AMT surgery; treatment comprised intravenous and topical antibiotics, artificial tears, cycloplegics, analgesics, and oral ascorbic acid. After four days of treatment, clinical signs were improved, with visual acuity progressing from hand movement to counting fingers at one meter. Conclusions: Careful management is essential for PUK patients after AMT surgery, especially those using contact lenses as bandages due to the potential risk of infection. Early PUK identification is crucial, as it may indicate sight-threatening issues and underlying systemic diseases. Meticulous examination and multidisciplinary management are required to ensure patient safety.
Navigating Recurrent Corneal Injury: Addressing Challenges in Lawnmower-Related Ocular Trauma Rokim, Fitri Setyani; Kusumastuti, Fitria; Surakhman, Budy
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.46-49

Abstract

Introduction: Ocular trauma resulting from workplace accidents, such as those involving lawnmowers, can cause severe eye injuries, potentially leading to significant visual impairment. Case Presentation: A 42-year-old male presented with sudden vision loss, redness, and pain in the right eye following a workplace accident. Examination revealed a full-thickness corneal laceration, hyphema, and anterior chamber prolapse of the iris and vitreous. The patient underwent a surgical repair. However, recurrent injuries necessitated additional intervention, ultimately resulting in a corneal leucoma. Although postoperative symptoms initially improved, wound dehiscence led to recurrent vitreous leakage, complicating recovery. This case highlights the challenges associated with managing recurrent corneal injuries and underscores the importance of precise surgical techniques to optimize outcomes. Conclusion: This case emphasizes the complexity of recurrent ocular trauma, particularly in workplace-related injuries such as lawnmower accidents. A comprehensive patient history, individualized management approach, and multidisciplinary collaboration are essential for improving visual prognosis and surgical success.
PEEK Acuity and its Potential to Improve Visual Acuity Screening Dipayana, Pikasa Retsyah; Firmansjah, Muhammad; Wahyuni, Indri; Nurfahri, Rifat
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.42-45

Abstract

Introduction: Uncorrected refractive errors contribute to 43% of the leading causes of global visual impairment. Early screening is essential to detect visual impairment and to plan early intervention. Portable eye examination kit (PEEK) Acuity has the potential to help improve early detection; however, its validation needs to be studied. Purpose: To carry out a validation test of PEEK Acuity as a visual acuity examination tool compared to the Snellen Chart. Reviews: PEEK Acuity is a smartphone-based screening modality that can be used offline and has a low false positive rate. Several studies have been conducted to evaluate the accuracy of using the PEEK Acuity application. The duration of examination using PEEK Acuity is also said to be significantly shorter than that of using Snellen Chart in preschool-age children. Conclusions: The PEEK Acuity application can currently be considered a viable alternative for vision screening, especially for widespread screening in both the community and school-aged children who require a high level of specificity to avoid errors in identifying cases.
Bilateral Pigment Dispersion Syndrome (PDS) in a Young Female Patient Karunika, Anindya Ramadian; Komaratih, Evelyn; Nurwasis; Primitasari, Yulia
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.55-59

Abstract

Introduction: Pigment dispersion syndrome (PDS) is characterized by pigment accumulation in the anterior chamber and a concave peripheral iris. Many PDS patients are not diagnosed until the disease has progressed to pigmentary glaucoma or other visual problems. Since glaucoma is the primary cause of permanent blindness globally, it is crucial to perform a thorough examination on patients with PDS to identify early indicators of pigmentary glaucoma (PG). Case Presentation: A 17-year-old female presented to the ophthalmology outpatient unit with eye pain and headache. The intraocular pressure (IOP) in the right eye was 30 mmHg, while in the left eye, it was 20.5 mmHg due to the peripheral iris' concavity and heavy pigmentation in the trabecular mesh in both eyes. The patient was diagnosed with pigment dispersion syndrome in both eyes and was given timolol maleate 0.5% eye drops. A follow-up examination revealed a decrease in the IOP and pain. Conclusions: Many young PDS patients go undiagnosed, and those with glaucoma are misdiagnosed as having juvenile onset glaucoma or primary open angle glaucoma. When high IOP is seen in young myopic patients, a thorough evaluation of the anterior segment is required. The patient should be aware of the progression of PG, and regular follow-up is recommended.
Association Between Dry Eye and Sleep Quality in an Elderly Chinese Population in Taiwan: The Shihpai Eye Study Tsai, Su-Ying; Kuang, Tung-Mei
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.27-33

Abstract

Introduction: Dry eye symptoms often do not align with test results, and discrepancies between symptoms and clinical signs are common. Interestingly, dry eye symptoms correlate more with non-ocular conditions than clinical signs. Purpose: Our study explored the link between dry eye symptoms, signs, and sleep quality among the elderly. Methods: This community-based cross-sectional survey targeted vision and eye diseases in non-institutionalized individuals aged 65 and older. It began with a structured questionnaire on dry eye symptoms and the Pittsburgh Sleep Quality Index (PSQI), followed by a standardized ophthalmic examination, including slit lamp and dry eye tests. Results: Frequent dry eye symptoms were significantly associated with poor sleep quality (OR: 1.92; 95% CI: 1.36-2.70). Positive dry eye symptoms with tear break-up time ≤ 10 sec (OR: 1.78; 95% CI: 1.25-2.52) and a Schirmer test ≤ 5mm (OR: 1.61; 95% CI: 1.10-2.34) were linked to poor sleep quality, as was having meibomian gland disease (OR: 1.60; 95% CI: 1.09-2.32). Dry eye symptoms were also associated with the use of sleeping medication (OR: 1.41; 95% CI: 1.01-1.95). Subjects with dry eye symptoms and tear break-up time ≤ 10 sec (OR: 1.59; 95% CI: 1.13-2.22) or a Schirmer test score ≤ 5mm (OR: 1.46; 95% CI: 1.01-2.08) were more likely to use sleeping medication. Conclusions: Our study showed dry eye, especially dry eye symptoms, significantly impacts subjective sleep quality and the use of sleeping medication in the elderly. The causal relationship between sleep quality and dry eye requires further investigation.
Multifocal Keratitis in 23-year-old Woman with β-Thalassemia Asti, Annisa Kinanti; Zuhria, Ismi
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.50-54

Abstract

Introduction: Multifocal keratitis can result from infectious and non-infectious causes, and its etiology is often challenging to pinpoint. Ocular complications are common in β-thalassemia and can have serious consequences. This case highlights an unusual presentation of multifocal keratitis in a patient with β-thalassemia. Case Presentation: A 23-year-old woman with β-thalassemia, diagnosed 12 years ago, was referred by a hematologist for pain in her right eye persisting for the past two weeks. She reported redness, tearing, and light sensitivity. Six months prior, she experienced similar symptoms, which had left a white spot in her right eye. Recently, this spot had multiplied and spread across the ocular surface. Visual acuity (VA) was 6/40 in the right eye on examination. Findings included palpebral spasm, conjunctival and pericorneal injection, and multiple infiltrates on the anterior corneal surface. Fluorescein staining was positive for numerous infiltrates. Schirmer and break-up time (BUT) tests indicated an unstable tear film. Treatment included antibiotic eye ointment, preservative-free artificial tears, mucous membrane pemphigoid (MMPs) inhibitors, and oral ascorbic acid. Two weeks later, VA improved to 6/9, with a reduction in infiltrates and fluorescein staining. Conclusion: Prompt management is essential for preserving vision and preventing complications in ocular surface diseases while diagnostic procedures are underway.
A Cross-Sectional Study of the Prevalence of Keratoconus in Patients with Astigmatism More than Two Diopters Sama, Zinatus; Afroz, Tamanna; Hamid, Salman Ahmed T.; Abdulmajeed, Saeema M.; Chowdhury, Imtiaj Hossain; Hasan, Md Mahmudul
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.34-41

Abstract

Introduction: Patients with astigmatism, especially those with more than two diopters, appear to have keratoconus as a co-morbidity. Understanding the coexistence of these two diseases may aid in these patients' early detection and management. Purpose: The purpose of the present study was to establish the rate of keratoconus among the patients with >2D astigmatism in Bangladesh. Methods: 80 astigmatic patients >2D among the age group 10-45 years old participated in this cross-sectional study between May and August 2024 at Noor Makka and Makka Eye Hospitals, Dhaka, Bangladesh. Keratoconus and subclinical cases were identified by using corneal topography, slit lamp, and corneal asymmetry, along with general visual evaluation by an ophthalmology consultant. Statistical package for the social sciences (SPSS) software was used as the data analysis tool. Results: This study analyzed the socio-demographic information and the eye characteristics of people with astigmatism. Out of 80 studied participants, keratoconus appeared in 65%, mainly from the age group 17-30 (56.25%). Among the study participants, males and females were 47.50% and 52.50%, respectively. The average astigmatism level was recorded at 4.697 diopters. The research established a significant statistical correlation between Keratoconus diagnosis and corneal biomicroscopy (p = .001) and corneal topography (p = .000), where most of the keratoconus patients showed thinning patterns in their stromal structure. The research also established a connection between age and gender to keratoconus. Conclusions: This cross-sectional study revealed a high prevalence of diagnosed keratoconus among astigmatic patients, particularly affecting younger individuals.
Comprehensive Surgical Approaches for Paralytic Esotropia Widayanto, Fredy; Loebis, Rozalina
Vision Science and Eye Health Journal Vol. 4 No. 2 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i2.2025.60-66

Abstract

Introduction: Paralytic esotropia occurs due to paralysis of the lateral rectus muscle due to sixth nerve paralysis. One of the etiologies of sixth nerve palsy is trauma. Examination and holistic management should be done in patients with sixth nerve palsy, as this condition will have a psychosocial impact on the patient. In this case series, the authors will report on the different approaches to comprehensive management in paralytic esotropia cases. Case Presentation: The first patient had 30Δ paralytic esotropia in the right eye for ten months after an accident, experiencing diplopia in the primary gaze worsening in the left gaze, with abduction limitation. He underwent a 7 mm medial rectus recession as the first step, followed by vertical rectus transposition with Foster modification after three months. This treatment successfully restored orthophoria with no diplopia in the primary gaze. The second patient developed paralytic esotropia (10) after a traffic accident one year prior, with minimal motility limitation. He underwent a 4 mm medial rectus recession, restoring binocular vision and allowing him to return to work. Conclusion: Sixth cranial nerve paralysis is the most common cause of eye-related nerve paralysis, leading to loss of lateral rectus muscle function, diplopia, and significant psychosocial impacts. Surgical treatment for chronic paralytic esotropia depends on the severity of muscle weakness, with different procedures recommended based on the ability of the lateral rectus to contract. Case studies showed that appropriate surgical interventions, such as medial rectus recession and vertical rectus transposition, effectively managed the condition and improved patient outcomes.
Retropupillary Iris-Claw Intraocular Lens Implantation in Aphakia Post-Endophthalmitis Zahra, Alvi Laili; Audina, Rizna; Dharmawidiarini, Dini; Napitupulu, Sahata P. H.
Vision Science and Eye Health Journal Vol. 4 No. 3 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v4i3.2025.86-90

Abstract

Introduction: Endophthalmitis is a severe eye disease. Due to the previous condition, selecting the appropriate type of secondary intraocular lens (IOL) is challenging. The Objective of this report is to describe the outcome of retropupillary iris-claw intraocular lens (RP- ICIOL) implantation to treat aphakia in patients with low corneal endothelial cell count, lack of capsular support, and a history of endophthalmitis. Case Presentation: A 73-year-old female patient reported experiencing hazy vision in her right eye (RE) for four months following cataract surgery. The patient had previously been diagnosed with aphakia and endophthalmitis RE and was admitted for three days. The visual acuity of the RE was 1/60. On anterior segment examination, the cornea was clear, the anterior chamber was deep, there was no flare or cell, vitreous strands were present in the anterior chamber, and the pupil was irregular with an aphakic lens. Examination of the posterior segment was within normal limits. Specular microscopy showing corneal endothelial cell density (CECD) of RE was 1086 cells/mm2. The patient then underwent RP-ICIOL implantation. Post-operatively, the visual acuity of the RE improved to 6/25, and the intraocular pressure (IOP) was 11 mmHg, as measured using non-contact tonometry. Three months post-op, the visual acuity was 6/30, the IOP was 17 mmHg in the RE and the CECD was 1108 cells/mm2. Conclusions: Good and appropriate management of endophthalmitis can save a patient's vision. Secondary iris-claw IOL implantation is a viable treatment option for aphakia following endophthalmitis, offering the advantage of maintaining the physiologic posterior position and being minimally invasive.

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