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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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The Role of Optical Coherence Tomography (OCT) in Glaucoma: Emphasis on Cirrus HD-OCT Nugraha, Andarisa Rachman; Komaratih, Evelyn
Vision Science and Eye Health Journal Vol. 5 No. 1 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i1.2025.32-38

Abstract

Introduction: Glaucoma is a rapidly growing illness affecting the population, and is the leading cause of irreversible blindness across the world. Losing vision can occur without any warning, which is why the disorder must be managed as soon as it is diagnosed. Glaucoma is diagnosed and managed using several optical tests, and Cirrus high-definition optical coherence tomography (HD-OCT) is among the most important. Purpose: Glaucoma is commonly diagnosed or monitored by changes in the RNFL. This review will explore changes in glaucomatous structures as detected by Cirrus HD-OCT. Structural elements such as the ganglion cell layer (GCL), inner plexiform layer (IPL), and the optic nerve head (ONH) will be the primary focus. Reviews: Glaucoma relies heavily on the Cirrus HD-OCT for detecting RNFL and GCL changes, which can occur five years or more before visual field changes that can threaten vision. The GCL/IPL layers, especially in preperimetric glaucoma, do provide an incredibly high sensitivity for detecting glaucomatous changes. The guided progression analysis (GPA) was developed to allow Cirrus HD-OCT to track disease progression over time without the identified 'normative databases'. Nevertheless, caution is needed when interpreting GCL/IPL changes in older individuals with macular degeneration. Conclusions: Cirrus HD-OCT is essential for early detection and glaucoma monitoring, offering valuable insights into structural changes in the RNFL, GCL/IPL, and ONH. The use of GPA enhances disease progression monitoring. Future research should focus on artificial intelligence and the creation of localized normative databases to further optimize glaucoma diagnosis and patient care.
Gonioscopy in Practical Ophthalmology: A Comprehensive Review of Its Principles, Practice, and Clinical Relevance Widyati, Dyah Ratri; Primitasari, Yulia; Komaratih, Evelyn; Nurwasis
Vision Science and Eye Health Journal Vol. 5 No. 1 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i1.2025.39-45

Abstract

Introduction: Gonioscopy is a vital ophthalmic examination that enables direct visualization of the anterior chamber angle, which is primarily essential for glaucoma diagnosis and management. Despite being the gold standard, it remains underutilized in clinical practice. Purpose: This review synthesizes current knowledge on gonioscopy's principles, techniques, and clinical relevance, emphasizing its predominant role in glaucoma while acknowledging its broader diagnostic utility. Reviews: Gonioscopy allows detailed assessment of angle structures, which are crucial for distinguishing between open-angle and angle-closure glaucoma and for detecting secondary glaucomas such as neovascular or pigment dispersion glaucoma. Its dynamic indentation capability uniquely differentiates appositional angle closure from permanent synechiae, unlike static imaging modalities. The review highlights historical evolution, technique nuances, indications, and technological advancements, including digital imaging tools. Gonioscopy guides clinical decision-making by identifying angle pathology that influences interventions like laser peripheral iridotomy or surgical procedures. Challenges include operator skill requirements and patient cooperation, with underuse reported even among surgical candidates. Guidelines advocate routine gonioscopic examination for glaucoma suspects. Conclusions: Gonioscopy remains indispensable, especially in glaucoma care, providing dynamic, real-time anatomical insights that cannot be replaced by imaging alone. Improving clinical training and integration into routine practice is critical to optimize early detection, accurate diagnosis, and tailored management of glaucoma and other anterior segment disorders.
Corneal Ectasia After Keratorefractive Surgery: High-Order Aberration Management and Hormonal Considerations Supit, Fabiola; Handayani, Ariesanti Tri
Vision Science and Eye Health Journal Vol. 5 No. 2 (2026): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i2.2026.52-57

Abstract

Introduction: To report a case of corneal ectasia after corneal refractive surgery successfully treated with a corneal rigid gas permeable (RGP) contact lens. Case Presentation: A 30-year-old woman presented with blurred vision and significant glare six months after bilateral refractive lenticule extraction–small incision lenticule extraction (ReLEx SMILE) surgery. The spectacle prescription showed inconsistent results. Corneal topography revealed increased high-order aberration (HOA) with values of 4.470/19.742 in the right eye and 2.543/9.931 in the left eye. After RGP lens fitting, HOA significantly improved to 0.921/1.746 in the right eye and 0.501/0.814 in the left eye, accompanied by marked improvement in subjective visual. However, after three months of follow-up, the patient experienced worsening visual symptoms and topographic findings in the left eye. Conclusions: RGP lenses do not prevent progression but can correct impaired visual function due to ectasia after corneal refractive surgery. Stricter patient selection, including consideration of hormonal factors affecting the eye, is needed to minimize the risk of keratorefractive ectasia.
Effectiveness of Spectacle Correction for Children with Refractive Amblyopia in Surabaya Salwadiva, Audia; Boengas, Sawitri; Marzuki, Jefman Efendi
Vision Science and Eye Health Journal Vol. 5 No. 2 (2026): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i2.2026.46-51

Abstract

Introduction: Amblyopia is a condition characterized by decreased visual acuity in one or both eyes. This condition frequently occurs in children because at this stage, there is a critical period of visual development. Delayed treatment can lead to decreased or even permanent vision loss. Purpose: To determine the prevalence of refractive amblyopia in children and evaluate the effectiveness of spectacle correction on visual improvement in children aged 6-18 years diagnosed with refractive amblyopia. Methods: This was an observational analytic study with a retrospective cohort approach. The study included 29 subjects aged 6–18 years with refractive amblyopia. Visual acuity was assessed in subjects who met the inclusion criteria. Eyeglasses were prescribed and visual development was monitored. Best-corrected visual acuity (BCVA) was re-evaluated after one and six months of wearing glasses. Results: A total of 15,387 pediatric patients were screened, of whom 144 (0.94%) were diagnosed with refractive amblyopia. Twenty-nine subjects met the inclusion criteria. Significant improvements in visual acuity were observed at one month (P = 0.045) and six months (P = 0.002) after spectacle use. At one month, 37.5% of eyes improved by one line, while at six months, 31.8% showed similar improvement. The difference in effectiveness between one and six months was not statistically significant (P = 0.484). Conclusions: Spectacle correction alone is effective in improving visual acuity in children with refractive amblyopia.
Eight-Year Delay in Unilateral Traumatic Cataract Diagnosis Leading to Deprivation Amblyopia and Small-Angle Sensory Esotropia Najiyyah, Siti Ulfatun; Sari, Padmi Kartika; Andari, Marie Yuni
Vision Science and Eye Health Journal Vol. 5 No. 2 (2026): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i2.2026.58-61

Abstract

Introduction: Traumatic cataract in children is often unnoticed, especially in unilateral cases. Severe vision loss in one eye leads the brain to suppress input from the weaker eye. If the condition is treated after the visual development period is complete, visual function may not fully recover even after the underlying cause is removed; this is known as amblyopia. Loss of binocular fusion weakens ocular alignment, causing esotropia. Case Presentation: A 13-year-old girl reported blurred vision in her right eye after accidentally closing her left eye. She had no prior ocular history. Her mother recalled that at age five the patient fell from a slide, causing swelling around the right eye that was untreated. Examination revealed a mature cataract in the right eye with 8.75Δ esotropia and visual acuity of 1/60. Cataract surgery was successfully performed. The ocular segments were within normal limits, and funduscopy after pupil dilation showed no optic disc or retinal abnormalities. However, the visual acuity remained uncorrected, at 1/60. Following the diagnosis of amblyopia and esotropia, the patient was advised to perform six-hour daily patching. Eighteen months postoperatively, a home visit revealed persistent 8.75Δ esotropia, with right eye visual acuity remaining 1/60, while the intraocular lens and ocular segments remained normal. According to her mother, the patient was inconsistent with patching therapy. Conclusions: This case emphasizes that delayed diagnosis and treatment of traumatic cataracts in children during the critical period may result in amblyopia and strabismus that are difficult to treat despite successful cataract surgery.
The Challenges in Diagnosing Sturge-Weber Syndrome (SWS) with Corneal Disorder Fika Rahmawati; Ismi Zuhria
Vision Science and Eye Health Journal Vol. 5 No. 2 (2026): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i2.2026.66-69

Abstract

Introduction: Sturge-Weber syndrome (SWS) or encephalofacial angiomatosis consists of a facial cutaneous vascular malformation (port-wine stain) with ipsilateral leptomeningeal vascular malformation. The characteristic facial port-wine stain involves the eyelid, anterior chamber, cornea, choroid, and retina. Other lesions sometimes seen are cataract, corneal degeneration, uveitis, intraocular haemorrhage, and heterochromia of the iris. Case Presentation: A 54-year-old woman presented with a chief complaint of right-eye glare. The patient cannot really remember when it started. Other complaints include eye pain, blurriness and discomfort. Red eyes were irritatingly denied; history of illness, hemangioma since birth, stroke, hypertension, and diabetes mellitus. The left eye has been blind for 40 years. Visual acuity from the right eye is 5/24 pinhole and 5/7.5 light perception from the left eye. The intraocular pressure (IOP) were normal in both eyes. Tear breakup time and Schirmer test showed dry eye. The segment anterior to the right eye showed a hazy cornea and lens opacity. The specular microscope showed higher coefficient variation. Conclusions: Establishing a diagnosis in SWS patient with corneal disorders is difficult, however, routine evaluation remains necessary to maintain eye health and sharp vision, especially in the last eye.
Unilateral Internuclear Ophthalmoplegia From Infarction Origin: Small Lesion Big Trouble Shavira Kartika Dewi Safitri; M. Nurdin Zuhri
Vision Science and Eye Health Journal Vol. 5 No. 2 (2026): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i2.2026.62-65

Abstract

Introduction: Internuclear ophthalmoplegia (INO) is an ocular movement disorder caused by a lesion of the medial longitudinal fasciculus (MLF). Approximately one-third of INO cases are due to infarctions, typically unilateral and affecting older adults. This case report presents a patient with unilateral INO and a one-month follow-up after therapy. Case Presentation: A 55-year-old woman presented with double vision, particularly on the left, which had persisted for one month. She also reported blurry vision in both eyes, especially in the right eye, and occasional headaches. The right eye best corrected visual acuity (BCVA) was 5/7.5 cc S -0.75; became 5/6 with no improvement with pinhole. The left eye BCVA was 5/6 cc S -0.5 C -0.5 A 50, became 5/5. The right eye ocular motility was -4 when the eye gazed in the nasal direction. Slowed adducting saccadic velocity was observed in the right eye, with left-eye abducting nystagmus. The brain magnetic resonance imaging (MRI) revealed a small infarct in the right MLF. The patient had a history of uncontrolled hypertension and type 2 diabetes mellitus. She was diagnosed with unilateral INO and treated with mecobalamin, metformin, vitamin B complex, amlodipine, candesartan, and atorvastatin. At one-month follow-up, ocular motility had improved to -2 in the right eye on nasally directed gaze, and the patient reported a reduction in double vision. Conclusions: Small infarcts in the right MLF can cause significant diplopia. Isolated unilateral INO may be the sole manifestation of ischemic stroke and generally has a good prognosis with appropriate management.
Diagnostic Modalities and Current Management Approaches in Retinitis Pigmentosa (RP) Isma Zul Abdillah Jaya; Ima Yustiarini
Vision Science and Eye Health Journal Vol. 5 No. 2 (2026): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i2.2026.70-79

Abstract

Introduction: Retinitis pigmentosa (RP) is a genetically heterogeneous retinal dystrophy causing progressive vision loss, primarily through rod photoreceptor degeneration. Characterized by nyctalopia and peripheral vision loss progressing to blindness, RP affects ~1 in 4,000 globally, with regional prevalence variations. Despite being a leading cause of inherited blindness, no curative treatments exist; current management focuses on supportive care and emerging therapies like gene therapy. Purpose: This review analyzes RP's clinical features, diagnostic advances, and evolving therapeutic strategies to guide improved patient care. Reviews: RP manifests through progressive photoreceptor degeneration, initially affecting rod cells and later cones, with over 100 identified genetic contributors creating substantial clinical variability. The diagnostic evaluation of RP has advanced significantly through multimodal imaging. While fundoscopy reveals characteristic bone spicules, SD-OCT and fundus autofluorescence (FAF) allow for precise structural assessment of photoreceptor loss. Full-field electroretinography (ffERG) remains the gold standard for detecting early functional deficits. Management strategies have evolved from purely supportive care to mechanism-based treatments. Notable advances include the Argus II retinal prosthesis for end-stage patients and the U.S. FDA-approved gene therapy voretigene neparvovec for RPE65-associated dystrophy. However, challenges persist, particularly the delayed diagnosis due to preserved central vision in early stages and the complexity of addressing high genetic heterogeneity. Conclusions: The diagnosis of RP is established by a combination of clinical examination, multimodal imaging, and electrophysiological testing. While current standard care remains largely supportive, the future of RP management lies in early genetic diagnosis to facilitate personalized gene therapies and stem cell-based regenerative treatments.

Page 8 of 8 | Total Record : 78

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