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Oftalmologi: Jurnal Kesehatan Mata Indonesia
Published by Rumah Sakit Mata Cicendo Bandung
ISSN : 27236935     EISSN : 25414283     DOI : https://doi.org/10.11594/ojkmi
Core Subject : Health, Science, Education,
Education Health Professions Library & Information Science Medicine & Pharmacology Nursing
Oftalmologi: Jurnal Kesehatan Mata Indonesia (P-ISSN: 2723-6935, E-ISSN: 2541-4283) is a scientific journal published by Cicendo Eye Hospital and accepts articles written in both English and Indonesian expected to become a media conveying scientific inventions and innovations in medical or health allied fields toward practitioners and academicians. Normally published every four months (April, August, December) using a peer review system for article selection. Papers dealing with results of case reports, systematic reviews, and clinical research related to visual science for ophthalmologists, eye nurses, and medical support in other fields of Ophthalmology.
Arjuna Subject : Kedokteran - Ophthalmology
Articles 158 Documents
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Uveitic Glaucoma in Recurrent Anterior Uveitic Patient Santoso, Giovanni Adrian; Wibawaty, Halida; Fairuzia, Amania
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 3 (2022): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v4i3.39

Abstract

Introduction: Uveitic glaucoma is a serious disorders that can damage optic nerve and visual field permanently. Management of the disease requires careful diagnosis and adequate control of both IOP and inflammation. A multidisciplinary approach is necessary to achieve a desired outcome. Case Report: A case of a 45-year-old female patient who presented witha chief complaint of red, blurry vision, and dicomfort in the right eye since 1 weeks prior. There was a history of reccurent ante- rior uveiticonthe right eye since 2 years ago. She regularly takes corticosteroid based on the doctor’s advice. Intraocular pressure (IOP) on the right eye was 49 mmHg. This patient underwent trabeculec- tomy + 5-FU without any complications. IOP on the right eye is 16 mmHg postoperative and stable on the next follow up. Visual acuity of the right eye is 0.2F2 because of posterior subcapsular cataract (PSC). Immunomodulator medication was given under internist supervision. Conclusion: Uveitic glaucoma is a complex condition. Appropriate examinations are necessary to prevent further complications. Surgery is needed for patient who doesn’t respond well to anti- glaucoma medical therapy. Observation of postoperative inflammation with topical cortisteroid or oral administration has an important effect in surgical wound recovery. Continuing medication and educa- tion play an important role for long-term visual acuity.
Computer Vision Syndrome Nuzuliawati, Utin Alvina; Hutabarat, Joan Sherlone; Indriati, Antonia Kartika
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 3 (2022): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v4i3.40

Abstract

Kemajuan di bidang teknologi saat ini menyebabkan tingginya pengguna perangkat elektronik pada semua kelompok umur. Terdapat perbedaan kebutuhan visual ketika seseorang melihat tampilan dilayar perangkat elektronik dibandingkan dengan materi cetak. Mata harus bekerja lebih keras saat melihat tampilan di layar perangkat elektronik, sehingga penggunaan perangkat elektronik dalam waktu lama dapat menyebabkan sekelompok keluhan pada mata yaitu kelelahan mata, iritasi, kemerahan, kekeringan, penglihatan kabur dan ganda yang disebut juga dengan computer vision syndrome. Menghilangkan faktor penyebab merupakan pengelolaan paling penting dalam mengatasi computer vision syndrome. Tinjauan pustaka ini bertujuan untuk menganalisis informasi terkini tentang prevalensi, gejala, patogenesis dan penatalaksanaan computer vision syndrome. Kesimpulan dari studi ini yaitu computer vision syndrome merupakan salah satu masalah kesehatan masyarakat utama yang berdampak besar pada penurunan kualitas hidup dan efisiensi di tempat kerja yang dapat dicegah dengan pemeriksaan mata rutin, menjaga kesehatan mata, posisi ergonomis dan lingkungan yang mendukung.
Bilateral Herpes Simplex Keratoconjungtivitis: A Case Report Said, George Raden Mas; Mustaram, Arief Akhdestira
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 3 (2022): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v4i3.41

Abstract

Introduction: Herpes Simplex Virus (HSV) is one of the DNA viruses known to infect the human eye. Herpes simplex keratitis is, in general, a unilateral disease. In patients with weakened immune systems, simultaneous bilateral involvement is an uncommon event.Purpose: To report a case of bilateral herpes simplex keratoconjunctivitisCase Report: A 22-year-old man arrives with the primary complaint of redness in both eyes in the last four days. The patient complained of blurred vision, tearing, and foreign body sensations. Ophthalmology examination of both eyes revealed a visual acuity of 1.0 in the right eye and 0.8 in the left eye, a dendritic lesion, and decreased corneal sensation. The patient was diagnosed with bilateral keratoconjunctivitis HSV and was treated with acyclovir ointment, levofloxacin eye drops, acyclovir 400 mg five times daily, and vitamin C 500 mg.Discussion: Bilateral herpes simplex keratitis can occur in both immunocompromised and immunocompetent individuals. Recurrence of HSV infectious keratitis is common. Factors such as emotional stress, fever, postoperative tear dysfunction, ultraviolet (UV-A) radiation exposure, and ocular (accidental or surgical) trauma have also been related to the reactivation of the herpes simplex virus. History, physical, and laboratory examinations support the patient’s diagnosis to get the appropriate treatment.Conclusion: Due in part to the virus's increased virulence or changed host vulnerability, concurrently occurring bilateral herpetic keratitis has a high incidence of consequences. Delaying the advancement of corneal damage and lessening the intensity and frequency of viral assaults necessitates the timely administration of medicine upon diagnosis.
Structure and Macular Sensitivity Characteristic After Silicone Oil Removal in Primary Rhegmatogenous Retinal Detachment Haryono, Aditia Apriyanto; Widyanatha, Made Indra; Iskandar, Erwin; Kartasasmita, Arief Sjamsulaksan; Virgana, Rova; Ihsan, Grimaldi
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 4 No 3 (2022): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v4i3.42

Abstract

Introduction: Silicone oil (SO) is an endotamponade to manage several retinal detachments.The emulsification of silicone oil is one of the complications that may occur in several patients. Retinal macular changes may occur even with successful tamponade. Purpose: to describethe structure and macular sensitivity characteristic after silicone oil removal in primary rhegmatogenous retinal detachment (RRD). Methods: a prospective, descriptive case series study of who underwent SO tamponade for primary RRD. Optical coherence tomography (OCT) and microperimetry (MP-3) were conducted before SO removal and one week after SO removal. Result: There were nine eyes that met the criteria. The mean age of the patients was 53.3±14 years. Most of the patients use silicon 1300 (66.67%) and under six months (77.8%) duration of silicone tamponade. After silicone oil removal, mean macular sensitivity in the central fovea decreased from 12.44 dB to 12.11 dB, and parafovea increased from 18.33 dB to 19.00 dB.The mean macular thickness in the fovea decreased from 269.89μm to 260μm. The mean macular thickness in parafovea was an increase from 316.16 to 328.00μm Conclusion: There was an increase in macular sensitivity and thickness at parafovea after one- week silicone oil removal in primary rhegmatogenous retinal detachment.
KOLOBOMA IRIS DAN KORIORETINA UNILATERAL: A RARE CASE Ulir, Budi Santoso Nong; Hafifah, Fadillah Hana; Fatmawati, Nur Khoma
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.48

Abstract

Pendahuluan: Koloboma iris dan korioretina adalah penyakit kongenital yang ditandai dengan adanya defek pada struktur mata. Koloboma iris dan korioretina merupakan penyakit genetik dominan autosom, yang tidak bergantung pada jenis kelamin. Penyakit ini terjadi akibat kegagalan dari penutupan fisura koroidea selama perkembangan janin. Laporan Kasus: Pasien wanita 12 tahun, suku Jawa, datang ke Klinik Spesialis Mata SMEC Samarinda pada tanggal 8 Februari 2023 dengan keluhan penglihatan mata kanan terasa silau saat berada diluar ruangan. Pasien memiliki riwayat lahir normal. Pada pemeriksaan oftamologi didapatkan tajam penglihatan mata kanan 20/200 dan mata kiri 20/30. Tekanan intraokular pasien normal, palpebra, kornea, bilik mata depan, dan lensa pada kedua mata normal. Hasil pemeriksaan funduskopi pada 8 Februari 2023 didapatkan gambaran koloboma korioretina pada mata kanan. Diskusi: Pasien diberikan terapi dengan pemberian lensa mata kanan silindris -2,50 menjadi 20/40 dan mata  kiri spheris – 0,50 menjadi 20/20 dan Laser Barrage dilakukan sebagai prosedur profilaksis untuk pencegahan lepasnya retina sehat di luar coloboma. Tujuan prosedur ini adalah untuk memperkuat kontak antara retina dan lapisan pigmen retina sehingga ablasi retina dapat dicegah. Kesimpulan: Pada pasien tidak ditemukan penyakit dan anomali penyerta.
EMPTY SELLA SYNDROME: THE GREAT IMITATOR OF VISUAL COMPLAINTS Irma, Josiah; Onasis, Serena; Rizki, Dr.Saraswati; Ketaren, Dr.Retno; Budimulia, Patricia
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.47

Abstract

Introduction: Empty Sella Syndrome is a rare condition of sella turcica malformation, resulting in pituitary gland shrinkage. It may manifest as neurological symptoms, endocrine disorders, visual disturbances, or even incidental findings during imaging. However, patients rarely come with typical complaints thus an extended course and review of this case is needed to prompt suspicion and aid in the diagnosis of ESS. Case Presentation: A 45-year-old woman with cephalgia, bitemporal hemianopia, previous transient bilateral visual loss, and foggy vision. A history of ovarian cancer was noted. Physical examination showed myopic astigmatism ocular dextra sinistra (ODS) with increased intraocular pressure and bitemporal hemianopia ODS. Posterior chamber examinations were within normal limits. Optical coherence tomography showed nasal retinal nerve fiber layer ODS being the thinnest among the rest, although still within normal limits. Neurological examinations also suggested the presence of central vertigo. This subsequently resulted in a suspicion of space-occupying lesion chiasmal compression through metastasis. Discussion: MRI revealed an empty sella turcica. A laboratory examination was then ordered and showed normal endocrinology results. The diagnosis of Primary Empty Sella Syndrome with ocular hypertension was established. The patient was prescribed timolol, codeine, and dexamethasone. A month later during her follow-up, the patient did not show improvement and was suggested to do an MRI with contrast, however, this patient was lost to follow-up. Conclusion: This case report highlighted the manifestation to raise suspicion and aid in the diagnosis of ESS for an optimal and improved diagnosis and treatment of ESS.
REVIEW 5 TAHUN KARAKTERISTIK KLINIS PASIEN BENDA ASING INTRAOKULAR DI PMN RS MATA CICENDO Desrina; Virgana, Rova; Kartasasmita, Arief S.; Iskandar, Erwin; Ihsan , Grimaldi; Widyanatha, Made Indra
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.46

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. IOFBs account for 18–41% of open globe injuries, and frequently cause severe visual loss in patients with ocular trauma.The purpose of this study are is to describe the characteristics of open-globe injuries with posterior segment intraocular foreign bodies (IOFB). Subject and Methods: Retrospective data of all patients with posterior segment IOFBs from 2017 to 2022 was conducted. Data including demographics, mechanism of injury, type of IOFB, method of diagnosis, presenting examination, medical and surgical treatment, visual outcomes, and complications were recorded. Result: There were 39 patients (eyes) with IOFB, 38 (97,4%) were male, 10 (25,6%) were 46-55 years old. The most common IOFB occurred at workplace 30 patient (85,7%), 29 (74,3%) were insuranced, surgery were performed 1- 4 days in 15 (38,5%. The most Ocular trauma score were 3 (38,5%) and 2 (35,9%) initial VA were light perception – hand movement (25 or 64,1%), final VA with BCVA were > 20/40 (30,8%) patients and 6/60-6/15 (25,6%). The posterior segment IOFB (51,3%, metallic IOFB 25 (61,5%). Cataract 74,3% and Endophthalmitis (20,5%) were found in initial examination patient with IOFB (13 or 37,1%). Late complication in post surgery IOFB patient was glaucoma 14,4%. Conclusions: The IOFB occurred most commonly in adults, men, at the workplace. The IOFB mostly was metallic, found in the posterior segment. Cataract and endoftalmitis were common in initial finding IOFB patients.
MANIFESTASI KLINIS DAN TATALAKSANA OPERATIF DEGENERASI KORNEA NODULAR SALZMANN Nisa, Viendri Firhand; Mustaram, Arief Akhdestira
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.45

Abstract

Introduction: Salzmann nodular degeneration (SND) is an idiopathic and degenerative noninflammatory condition of the cornea. SND is characterized by a grayish-white or blue-white subepithelial nodule. Mild symptoms may improve with lubrication and topical anti-inflammatory therapy. Visual disturbances may occur and surgery may be required. Purpose: To explain clinical manifestations and operative management of corneal Salzmann nodular degeneration. Case Report: A 63-year-old woman came with the chief complaint of a nodule in her left eye since 4 months ago. Complaints accompanied by blurry vision, watery eyes and glare. Ophthalmological examination revealed a regression of visual, a nodule in the corneal stroma was grayish white. After examination, the patient was diagnosed with Salzmann OS nodular degeneration and ODS immature senile cataract. Debridement keratectomy and amniotic membrane transplantation (AMT) were performed as the management of this patient. Anatomical pathology results clinically support Salzmann's nodular degeneration. Discussion: Slow-progressive, yellowish-white nodules are characteristic of SND. SND can be asymptomatic, mild symptoms, or until there is a decrease in visual function. It depends on the location and depth of the nodule. Several treatment options can be done ranging from conservative with topical drugs to surgery. Surgical treatment options have the goal of reducing the worsening symptoms of nodule recurrence. Conclusions: A complete history, comprehensive ophthalmological examination can help establish the diagnosis of SND. The appearance of nodules causes complaints of foreign body sensation, decreased visual function and other accompanying symptoms. Treatment needs to be given according to the patient's condition and indications, especially the selection of surgical therapy.
SIMBLEFARON PADA PASIEN SJS PASCA VAKSINASI COVID-19: A NURSING CASE STUDY Astari, Dewanti Widya; Silviani, Rikeu
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.44

Abstract

Pendahuluan: Kasus simblefaron yang jarang terjadi pada pasien Stevens-Johnson Syndrome (SJS), dengan riwayat pasca vaksinasi Covid-19 satu tahun yang lalu. Presentasi Kasus: Seorang wanita berusia 50 tahun, berasal dari Jawa Barat. Pasien menderita SJS satu tahun yang lalu dan kini mengalami simblefaron. Visus Oftalmicus Dextra Sinistra (ODS) Light Perception (LP) dengan palpebra ODS menyebutkan bahwa terdapat eritema, konjungtiva ODS, terdapat simblefaron, kornea sulit dinilai. Palpebra superior dan inferior menyatu. Pasien mengeluh perih dan sulit membuka mata. Hasil: Asuhan keperawatan yang diberikan pada pasien dengan simblefaron diantaranya berfokus pada resiko jatuh dan mengatasi perburukan kerusakan integritas jaringan. Kesimpulan: Intervensi keperawatan yang tepat dapat mengatasi perburukan kondisi kerusakan organ internal mata akibat simblefaron yang dapat mengakibatkan kebutaan. Pendidikan kesehatan merupakan bagian intervensi terpenting bagi pasien dalam upaya menghadapi kondisi penyakitnya.
PENGGUNAAN BANDAGE CONTACT LENSES SEBAGAI TERAPI SIMPTOMATIS PADA PASIEN PSEUDOPHAKIC BULLOUS KERATOPATHY: SEBUAH LAPORAN KASUS Wikananda, I Dewa Ayu Rayna Nareswari; Triharpini, Ni Nyoman
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 1 (2023): Jurnal Oftalmologi
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i1.43

Abstract

Pendahuluan: Pseudophakic Bullous Keratopathy (PBK) merupakan suatu komplikasi dari operasi ekstraksi katarak disertai implantasi lensa intraokular yang menyebabkan rasa nyeri pada mata, penurunan tajam penglihatan, edema dan erosi kornea serta bula pada lapisan epitel dan subepitel kornea. Terapi yang diberikan meliputi terapi medikamentosa, non medikamentosa, dan tindakan pembedahan. Tulisan ini dibuat untuk mengetahui efektivitas penggunaan bandage contact lenses (BCL) sebagai terapi pada kasus PBK. Laporan Kasus: Metode yang digunakan adalah dengan studi kasus. Pasien laki-laki berusia 60 tahun datang dengan keluhan nyeri pada mata kanan disertai penurunan tajam penglihatan. Diperoleh tajam penglihatan OD 0.5/60 dan OS 6/9. Pemeriksaan oftalmologi mata kanan ditemukan Conjunctival Vascular Injection (CVI) dan Pericorneal Vascular Injection (PCVI), edema, erosi, dan bula pada kornea, bilik mata depan (BMD) dalam, pupil ireguler, iris atropi, reflek pupil negatif, dan lensa intraokular terpasang di belakang iris. Tes fluorescein mata kanan diperoleh positif.  Pembahasan: Mata kanan pasien diberi terapi tetes mata Levofloksasin 6x1 tetes, tetes mata Eyefresh sebanyak 1 tetes setiap jam, tetes mata Noncort 3x1 tetes, Parasetamol tablet 3x500mg, dan Vitamin C 2x500mg, serta penggunaan BCL. Setelah menggunakan BCL selama 3 bulan, pasien dapat beraktivitas tanpa terganggu rasa nyeri dan keluhan penglihatan buram dirasakan membaik. Kesimpulan: Dapat disimpulkan bahwa penggunaan BCL efektif sebagai terapi pada kasus PBK.

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