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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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HUBUNGAN DIABETES MELLITUS DENGAN KATARAK DI POLIKLINIK MATA RSUD MOHAMMAD ANWAR SUMENEP TAHUN 2023 Nadziroh, Ainun; Karnedi
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 3 (2023): Jurnal Oftalmologi Edisi Desember 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i3.60

Abstract

Pendahuluan: Katarak merupakan  penyebab kebutaan terbesar kedua di dunia (65,2 juta pasien). Katarak adalah suatu kelainan pada lensa mata yang ditandai timbulnya opasitas pada lensa dan mengakibatkan berkurangnya transparansi dari lensa. Salah satu faktor risiko katarak adalah diabetes mellitus. Penelitian ini bertujuan untuk mengetahui hubungan antara diabetes mellitus dengan katarak.  Metode: Penelitian ini merupakan suatu penelitian observasional analitik dengan  pendekatan cross sectional. Teknik pengambilan sampel dengan total sampling. Data penelitian adalah data sekunder yang diperoleh dari rekam medik. Analisis data dengan analisis univariat, bivariat menggunakan uji analisis fisher exact dan odds ratio.  Hasil: Jumlah sampel pada penelitian ini adalah 310 responden. 265 responden mengalami katarak (85,50%), 27 responden mengalami katarak dan diabetes mellitus (8,70%), 18 responden menderita diabetes mellitus (5,80%). Dengan menggunakan analisis fisher exact diperoleh nilai p value = 0.000 (p <0.05) yang bermakna terdapat hubungan antara diabetes mellitus dengan katarak. Nilai odds ratio = 1,667 (OR >1) yang bermakna pasien dengan diabetes mellitus berisiko 1,667 kali lebih besar menderita katarak dibandingkan tidak diabetes mellitus.  Kesimpulan: Terdapat hubungan antara diabetes mellitus dengan katarak di RSUD Moh. Anwar Sumenep. Pasien yang menderita diabetes berisiko 1,667 kali lebih besar terjadi katarak dibandingkan tidak diabetes mellitus.
TRAUMA KIMIA MATA YANG DISEBABKAN POTASSIUM PERMANGANAT (KMNO4) Amajida, Saraya; Ayu, Niluh Putu; Octaviany, Efi; Natan, Priscilla Christina
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 5 No 3 (2023): Jurnal Oftalmologi Edisi Desember 2023
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v5i3.58

Abstract

Pendahuluan: Trauma kimia mata adalah kegawatdaruratan yang sering pada anak-anak. Trauma mata disebabkan oleh senyawa asam maupun basa. Salah satu penyebab trauma kimia pada mata yang jarang ditemui adalah Potassium Permanganat (KMnO4). Laporan kasus ini bertujuan untuk mendeskripsikan tatalaksana trauma kimia mata yang disebabkan Potassium Permanganat di PMN RS Mata Cicendo Bandung.  Laporan Kasus: Seorang anak laki-laki berusia 3 tahun datang ke Instalasi Gawat Darurat (IGD) Rumah Sakit Mata Cicendo dengan keluhan nyeri, merah dan bengkak pada mata kiri. Pasien terkena cairan KMNO4 ketika sedang bermain 10 jam sebelum masuk ke rumah sakit. Pemeriksaan visus pada mata kanan 6/6 sedangkan mata kiri sulit untuk diperiksa. Terdapat bengkak pada kelopak mata atas dan bawah, senyawa KMnO4 melekat kuat pada konjungtiva tarsal dan konjungtiva bulbi. Kornea keruh dan tes bayangan positif.  Diskusi: Pasien didiagnosa dengan Trauma Kimia Ropper Hall derajat II OS. Pasien diirigasi dengan 2 liter cairan salin normal sampai mencapai pH 7. Pasien dilakukan transplantasi membran amnion dan debridemen permukaan mata dalam anestesi. Tatalaksana fase awal kasus ini adalah irigasi. Terapi definitif memerlukan pembedahan untuk mempercepat proses penyembuhan. Komplikasi yang sering terjadi adalah defisiensi sel limbus kornea, mata kering, simblepharon, glaukoma sekunder, dan katarak.  Kesimpulan: Penanganan yang cepat dan agresif diperlukan dalam kasus-kasus seperti ini untuk untuk mendapatkan penyembuhan yang lebih baik.
Good Results in Open Globe Injury Including Intraocular Foreign Body Widhyasti, Rahayu; Widyanatha, Made Indra; S. Kartasasmita, Arief; Iskandar, Erwin; Virgana, Rova; Ihsan, Grimaldi
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.61

Abstract

Introduction: The second most frequent cause of open globe injury (OGI) is an intraocular foreign body (IOFB), a serious ocular emergency that needs to be diagnosed and treated right once to avoid blindness. It can enter the eye and cause damage later on, resulting in direct harm. When treating post-traumatic endophthalmitis, an urgent pars plana vitrectomy (PPV) procedure helps maximize visual outcome. Case report: A 55-year-old male patient came to the Emergency Room Tertiary Eye Hospital with chief complaints of blurry vision, pain, and red-eye in his right eye 3 days before admission. The patient’s right eye was hit by a fragment of the sickle knife while mowing the grass in the yard without protective eyeglasses. His chief complaints getting worse accompanied by lacrimation. The patient was diagnosed with Open Globe Injury Type C Grade D Pupil B zone 1, suspected early endophthalmitis, traumatic cataract of the right eye, and hypertension. Pars plana vitrectomy, vitreous tap, antibiotic intravitreal injection (with Ceftazidime and Vancomycin), IOFB extraction, explore, corneal scraping on the wound, cultural resistance, primary hecting of the cornea were done. The visual acuity improved and the infection was resolved. The infection was treated, and visual acuity returned after a month. Conclusion: In ophthalmology, IOFB is one of the most frequent traumas and is regarded as an emergency. To identify this problem, a thorough ophthalmology examination and the relevant ancillary testing should be performed. A patient with good care will have a favorable visual prognosis.
Correlation Between Visual Acuity and Severity Stages of Primary Angle-Closure Glaucoma Nurul Syifa Kurnia; Kadri, Husnil; Ilahi, Fitratul
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.62

Abstract

Introduction: Primary Angle Closure Glaucoma (PACG) is a significant cause of irreversible blindness worldwide. It is caused by the closure of the drainage angle in the eye, leading to increased intraocular pressure. This study investigates the relationship between PACG severity, as measured by cup-to-disc ratio (CDR), and visual acuity in patients with PACG. Objective: The primary objective is to assess the correlation between PACG severity stages, measured by CDR indicative of glaucomatous cupping, and visual acuity in PACG patients. Methods: Conducted as a cross-sectional observational study, this research took place at the Ophthalmology Outpatient Clinic of RSUP Dr. M. Djamil Padang. The study enrolled 50 patients meeting clinical criteria, and data were subjected to Spearman's correlation test, with significance set at p<0.05. Results: The majority of PACG patients (54%) either did not experience or had not experienced visual impairment, and most were classified under moderate PACG (64%). Bivariate analysis revealed a significant positive correlation between visual acuity and PACG severity based on CDR (r=0.709). Conclusion: This study establishes a significant positive correlation, indicating that greater CDR, reflecting increased PACG severity, is associated with poorer visual acuity. Recognizing this association is crucial for developing targeted interventions and preventing irreversible visual loss in PACG patients.
Keratitis Dendritik HSV Pada Ibu Menyusui : Laporan Kasus Tanusantoso, Gabriela; Avianty, Astri; Herman; Choliq, Abdul
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.63

Abstract

Pendahuluan: Keratitis Herpes Simpleks merupakan penyebab kebutaan paling banyak di dunia. Infeksi HSV dapat terjadi sebagai infeksi primer maupun infeksi rekuren. Karakteristik khas keratitis dendritik adalah lesi dendritik. Laporan kasus: Pasien ibu menyusui usia 33 tahun datang ke poliklinik mata RSD Gunung Jati dengan keluhan mata kiri merah, berair, gatal dan buram sejak 1 bulan sebelum masuk rumah sakit. Pada pemeriksaan didapatkan visus dasar mata kanan 6/12 PH 6/6, mata kiri 6/20 PH tetap. Pada pemeriksaan oftalmologi mata kiri didapatkan sensitabilitas kornea menurun di empat kuadran dan diberikan pewarnaan fluorescein didapatkan lesi dendritik. Kemudian pasien didiagnosa suspek refractive error OD dan keratitis dendritik HSV OS. Penatalaksanaan pada pasien ini diberikan terapi yaitu asiklovir salep mata 5xOS, prednisolon tetes mata 6xOS, dan asiklovir 5x400mg. 2 minggu kemudian pasien disarankan untuk kontrol sudah mengalami perbaikan dan tidak ada komplikasi. Diskusi: Keratitis HSV primer biasanya self-limiting disease, meskipun dengan terapi antivirus dapat mempersingkat perjalanan penyakit dan mengurangi komplikasi jangka panjang HSV. Kondisi malnutrisi dan anemia yang diperberat oleh menyusui dapat memperburuk sistem imun karena dapat menyebabkan rekurensi keratitis HSV. Kesimpulan: Pengobatan dengan antiviral, nutrisi yang adekuat, dan imunitas yang baik, disertai edukasi pasien merupakan bentuk pencegahan terhadap rekurensi dan komplikasi keratitis HSV.
Karakteristik Klinis Pasien Low Vision Anak di Pusat Mata Nasional Rumah Sakit Mata Cicendo pada Tahun 2021 Rahma, Amelia Nafisah; Sirait, Susanti Natalya; Gustianty, Elsa
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.64

Abstract

Background: In Indonesia, low vision poses a significant public health issue, especially to children, which could lead to challenges in performing daily activities and diminished quality of life. This study aimed to describe the clinical characteristics of pediatric patients with low vision diagnosis in Cicendo Eye Hospital Bandung. Methods: All medical records of low vision patients aged 0-17 at Cicendo Eye Hospital Bandung during 2021 were reviewed. Data collected were patient’s age, gender, area of origin, main diagnosis of low vision cause, visual acuity, and low vision aids and/or rehabilitation given. Result: From 172 medical records reviewed, majority of patients were male (54.07%). The age group of 10-17 years had the largest proportion (38.95%). Majority of patients lived in Bandung and its surroundings (51.16%). A total of 52.33% patient experienced moderate visual impairment and 34.3% experienced severe visual impairment. Most common anatomical cause of low vision was posterior segment abnormality, with Retinopathy of Prematurity as the main cause (13.37%), followed by retinal dystrophy (12.79%). Low vision aid that was most commonly prescribed were glasses, followed by telescope. Conclusion: Pediatric low vision patients at Cicendo Eye Hospital were mostly male, in the age group of 10-17 years, and lived in Bandung and its surrounding. The most common classification of low vision cause was posterior segment abnormality, with Retinopathy of Prematurity as the main diagnosis. The most widely used low vision aids were glasses. Keyword: Characteristic, low vision, visual impairment
The Occurrences of Gelatinous Drop-Like Corneal Dystrophy within an Acehnese Family Samira, Cut Putri; Akbar, Muhammad Khalil; Islami, Dian
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.65

Abstract

Introduction: Gelatinous drop-like dystrophy (GDLD) presents as an infrequent form of corneal dystrophy characterized by an autosomal recessive inheritance pattern. While its incidence in Japan stands at roughly 1 in 33,000 individuals, it manifests less frequently in other populations. Surgical intervention, such as lamellar or penetrating keratoplasty is typically necessary to relieve symptoms Objective: To describe 3 cases of Gelatinous drop-like dystrophy and their treatment approaches Illustration: Three brothers were diagnosed with corneal dystrophy, marked by a white-yellow nodular lesion resembling a kumquat on the corneal surface. Each patient exhibited light perception with good projection in terms of visual acuity. All underwent full-thickness lamellar keratoplasty for treatment. A month post-surgery, their visual acuity had improved to 3/60, 2/60, and 2/60, respectively. Conclusion: GDLD is a rare corneal condition associated with potential vision loss. Identification through familial history, corneal clinical features and involvement contributes to diagnosing GDLD. Full-thickness penetrating keratoplasty may be considered for managing significant visual impairment resulting from GDLD Keywords: corneal dystrophy, full-thickness penetrating keratoplasty, gelatinous drop-like
Recurrent Bilateral Chronic Central Serous Chorioretinopathy Treated with Anti-VEGF Atisundara, Siti Mutia; Iskandar, Erwin
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 2 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i2.67

Abstract

Introduction: After diabetic retinopathy, branch retinal vein occlusion, and age-related macular degeneration, central serous chorioretinopathy (CSC) is the fourth most frequent retinopathy. Males in their 20s to 50s who have acute or subacute central vision loss or distortion are usually the ones who develop CSC, males more than females. Localized serous macula detachment is its defining feature. Within three to six months, the majority of instances resolve on their own and return to normal vision, but in certain situations, laser or medication treatment may be necessary. Case: A 45-year-old male came with a chief complaint of gradually blurred vision in his right eye since a month ago. Optical computed tomography (OCT) examination showed an accumulation of sub-retinal fluid (SRF) suggestive of CSC. His visual acuity was declining even after being given oral spironolactone for 1 month, so he was scheduled for intravitreal injection Anti-Vascular Endothelial Growth Factor Therapy (Anti-VEGF). After three times in injection right eye the visual acuity improved. One month later he had a chief complaint of gradually blurred vision in his left eye. After three times in injection left eye, CSC in both eyes resolved and the visual acuity improved. Three years later he came back with a chief complaint on both eyes like three years ago. Conclusion: Normally resolution of symptoms from CSC takes several months, treatment with anti- VEGF injection an efficient way to treat CSC resolution time and improve vision.
Intraocular Pressure Changes of Rhegmatogenous Retinal Detachment Patients Following Pars Plana Vitrectomy in Tertiary Hospital Wardani, Sabrina Indri; Virgana, Rova
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 1 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i1.66

Abstract

Introduction: Rhegmatogenous retinal detachment (RRD) is one of the leading causes of vision loss worldwide. Retinal reattachment is the main target of RRD management. Pars plana vitrectomy (PPV) is one of the surgical approaches to reattach the retina by removing the vitreous gel and replacing it with tamponades. Several tamponades used in PPV may cause an alteration of intraocular pressure (IOP). Purpose: To report the IOP changes of RRD patients who underwent pars plana vitrectomy surgery Methods: A descriptive retrospective study was conducted on all RRD patients who underwent primary PPV with all tamponades at the National Eye Center, Cicendo Eye Hospital. This study has evaluated and observed the range of IOP across all the follow-up timelines post-surgery based on the endo tamponade used for the patients. Result: A total of 90 patients received intravitreal tamponade. The median IOP at baseline was 12 (4-21) mmHg. Secondary glaucoma mostly occurred in 1st and 3rd months post-PPV, 37.78% and 36.67% respectively. 80% of patients who received silicon oil 1300 centistoke experienced IOP elevation which occurred highly during 1-week and 1-month post PPV. 2.2% of patients underwent glaucoma filtering surgery to further control the IOP elevation. Conclusion: PPV procedure with several types of tamponades as vitreous substitution is one of the common approaches for patients with RRD. IOP elevation has been observed as one complication of PPV. Multiple factors may be attributable to IOP alteration. Monitoring of IOP before and after the surgery is mandatory to prevent secondary complications
Karakteristik Penderita Trauma Kimia di Rumah Sakit Mata Cicendo Bandung pada Tahun 2020-2022 Nadeem, Emirdha Sarahsyeika; Fajriansyah, Angga; Mustaram, Arief Akhdestira
Oftalmologi : Jurnal Kesehatan Mata Indonesia Vol 6 No 2 (2024): Oftalmologi: Jurnal Kesehatan Mata Indonesia
Publisher : Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ojkmi.v6i2.70

Abstract

Pendahuluan: Trauma kimia mata merupakan salah satu kegawatdaruratan pada mata yang membutuhkan penanganan segera dan intensif. Trauma kimia mata disebabkan karena adanya paparan bahan kimia yang bersifat asam (acid) atau basa (alkali). Menurut World Health Organization (WHO) sekitar 11,5% - 22,1% dari trauma mata mengalami trauma kimia. Metode: Penelitian ini adalah penelitian deskriptif dengan rancangan potong lintang atau cross sectional dan menggunakan data dari rekam medis elektronik pasien. Subjek penelitian ini adalah pasien trauma kimia di Rumah Sakit Mata Cicendo Bandung pada tahun 2020 - 2022. Sampel penelitian ditetapkan dengan menggunakan metode total sampling. Hasil: Dari 497 pasien trauma kimia, mayoritas berjenis kelamin laki-laki (72,23%) dengan usia 26-45 tahun (40,24%), bekerja (73,84%), berdomisili di Bandung (71,83%), dan sebanyak 72,84% menderita trauma kimia hanya pada salah satu mata. Pasien trauma kimia terbanyak disebabkan oleh bahan kimia basa (65,75%). Pasien dengan waktu paparan trauma paling banyak adalah < 24 jam (74,80%), dan derajat trauma kimia paling banyak menurut klasifikasi Ropper Hall adalah derajat I (78,15%). Kesimpulan: Terdapat 497 pasien yang mengalami trauma kimia dimana mayoritas pasien berjenis kelamin laki-laki dan bahan kimia basa menjadi penyebab trauma kimia mata paling banyak.

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