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Ophthalmologica Indonesiana
Published by Perhimpunan Dokter Spesialis Mata Indonesia
ISSN : 01261193     EISSN : 2460545X     DOI : 10.35749
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Ophthalmologica Indonesiana is an open accessed online journal and comprehensive peer-reviewed ophthalmologist journal published by the Indonesian Ophthalmologist Association / Perhimpunan Dokter Spesialis Mata (PERDAMI). Our main mission is to encourage the important science in the clinical area of the ophthalmology field. We welcome authors for original articles (research), review articles, interesting case reports, special articles, clinical practices, and medical illustrations that focus on the clinical area of ophthalmology medicine.
Arjuna Subject : Kedokteran - Ophthalmology
Articles 869 Documents
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Editorial Word Widya Artini
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100148

Abstract

Diagnostic Approach and Successful Treatment of Ocular Tuberculosis Siti Chadijah; Ovi Sofia; Herwindo Putranto
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100151

Abstract

Introduction: The prevalence of ocular tuberculosis (TB) are 1% in patients with pulmonary TB and 20% in patients with extrapulmonary TB. The definitive diagnosis and its management are still challenging. This case highlights the diagnostic approach and successful management of ocular tuberculosis Purpose: To report the diagnostic approach and successful management of ocular tuberculosis.Case Presentation: A-15-Years-old-Girl, presented to outpatient clinic due to blurred vision on both eyes since 6 month ago. She was suffered from fever and solitaire mass along the neck lymph node 2 weeks before. The best corrected visual acuity (BCVA) of the right eye was 0.2 and the left eye 0.3. The ophthalmology examination of both eyes revealed mutton fat, 2+ flare, and 1+ cell, posterior synechia, koeppe and bussaca nodule, 4+ vitreous cells. Funduscopy were unremarkable due to vitritis. There was an elevation of erythrocyte sedimentation rate, positive mantoux test and Quantiferon-TB Gold. Chest radiograph showed fibrosis of the right lung. Fine needle aspiration biopsy of neck mass showed fibrotic tissue. Patient was diagnosed with tuberculous granulomatous panuveitis. She received anti-tuberculous therapy (ATT) along with high dose methylprednisolone 0.5 mg/BW/days on tapered dose. At 3 weeks follow up, vitritis was subsided and we revealed snowball, snowbanking, and optic disc swelling of both eyes that showed improvement at 11 weeks follow up. The BCVA become 1.0 at week-17 of therapy and remains stable until 8 months follow up. Conclusion: Diagnosis of ocular tuberculosis diagnose was made based on symptoms and signs of granulomatous panuveitis and supporting evidence of pulmonary TB ancillary tests. Significant clinical improvement was achieved after administration of ATT along with high dose oral steroid.
Orbital Pseudotumor: Diagnosis and Management in A Secondary Hospital Rianti Pratiwi; Indra Setiawan
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100152

Abstract

Objective: To increase the awareness in diagnosing orbital pseudotumor and its management, especially in a peripheral secondary hospital with limited facilities.Case presentation: A 47 years old woman came with left eye (LE) protrusion, blurred vision, retrobulbar pain, and severe headache at regular intervals. This condition begun 8 months ago, and was diagnosed with orbital cellulitis, however the symptoms persisted until now. Physical examination of the LE showed a decreased in visual acuity, protrusion, chemosis and conjunctiva injection, increased in IOP, limited ocular motility, ipsilateral afferent pupillary defect and optic disc oedema. Plain and contrast CT-Scan showed a hypertrophy of ocular muscles with soft tissue swelling. Patient then diagnosed with idiopathic orbital inflammation and immediately prescribed with high dose steroid for 5 days with observation with glucose level observation for toxicity. Afterwards, she was given an oral corticosteroid and was tapered off for the next few weeks. At two months follow up, there were improvement in protrusion, motility and visual acuity. Conclusion: A complete history taking, physical examination and appropriate additional examination are needed. In hospital or clinical setting with limited facilities, a thorough and comprehensive examination are needed in order to establish the diagnosis and management of orbital pseudotumor.
The Short-Term Efficacy and Safety of iStent Implantation Combined With Cataract Extraction on Lowering The Intraocular Pressure in Patients with Glaucoma: A Pilot Study in Indonesia Rini Sulastiwaty; Q Syahril
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100153

Abstract

Introduction: Minimally invasive glaucoma surgery (MIGS) is continuously being improved after it was first initiated in the early 2000s. This promising method is hoped to fill the gap between medication and traditional surgeries in management of glaucoma.Objective: To evaluate the efficacy and safety of iStents implantation combined with cataract extraction in managing intraocular pressure in glaucoma patients. Methods: We collected data from 6 eyes of 5 patients with POAG and cataract pre-operatively. The extraction of cataract was then performed, combined with second generation iStents implantation. The follow up procedure included the change of intra ocular pressure (IOP), Visual acuity, and the need for IOP lowering Medication at 1 week and 1 month post-operatively. Results: There was a reduction of mean IOP from the baseline, which was 21.33 ± 6.15 to 18.0 ± 6.0 and 18.11 ± 5.57 at 1-week and 1-month following the surgery. The reduction of IOP was also followed by the reduction of medications needed for the patients. The mean visual acuity following the surgery was also increased from the baseline 0.53 ± 0.41 to 0.85 ± 0.17 at 1 – week and 0.91 ± 0.16 at 1 – month. For safety outcomes, there were no major adverse effect nor complication from the procedures after 1 month of follow up. Conclusion: The iStents implantation helped lowering the IOP of patients with glaucoma. It also reduced the need for further IOP lowering medication following the procedure.
The Compliance of Ready-Made Spectacle-Wear and Custom-Spectacle-Wear in Refractive Errors Screening Puti Tiara; Aldiana Halim; Emmy Sugiarti
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100154

Abstract

Background: Uncorrected refractive errors that could seriously affect children’s future. The compliance of spectacle-wear has been a problem in refractive errors management in developing countries in terms of the cost, availability and service range of both medical professionals and optical service. Aim: To study the compliance inferiority of ready-made spectacle-wear compared to custom spectacle-wear in refractive errors screening program.Method: Non-inferiority trial research, cluster-randomized trial was conducted to children aged 11-15 years old. Participants with corrected refractive errors (presenting visual acuity <6/12, spherical equivalent -6.00 until +6.00 Diopter (D), astigmatism ?1.00 D, anisometropic ?1.00 D) without other ocular abnormalities were given ready-made spectacles (RMS) and custom spectacles (CS). The observation was carried out in the first (1st) and third (3rd) month; subsequently, non-inferiority test was conducted with 20% margin. Result: Of 1009 school children, 365 were detected with uncorrected refractive errors. Among this number, 220 participants that met the inclusion criteria were prescribed RMS (n = 110) and CS (n = 110). The most common type of refractive errors found was myopia with mild degree of refractive errors. Compliance rate on the first (1st) month for RMS-wear was 63.6% and for CS-wear was 75.5% with d = -11.9% (95% CI -17.95% until -5.85%). Compliance rate on the third month (3rd) for RMS- wear was 65.5% and for CS-wear was 72.7% with d = -7.2% (CI 95% -12.03% until -2.37%). Conclusion: Based on the compliance observation performed in the first (1st) and third (3rd) month, there was no inferiority found among RMS-wear compared to CS-wear. This result could be used as the foundation of RMS use as an alternative for refractive errors management in refractive errors screening program to solve problems in the area of cost, availability and service range of both medical and optical service.
Comparison of Improvement of Quality of Life After Using Ready- Made Spectacles and Custom-Made Spectacles in Junior High School Students in Bandung District Dianita Ginting; Susanti Natalya; Rova Virgana; Aldiana Halim
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100155

Abstract

Introduction: Uncorrected refractive error remains a leading cause of blindness and visual impairment among different population groups worldwide. In school children, it has a considerable impact on quality of life including social development, school performance and academic achievement that can affect their future. Management of refractive errors in developing countries is not adequate related to the cost, availability and distance of health and optical services. Hence, early detection and intervention with ready-made spectacles at the time of school children vision screening programs is expected to help solving these problems. Objective: To evaluate outcome measure of wearing ready-made spectacles (RMS) and custom-made spectacles (CS) on children’s quality of life.Method: A non-inferiority trial with a margin of 25%, cluster-randomized trial. Children aged 11-15 years in Bandung Regency, that meet the inclusion criteria were randomized to receive RMS and CS. Main study outcome was global score on the National Eye Institute Refractive Error Quality of Life- 42 after one month of wearing study glasses, comparing both group. Result: A total of 220 eligible subject were allocated to RMS (n = 110) and CS groups (n = 110) respectively. Baseline and end line score data were available for 220 (100%) of subjects. Improvement of quality of life in RMS group was 19.48±9.33 and CS was 24.14±9.68 with D = -18.11(CI 95% - 19.36 to -16.64). Conclusion: Improvement of quality of life in RMS group is non-inferior compare with CS group
Comparison of Intraocular Pressure After Water Drinking Test in Primary Open Angle Glaucoma Patients Controlled with Latanoprost and Trabeculectomy Emma Rusmayani; Widya Artini; Wresti Indriatmi
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100157

Abstract

Purpose: To compare intraocular pressure (IOP) after water drinking test in primary open angle glaucoma patients controlled with latanoprost 0.005% and trabeculectomy.Methods: Observational study with cross-sectional design of 28 eyes with primary open angle glaucoma (POAG) patients. Subjects were divided into two groups, 14 patients controlled with trabeculectomy and 14 patients with latanoprost monotherapy. All subjects were under clinical therapy and had an intraocular pressure (IOP) equal or lower than 18 mm Hg, monitored during the follow up period. All subjects were submitted to the water drinking test. The results of the water drinking test, which were peak and fluctuation of IOP, were then compared between groups. Results: There were no significant difference between IOP peak between two groups (p=0.88). IOP fluctuation also showed no significant difference between groups (p=0.84). In both groups, baseline IOP strongly correlated with peak IOP in water drinking test with correlation coefficient r=0.96 (p<0.001) and r=0.71 (p=0.04), while baseline IOP in trabeculectomy group was strongly correlated with IOP fluctuation with correlation coefficient r=0.86 (p<0.001). Conclusions: Peak and fluctuation of IOP after water drinking test in primary open angle patients controlled with latanoprost and trabeculectomy showed no significant difference.
Posner-Schlossman Syndrome (Glaucomatocyclitic Crisis) A 5-Year Review Emma Rusmayani
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100158

Abstract

Background: Posner-Schlossman syndrome (PSS) or glaucomatocyclitic crisis is a rare condition with self-limited unilateral recurrent episodes of elevated intraocular pressure (IOP) and mild anterior chamber inflammation in which diagnosis can be challenging. We reviewed our 5-year experience with PSS to give a brief picture of the natural characteristic of the disease. Methods: We investigated 56 eyes from 52 patients (24 males and 28 females; both eyes for 2 males and 2 females) diagnosed with PSS during the years 2012-2017 in the Jakarta Eye Center Menteng and Kedoya. Data were collected on age, gender, visual acuity, episode of attacks, drugs regimen, IOP during attacks and after surgery or treatment in the latest follow up. Results: The mean age of the 52 patients was 48.13 years-old (range, 18–82 years). The mean intraocular pressure (IOP) of initial record for all 56 eyes was 37.63 mmHg (ranged from 10-65 mmHg). The mean visual acuity during attacks was 0.87 LogMAR and mean episode of attacks was 2.41 times, with 41% of the cases were their first time onset. Medical treatment was efficacious for 39 patients (69.62 %). Eight patients (14.82 %) underwent a surgical treatment and all had normal IOP afterwards. Conclusions: PSS was found more in middle-aged patients. PSS tend to be the typical self-limiting and response well to medical treatment. However, the episodic and recurrent nature of PSS should be a concern. Therefore, patients with PSS must have regular evaluation of visual acuity, visual fields and IOP.
Characteristic of Postoperative Visual Acuity and Complications of Surgical Procedure on Posterior Polar Cataract Patients at Cicendo Eye Hospital National Eye Center Rani Pitta; Andrew Knoch; Budiman; Emma Sugiarti
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100159

Abstract

Introduction: Posterior polar cataract is a rare form of cataract with incidence from 3 to 5 in 1000. It is bilateral in 65–80% of the cases with no gender predilection. Posterior polar cataract presents a special challenge to the surgeon because of its predisposition to posterior capsular dehiscence and possible nucleus drop during surgery. Purpose: The study aims to evaluate the visual outcome and complication of cataract surgery in patients with posterior polar cataract.Material and Methods: This is an observational study. Data were collected from the medical records within period of January 2016 – December 2018 in National Eye Center Cicendo Eye Hospital and reviewed retrospectively. Subjects in this study are patients with posterior polar cataract who underwent cataract surgery. The outcomes included visual acuity on the fourth week after surgery and complications during cataract surgery. Results: There were 50 eyes of 37 patients included in the study. The mean age was 55.22±13.86 years. Best corrected visual acuity outcomes (BCVA) were 6/6-6/18 in 48 eyes (96%) after surgery. Complications during surgery were found in 7 eyes (14%), which was posterior capsular rupture with vitreous prolapse. Complications during phacoemulsification technique in 6 patients and 1 patient had SICS. Conclusion: Posterior polar cataracts are surgical challenge. In our study, cataract surgery in posterior polar cataract leads to good visual outcome. Appropriate treatment in patients with complications yielding good outcome.
Karakteristik dan Penatalaksanaan Katarak Anak di Pusat Mata Nasional Rumah Sakit Mata Cicendo Januari 2017 – Desember 2019
Majalah Oftalmologi Indonesia Vol 47 No 1 (2021): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v47i1.100160

Abstract

Pendahuluan: Katarak anak merupakan penyebab utama kebutaan yang dapat dicegah pada seluruh anak didunia. Pengetahuan yang komprehensif mengenai karakteristik klinis dan penatalaksanaannya sangat penting dalam menentukan penanganan yang optimal dari katarak anak tersebut untuk mencegah kerusakan gangguan penglihatan yang lebih lanjut. Tujuan: Untuk mempelajari karakteristik klinis dan pentalaksanaan katarak anak di Pusat Mata Nasional RS. Cicendo periode Januari 2017 – Desember 2019.Metode: Pengambilan data dilakukan secara retrospektif dari rekam medis pasien dengan katarak anak yang dilakukan operasi di Pusat Mata Nasional RS. Cicendo periode Januari 2017 – Desember 2019. Hasil: Total terdapat 224 kasus katarak anak dalam penelitian ini, yang dibagi menjadi katarak kongenital (94,64%) dan katarak developmental (5,36%). Usia terbanyak yaitu kurang dari 2 tahun (59,38%). Jenis kelamin terbanyak yaitu laki-laki (54,02%) dengan katarak bilateral (72,77%). Nistagmus didapatkan pada (67.86%) dan mikrofthalmia (14.21%). Kondisi sistemik penyerta dapat ditemukan pada 68,30% pasien, terbanyak yaitu sindrom kongenital rubella (94,13%). Jenis katarak terbanyak yaitu katarak membranosa (35.14%). Tindakan operasi katarak yang paling sering dilakukan yaitu kombinasi antara aspirasi - irigasi, kapsulotomi posterior primer dan vitrektomi anterior (45,48%). Kesimpulan: Katarak anak paling sering ditemukan pada anak laki-laki usia kurang dari 2 tahun. Mayoritas katarak tersebut adalah bilateral dan jenis terbanyak adalah membranosa. Teknik operasi katarak yang paling sering dilakukan yaitu kombinasi antara aspirasi - irigasi, kapsulotomi posterior primer dan vitrektomi anterior.

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